"Never regard study as a duty, but as the enviable opportunity to learn." --Albert Einstein
Nicole, MD
Tuesday, August 26, 2008
Long day is over
I've been sleeping, eating and reading novels by the beach for fun since our last exam. However, today wasn't so fun. Farley and I had to do surveys about the semester, register with the state department for our trip to Argentina and complete loose ends for the trip. We leave in about 12 hours and I haven't packed yet. I'm getting SO excited. For one, I have a million mosquito bites and I'll be glad to be in a cooler climate, where hopefully there will be less blood sucking insects. We are going to drink great wine, eat great food, maybe see an opera and enjoy the culture and wonder of Buenos Aires!!
I'm not sure why, but I think half of the first semester class for September is already here, even though they don't need to be here for at least another week. They were all over during finals and they are just about the only people here now. I overhead a couple parents saying that the insects and were disgusting and I thought, if they only knew! I'm glad that the parent wasn't starting medical school because I suspect that she wouldn't have been able to handle our little island. Let's be frank: it is beautiful but it is known as the nature island and not the resort island for a reason!
Well I better go pack!! I'll be writing soon...
Sunday, August 17, 2008
Some times there is too much of a good thing.....
Wednesday, August 13, 2008
Long Time, No Blog
We also started the shelf exams this week. They are standarized subject exams written by the National Board of Medical Examiners for medical students. They are not involved in licensing, but are a measure of your knowledge (and the school's instruction) for each subject. Thus far, I think they have been okay. However, it is difficult to gage as the exam covers things, such as pathology, that we (and I think basically all) medical students don't learn until the second year. Obviously, we have learned about some diseases and some pharmaceuticals, but that isn't the main focus until the second year. More than anything, the exams are reasoning exams. There are a few questions that you either know or you don't know but many questions I'm sure I could figure out IF I had more time to ponder the question. Also, we ended classes last Thursday (had three tests between Thursday and Friday) and had our first shelf on Tuesday. As the shelves cover the last two semesters, that doesn't leave much time to review. The best part of the shelves is that the questions are so well written. Some of the questions ask you to take the information and answer a question that requires you to make several steps. I think Grandpa Vic would have loved them--he always loved those reasoning, brain-twister games!
I should go study the histology of the eye and ear. After we finish the shelf exams, we have the exam the last third of the semester. There are some tricky question writers in the group of professors who taught us, which means I've just got to know this stuff inside and out so that they don't trick me!
Sunday, August 3, 2008
ARRRR, It's about time, Matie!
Tuesday, July 22, 2008
Mudslide
Below: Picture at sunset. Farley and I think that all of the pictures of sunsets in the Christian book stores were taken in Dominica.
Below: A tree that is just a few feet from the ocean on the beach. We think they are orchids. This tree is about a five minute walk from our apartment and right below the deck on campus.
Below: Another picture of the sunset. I love sunsets!
Saturday, July 12, 2008
No rest for the weary
The mosquitoes are horrible right now. Apparently, I attract mosquitoes like a teeny-bobber pop-star attracts high school girls. I have an anti-itch liquid, "AfterBite: The Itch Erase" but it just perplexes me: why does ammonia make the itching stop? It does make the itching stop, only after making it sting. But it isn't on the exam, so I don't have the time to care right now!
I should get back to the books. If I keep taking a break, I'll try to jump in the ocean--it's a beautiful day!
Tuesday, July 8, 2008
Sleepy...
Farley and I were at the study space last night, but decided to leave a couple minutes early for dinner to catch the sunset. Here are a few pictures:
Picture 1: The boat that sits about 200 feet off the shore near my apartment. Picture taken at the end of the hall way from which I enter my apartment.
Picture 3: This is a picture of the ocean from my balcony. My view is probably the BEST part of living in the Caribbean.
Friday, July 4, 2008
Happy 4th of July!
Monday, June 23, 2008
Another week another exam....
The first exam of the semester is always the worst because of the bulk of information and having new professors, since you don't know how write questions. Our semesters are 13 weeks long, with the last week being finals week (thus, 12 weeks of classes). The first exam is always the Monday of 6th week (we are tested on information presented up until the Friday before the exam); the second exam is usually the Monday of the 10th week. The end of the semester changes depending on the semester that you are in. This semester we have to take shelf exams (national exams that will test both last and this semester) along with a third local exam but we do not have a final exam. I believe that we have 10 exams in 12 days at the end of the semester. I thought it was bad last semester having 4 exams in 8 days, but it too shall pass.
Farley and I have a great motivator to study our tails off for the rest of the semester: Buneos Aires!! We had decided to come home, but didn't book the tickets. I was getting frustrated with him because I just wanted it done, but I guess I should be glad we didn't book because we found a steal and decided to go, since it is basically the same price to go to Buneos Aires for a week and spend two days in Puerto Rico (to get supplies at Costco to ship back to Dominica). Hola, Buneos Aires! We only get about 2.5 weeks off school before the fall semester, but we get about 4 weeks off in December. It is strange to say since we just got to Dominica in January, but this maybe our last chance to travel while we are down here. Obviously we are both going home in December and in April we should be back in Miami, unless we decided to do another semester in Dominica--which I strongly doubt. I thought that there might be enough time to island hop a bit on the weekends, but the academics just move too quickly and I'm not comfortable taking a full day off studying let alone a weekend (even though I'd like to). Moreover, once we are back in the U.S. we will be taking our first set of Boards (USMLE Step 1) then we will be in our clinical rotations, then the second set of broads (USMLE Step 2), then we will be doctors and starting our residencies. I think it is time to seize the opportunity...we shall tango, eat beef and drink great Argentina wines.

Image courtsey of: www.americaspropiedades.com.ar/index-en.html
Thursday, June 12, 2008
I think I'm really becoming a doctor
A 16 year old boy is driving down a highway at 45 miles per hour. It is dark, snowing and his car slides on a patch of black ice which broadsides his vechicle into a tree. Thirty minutes later presents into the ER. His blood pressure dropped in the ambulance and he is having extreme pain on the left side of this back, his left abdomen and his left shoulder. He was wearing a seat belt, but hit his head. However, all imaging shows that he does not have a skull fracture. What could he have injured?
It was his spleen (or I was trying to write a question in which he injured his spleen). Isn't that fun? Do you feel like a doctor? Don't you feel like the medical investigators on Discovery Health? My question isn't a long as the question stems that we are given, but you get the idea. Although we are still deep in the midst of the basic sciences, I am starting to see the light (clinicals) at the end of the tunnel. Thank Goodness!!!
Tuesday, June 10, 2008
A day in the life of a Medical Student
- 6:45: get up, dressed and start breakfast; Turn on CNN
- 7:00:Farley comes over to man the pancake flipping while I put on make up and we discuss the news
- 7:20: eat yummy breakfast
- 7:35: finish getting ready and be out the door by 7:45
- 8:00 -9:50: Physiology lecture on GI secretions. Take notes like a crazy person. Make sure you pay attention to all the details
- 10:00-10:50: Anatomy lecture on the ischioanal fossa (yes, the anal fossa)
- 11:00-11:50: Biochemistry lecture on the digestion of lipids
- 12:00-1:00: Lunch, that is if you want to eat after taking about the anal fossa and digestion all morning. Okay, I'm in medical school it is going to take a lot more than the anal fossa to curve my appetite
- 1:00-1:50: Anatomy lecture on the Posterior Abdominal wall, diaphragm and kidneys (this professor is too smart for MY good!)
- 1:50-2:00: Change quickly and run across to the anatomy lab
- 2:00-4:00: Anatomy lab--We GET to dissect out the posterior abdominal wall. We specifically got to dissect out the nerves on the posterior abdominal wall. It was an easy lab and we were actually done in an hour. Another guy and I stayed in the lab and reviewed the GI tract (which has been removed from the cadaver) with a professor. Yup, almost one hour of individual instruction. You can't ask for anything more.
- 4:00-5:00: Demo the anatomy dissection to other students (one third of the class dissect at t time, so the other two thrids come into see what we've done). Got another professor at our table and had another 35 minutes of instruction and he quizzed us. The best day in the anatomy lab EVER!
- 5:00-5:30: Farley and I had to go to the grocery store and to the fruit stand
- 5:30-5:45: Quickly hop in the shower as to not smell like death anymore
- 5:45-6:10: Make dinner. We had a tomato and Italian cheese pasta side with chicken and spices. I also made carrots with a brown sugar sauce.
- 6:10-6:30: Eat the yummy dinner then get packed to go to the study area
- 6:30-8:00: Arrive at the study area and study GI physio from today and review the last two lectures
- 8:00-9:00: Review the biochemistry from today's lecture (Farley typed our notes and they were beautiful)
- 9:00-10:00: Study anatomy. The chair of the anatomy department wrote a 90 page "study note" document. Review this along with Netter's (the most beautiful anatomy drawings ever) and Rohan (the most beautiful disections ever).
- 10:00-11:00: Pre-read for the physiology lectures (digestions and absorption and GI disordered), Biochemistry (lipids and lipoproteins) and Neuro (Intro to Motor systems).
- 11:00: get home. talk to Mom, clean up, shower, and pack bag for the morning
- 12:00: FINALLY get to bed.
Yup, that was yesterday. I had to get up and do it all again today. Our first exam of the semester is next Monday, so there won't be a break until at least Monday the 16th, but probably not until the 21 as classes continue as normal on Tuesday.
Monday, June 2, 2008
Upper Respiratory Infection!
I guess it is a blessing that I'm not behind since we had the extra day, but I wish I could have been more useful this weekend. I wanted to use this extra time to get ahead as our first set of exams will be here before we know it. To my delight, despite my impaired breathing, I got a 90% on a renal physiology quiz. For those of you who don't know, the kidneys are the vain of many a medical student's existence: vital, complicated, and down right irritating! I was so proud that I did well on that quiz that I would yell it from the roof tops, IF I didn't have to study histology, anatomy, neuroscience, and biochemistry. Speaking of studying, I should get back to it...
Thursday, May 29, 2008
I maybe in medical school, but at this point, I'm not doctorly enough.
Tuesday, May 27, 2008
Funky Semester
I'd post a picture of us dancing around our apartments (I feel sorry for the people who live in the apartments beneath us), but I don't have any. It's time to get back to the books so we can dance to Barry White's "Can't Get Enough of Your Love" later tonight.
Friday, May 23, 2008
You know things are getting ugly when you down load some Barry....
I think school is going pretty well this semester. I feel a bit overwhelmed with Neuroscience and the amount of time it takes, but they are starting to move a bit more slowly. They introduced so much in the lectures, but they have started reviewing some of the information and going into more depth about certain areas. I'm glad that we are going to see these things again and are not expected to become experts just based upon the first few lectures (which is what many of us thought)!
Our first exam is four weeks away, and 40% of our physiology grade is on that exam (CRAZY!). That is so strange to me since we had more neuroscience lectures and neuroscience is only worth 18% on the first exam. I guess I know what I have to study: Physiology!!
I think my break is over, back to the abdominal organs!
Monday, May 19, 2008
Neuroscience, postponed publication dates and a birthday
This semester we are diving into Neuroscience and I think it will be fun, WHEN I learn the anatomy of the brain better. It is hard to jump into neuroscience, for example right now we are doing the the tracts of the spinal cord, when you don't know where all of the areas of the brain are located (over simplified, tracts are the bundles of nerves which send sensory information to the brain and the motor information to the muscles). We had a guest lecturer on Thursday and I felt bad for him. He was "auditioning" for a job and he was so nervous his hands were shaking for the hour and a half he lectured (he had two hours, but was so nervous he spoke like a sprinter running the 100 meters in the Olympics). The also gave him a conceptually difficult lecture, especially to teach to students who are new to neuroscience: spinal tracts. I think he could do a good job (you become MD, PhD by embodying academic excellence and a LOT of hard work), but he needs more practice lecturing. Also, English isn't his first language, which MUST make giving a lecture in front of over 300 people, while trying to get a job, more difficult.