Archive for tag: friends

NDs Around the World

Over the weekend, I got to speak with one of my dearest friends for the first time in two years. She has been living in South Korea with her husband where they both work as teachers. Sara and I met when we studied abroad in Australia 8 years ago. In the years since then, I've been the lucky recipient of many visits from Sara and her husband wherever I've lived, all over the country. I have totally reaped the benefits of their summer vacations as teachers. This time, they are in the U.S. for a few weeks seeing family and I am so excited to pay them a visit in Michigan next weekend! It's my turn to make the trip to visit them.

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When Sara came to visit in me in Truckee/Tahoe.

One of the most important reasons I moved out west from New England after college (where I subsequently decided on naturopathic medicine as a career), was based on my experience of studying abroad in Australia with Sara. While studying on the other side of the globe, I met so many Americans who hailed from all the very different parts of the United States. I realized that I, an East Coast girl, was so different from those girls from the Midwest, or those girls from Southern California. We all came from very different American backgrounds, and yet these Australians, as well as all the other foreigners we met while out exploring, grouped me in with all the others. I was just another American girl to them.

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Adventuring in Australia -- getting inspired to explore my own country.

On account of this, I decided I had better go figure out what the rest of my country was like before I went travelling abroad again. While we all had some American patriotism and our language in common, I felt so different from so many of my countrywomen. I wanted to know what assumptions people might be making about me based on some other Americans they'd met who, as far as I could tell, were nearly as different from me as the Australian girls were, or the Germans.

Now that I can see the light at the end of the medical school tunnel, I am starting to think about where to explore next. I think I have a pretty good handle on what an "American girl" is, based on my experiences living around the country, so perhaps it's time to head into foreign lands!

Between binge-watching Anthony Bourdain episodes, perusing photographs of far away places on BuzzFeed, and reminiscing about our travels of the past, Hanzi and I have caught the travel bug. We regularly toss around the idea of living and working in another country, and have even set some lofty goals of learning a foreign language before we graduate with our respective master's and doctorate degrees (we haven't made any headway on this, yet). Even if we don't make it out of the country, we are ready to explore another region... perhaps Alaska, or Montana, or Maine...

Of course, I also have to think about actual employment after graduation, and for the record, I am equally excited to work as a doctor as I am to see new places. If you're like me and think you might want to explore, either now or later on, keep these resources in mind. There are several networks for naturopathic doctors around the world. Several of my friends at NUHS have traveled to work with Naturopathic Doctors International and Naturopaths Without Borders during their breaks between trimesters. My peers have returned with totally awesome stories of hands-on experience treating patients, living in rural areas, assisting in the delivery of babies by flashlight, and connecting with local people whose worlds are so very different from ours.

In addition to delivering care to the underserved abroad, naturopathic medicine is going global with the recent creation of The World Naturopathic Federation in 2014. This organization connects naturopathic doctors in 40 countries around the world, and endeavors to connect our work with that of the World Health Organization. We might be a small population here in the United States, but we are also out there, all over the world, sharing and advancing our medicine!

An Illinois Forest Bath

It's pouring rain right now. Our basement is probably flooding, slowly. But all that water coming down makes for crisp, clean air! *Takes deep breath in...*

A few weeks ago I read the abstract to a scientific paper out of Australia that aimed to quantify the effect of exposure to nature on participants' health, and to identify an ideal dosage of nature. The conclusion was alarmingly reductionist. How many trees should we plant on the roadsides in order to make people less stressed? How can we manipulate nature in order to best serve our health needs?

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A winding path

A practice called Forest Bathing started in Japan in the 1980s. It was developed as a treatment to relieve stress. Newer studies have recognized that a consciously meditative walk in the woods can boost the immune system by increasing natural killer cells. One set of guidelines on Forest Bathing suggests you spend 3 days and 2 nights in the woods if you really want to boost your immunity. Otherwise, you may choose to spend just one day Forest Bathing to reduce stress.

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Hanzi and me, out for a walk in the woods

Hanzi and I went for an extremely rejuvenating walk in the woods the other day. Relationships always take work, and my relationship takes extra work because I'm in medical school. We brought our cameras and our rain jackets, but nothing else. There is a trail that ducks off into the trees that I noticed when I first started commuting by train. I keep meaning to go find it, and we finally did. It was a rainy day, and cool. The forest was especially green and fragrant. We encountered two yearling deer; they were definitely curious and not afraid of us at all. We hung out in their presence for a few minutes while they devoured low-growing plants and watched us curiously through their sparkly black eyes. Hanzi and I chose to move on first; we left them to their lunch. 

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And when it rained and poured we went for some pseudo-nature at the climbing gym

I found an article written a few years ago by our newest clinician Dr. Denis Marier titled, "Ecotherapy: Embodying the Vis Medicatrix Naturae in Clinical Practice." In it, Dr. Marier writes about the relevance and importance of incorporating nature into naturopathic care. I love the idea of taking a "Natural History" with each patient in an effort to understand the patient's exposure to and experience with the natural world. Naturopathic doctors believe in working with the Vis, or that healing power of nature "which always endeavors to repair, heal, and to restore." This is evidenced in those walk-in-the-woods smells of new greenery, the mud and wet grass, and damp rotting wood. The natural world turns over, heals itself. So too, do humans, who are just as much a part of nature as new leaves, mushrooms, and rotting stumps.

Besides going out to seek nature, I am particularly fond of Dr. Marier's idea of "naturalizing a part of your clinic grounds." Even a city office can be naturalized with potted plants and fresh air. One aspect of my vision for my future practice includes an outdoor space where I can consult with patients. In his piece, Dr. Marier also suggests assigning a Medicine/Nature Walk, which he describes as a 3-6 hour fast from food, people, and electronics. He encourages patients to notice how they are observed by nature, rather than focusing only on their subjective experience. This makes me think of the deer on my walk the other day; they were so curious! I was observed. And I observed, too.

Resources:

Piles of Laundry and All the Strong Hearts

Ugh, guys and gals, it's been a tri! I'm sitting here trying to bang out a meaningful blog post for my loyal readers and... turns out the only thing I can focus on is that I am surrounded by three loads of unfolded laundry (clean at least, thank goodness) and that's just the start of what's not getting done around here...

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My mom would be mad -- sitting in my messy room, mustering energy to do lots of things.

What week in the tri is it? I keep trying to write a comment about it being "that week" of the tri, and to quote my fellow ND student friend Wendy, "I just can't even." I keep telling myself that taking boards in week 4 or 5 (or whenever that was) is why I'm all out of sorts, but really, it's just that med school is med school is med school, and there's just no changing that.

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Classic medical student portrait -- sleepy and studying.

In the summer I wrote about the unbeautiful part of being a naturopathic medical student. That was the last time I had ice cream for dinner and even though it's not exactly ice cream weather, tonight's lookin' like its time for a repeat.

Enough complaining! What I HAVE managed to do lately is this: I get out of bed every morning! I put on clothes, and I think I always look presentable, if maybe, occasionally, a little weird. Each morning I succeed in making myself coffee, and if I had a "To Do List," I would almost always put a satisfying check next to "make breakfast." But, it's a good day if I manage to actually eat the breakfast without also doing two other things simultaneously; I'm usually taking bites between packing a lunch and scrambling to gather up all my things.

I can say with confidence that each weekday I make it to campus! Yes! I am proud to say that I stay awake in class, and I almost always know which room I'm supposed to be in, and when. Also, I generally always know what's going on in lecture, although... I have my days.

Today, when taking a blood pressure I struggled to multiply 17 by 4. It's OK, not all doctors can do math every single time, right?

Some days seem unbelievably long, and others I just wish, wish, wish could extend by just an hour or two! If you had an extra hour in the day, what would you do with it? I used to say, "Yoga!" Now, I would sleep. I would definitely sleep. I used to think sleeping was for the faint of heart. I'm not sure anyone could get through a medical education without a strong heart, and so, my views have changed.

Speaking of strong hearts, I am surrounded by them and Hallelujah! If it weren't for my friend Blaine's reliable punchy sarcasm, Wendy's big grin and occasional colorful language, Tina's quick laugh, Mallory's eager smile, Abdulla's kind eyes, Lisa's happy conversation, and Brad's constant confidence, I might have imploded by now. And these are only the people I see the most often! I have so many other fellow student friends who keep me laughing, who commiserate with me, and who help me talk through my thoughts everyday. Thank you all! You guys rock.

Sigh. Thank you for reading about my blunders and my teeny, tiny daily successes. Now I think its time for that ice cream dinner...

You Could Choose National for the Thunderstorms

I spend a lot of time looking at the sky. When I lived in the West, I realized that a big sky makes me feel that anything is possible and that I can never understand it all. I adore this feeling. I desire to be outside of my comfort zone as often as possible; so much so that at times I've had to give up and retreat to calmer waters.

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I spend a lot of time looking at the sky. Sunrise on my morning commute last week.

On a long weekend during my first year at NUHS, before the program had a chance to wear me thin, my partner and I set out on a camping and fishing trip to Wisconsin's driftless region. We meandered through farmland and found our camping spot as the clouds were gathering, no big deal. We'd once tried to camp at Vedauwoo near Laramie, Wyoming, in late October with a wicked, biting wind that threatened both to snow and to overturn our tent. When we realized they'd shut off the water and closed up all facilities for the season, we gave up.

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My partner Hanzi tying flies at our kitchen table over the weekend, caused this story to surface.

On this particular trip in Wisconsin, we made dinner over our camp stove as the rain picked up. We ate our rice and beans on the tailgate to stay dry. As the downpour intensified, we climbed into our tent earlier than expected and snuggled into the center, trying not to touch the wet walls.

At 1 a.m., the 5th drop of water landed on my face and I realized my sleeping bag was totally soaked; our tent was no longer waterproof and the Midwestern thunderstorm was still raging. Soaked and sleepy, we sloppily disassembled our tent and crammed all the sopping wet sleeping stuff into the trunk and slunk out of the campsite, our tails between our legs.

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The fishing the next day was terrible. The streams ran high and brown
with mud. You can see our soaking wet camping gear piled in the trunk.

We drove a wide-open rural highway with lightning cracking all around us in the longest, loudest and most spectacular streaks I've ever seen. This was some thunderstorm! If you've never experienced one, do come study naturopathic medicine at National. If you've not chosen our school for the strong philosophy and awesome collaborative learning environment, then do at least choose it for the thunderstorms!

After a drive through the downpour and lightning, we checked into the only room left at the nearest hotel, a suite with a hot tub in the corner and the fluffiest king size bed ever (save for that one that enveloped me during that bout of food-poisoning I got in Banff, Canada after eating scrambled eggs at the airport. Don't ever eat scrambled eggs at the airport.)

When you're in medical school, you pretty much can't do these adventurous, uncalculated things. They squash that tendency to toss logical thinking to the wind (like setting up camp in the midst of a deluge) in the process of teaching us to be responsible doctors. I don't mean my professors tell me to stay out of the rain. I mean that medical school in general takes you away from the fun stuff by sucking you dry of energy and sitting you down for some serious business. It's all worth it though, I promise.

I may not be able to adventure, but I guess my education does cause me to constantly move beyond my comfort zone. Each new class I take demands that I commit to memory information I've never known before. When I see a sim patient, I have no idea what to expect and have to dive in ready to grapple with whatever story they tell me. This is undoubtedly like the real world of doctoring and so I rest assured; I totally AM in the right place.... If doctoring is a process of continually stepping out of your comfort zone while seeking the patterns that help you find your way to healing a patient, then I think I'm on to something.

Really though, I already knew I was in the right place before writing this rambling essay on thunderstorms and airport eggs and squished adventures. I came to naturopathic medicine because I thrive on the different stuff. Our medicine is not well known but it is intelligent. Our medicine is not entirely understood in reductionist terms, but it works from a place of truth. Camping in the rain is not a comfortable choice, but it does make for a good story.

Crunch-Pop and Lovely, Intelligent Women

Here I sit, on a plane bound for Chicago after a weekend on the East Coast, listening to the air from the blower overhead and the rushing outside the window as we taxi. The deicers blast the window inches from my face with a heavy spattering sound. The engines roar a little louder and I think of the rattle my cousin's smiling, blonde 1-year-old used to fill my ears this morning.

At this past week's Nu Delta Sigma meeting, Nadene introduced us to sound healing as presented in the book, "Tuning the Human Biofield," by Eileen McKusick. I was the lucky recipient of a sound experiment from my friend John, a brilliant healer and doctor-in-the-making. You might call us crazy, but when was the last time you checked in with the sounds in your life? It had been a while for me.

The sim patient I saw this week in my Advanced Clinical Problem Solving class complained of tinnitus, a rushing sound in his ears, and was nearly deaf. This was the only abnormal finding on physical exam as we searched for clues to the cause of his dizzy, vomiting spells. When I made kale for dinner on Wednesday night, the leaves squeaked when I stripped them off their stalks. The sound reminded me of lemons and a crisp, cold, clear evening with a sky full of stars, when the frozen snow sings underfoot.

Selfie photo on the mountain
So excited to be out skiing in celebration of one of my very oldest friends!
(She taught me to suck my thumb when I was 2.)

When I rode the chairlift at Cranmore Mountain in New Hampshire with my childhood friends over the weekend, the chairs clunked as only chairlift chairs do each time you reach a tower. I reveled in the swish of skis and the crunch-pop of poles into snow, the whoosh and shudder of skiers of various skill levels as they rocket downhill beside you. There were also those split seconds of silence when I caught a little air and my skis left the snow, allowing me to hear only the wind in my ears.

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Beautiful bluebird day in the White Mountains! There are my friends, waving at me from the lift.

On Sunday morning, I listened to the coffee maker grumble and splurt that divine bitter stuff into the pot. The bottle of champagne made an adorable pop! And we toasted our friend, a bride-to-be. We thanked her for bringing together such an intelligent, fun, active and clever group of young women. Our glasses clinked! I am back at school now, refreshed and grateful.

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All the lovely, intelligent women in our PJs, toasting our bride-to-be!

So now I sit here typing, my fingers trickling across the keys making that distinct blipping sound with each letter. I spend so much time using my eyes and my hands to observe and palpate in medicine, but I haven't engaged nearly enough with my ears. The more blood pressures I take and the more lungs I auscultate, the more familiar those healthy sounds become. I listen to the normal sounds in hopes that I'll recognize when they are different, when the lungs pop or crackle or gurgle and tell me something about the environment inside my patient.