Archive for tag: quotes

Physician-to-Be Heal Thyself

Last week I mentioned the principle of Physician Heal Thyself, a concept we discuss in our first trimester of school in our Foundations of Naturopathic Medicine class. To my fellow students reading this blog, when's the last time you pulled out those notes? Reading Dr. Lou and Dr. Draus' words and the notes I made in the margins reminded me of all the other-than-science things we learn and must continue to learn. As Dr. Draus reminded us, this is neither the first nor the last time we will learn anatomy, physiology, etc., and it's not the first time we learn about the importance of self-care.

I drove past the gym on my way home from school a few days ago and wondered how I had managed to get there to work out every other day while I was studying for boards and attending classes, but how I had somehow lost the time to go after I took that huge test. So, I made it a point to go and aaaahhhhhh it felt soooooo good!

I sat on a stool in the locker room after my workout and sauna feeling like melted gold, and as I stared at my satisfied self in the mirror, I realized, going to the gym needs to be a priority on my weekly agenda.

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Post-workout, reminded of the feel-good power of a workout

Physicians do not have a good track record of self-care. As a whole, physicians are statistically more likely to be depressed, sick, commit suicide, become addicted to or abuse substances. We are more likely to have tendencies towards perfection and yet, as Dr. Lou put it, there is no such thing as perfect medicine. As physicians we must walk a fine, exhausting line between using objectivity and engaging our emotions to care for our patients. The profession as a whole has trouble taking time off, and we rarely get a sense of closure or achievement as the process of healing is never complete. And then there are the inevitable financial pressures as we struggle to maintain an expensive business while still finding ways to offer care to all of those in need.

Dr. Lou reminded us in her Tri 1 lecture that we should take a page from our own book when we ask our patients to please take care of themselves so that they can take care of others; we must do the same. It makes me think of my father's wise words that I hold close: "You cannot truly love someone unless you love yourself." Well, as a physician, you cannot truly help someone unless you help yourself. To this end, Dr. Lou reminds us that "Self-care is not an indulgence -- it is a responsibility to the work and to your patients."

Part of self-care involves cultivating interests outside of medicine. We should all remember from our neurology and psychology classes that a healthy brain works on a wide range topics, skills, and problems. By diversifying our activities and interests, we support healthy neuronal growth and limit our risk of diseases of the brain. Robert Heinlein, a bright and controversial science fiction writer, once wrote:

"A human being should be able to change a diaper, plan an invasion, butcher a hog, conn a ship, design a building, write a sonnet, balance accounts, build a wall, set a bone, comfort the dying, take orders, give orders, cooperate, act alone, solve equations, analyze a new problem, pitch manure, program a computer, cook a tasty meal, fight efficiently, die gallantly. Specialization is for insects."

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Champagne and conversation self-care, toasting boards results and registering for clinic!

Now, I've got a lot to work on based on that list, but I'll allow that building a fort out of sticks and pine boughs might count as designing a building, and conning a ship could include paddling a solo canoe, and so I've achieved some of these things in their smaller forms. The point of sharing this quote is to remind us students and future students of medicine that we should make time, however miniscule an amount, to engage in things other than learning our profession. And yet, we should also remember that right now our job is to be students of medicine and that requires a lot of us. It demands that we spend an extra amount of time with this subject and this set of skills, for the time being. Believe it or not, a time will come when I can get exercise by hiking and skiing rather than biking indoors at the gym. Until then, I'll take the time to care for myself in the ways I can, within the limitations of the task at hand, and I know this will make me better at my job.

Under the Gun - Ebola for Dinner

And we're back! We're really back, full-on, cramming for boards, prepping for patients and all. I'll admit it, the experience of preparing for boards has taken some wind out of my sails. Last trimester I was feeling ready to be a doctor. Spending time in the clinic made me feel ready to see patients and puzzle through the hard cases. More recently, I've been laboring with my 500-page board review book and feeling inadequate.

Thankfully, I can see that the deflation of my confidence comes in direct response to my anxiety about taking board exams. And I guess I am feeling slightly more capable after finishing the Cardio section yesterday and color-coding my weekly schedule this morning. Wrapping my head around a new schedule always takes at least a week, and getting it all organized definitely helps calm my mind.

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Yeah, my color-coded schedule for Tri 7

Seeing as we celebrated Martin Luther King Day this week with Monday off (thank goodness, any extra study time is treasured!), I am inspired by this piece of wisdom he wrote:

"Darkness cannot drive out darkness, only light can do that. Hate cannot drive out hate, only love can do that."

In preparing for boards, it doesn't do much good to mix negativity with those dark, foreboding clouds floating around February 3rdon my mental calendar.... I'm trying hard to stay positive while I study and am thankful for the encouraging text messages I've been getting from my ND friends who are in the same boat.

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JohnnyD instructing me in the fine art of shooting a pistol

As it turns out, even a 4-week break can't provide enough time to study as much as planned. I do have a few good excuses though.... My boyfriend Hanzi and I spent a week around Christmas in Northern Michigan with his family; we skied, caught up with some of Hanzi's old friends, and I learned how to shoot a pistol! (Hanzi's Dad is the manager of a local shooting club.)

After returning from Michigan we had a few days before we headed out to Boston to visit with my family. Our week in Boston was our first visit to my parents' new house (I wrote about their move in this post), and included pond hockey, dinner with college friends, and some quality girl time for me with one of my oldest friends. I was also lucky to spend a day working with my Mom at her Integrative Dermatology practice where she incorporates diet and lifestyle in the treatment of her patients. I had an absolute blast interviewing patients and prepping them for their visit with the doctor, though I found the electronic medical records a huge pain to navigate... things to look forward to I suppose....

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Ebola dinner lecture, my view from my seat by the fire

In addition to working in her office, my Mom took me as her guest to an informational Ebola dinner (appetizing, huh?) hosted by the local chapter of the Massachusetts Medical Society. I ate yummy salad, roast beast, soup, and chocolate cake while learning about Ebola. The lecture compared the first known epidemic in the 1970s with the disease picture of today's outbreak. I met one semi-retired female doctor who practiced general surgery who seemed wholly uninterested in naturopathic medicine, and another practicing female GP who asked me to send her an email with information about what we naturopathic doctors do. How cool!

After spending time immersed in the conventional medical world, I am happy to be back at NUHS, working on becoming a confident doctor who can hold her own in the company of skeptical, old medical doctors. If that isn't inspiration to crush these board exams, I don't know what is! Back to the books now.... Welcome back everyone!