"Never regard study as a duty, but as the enviable opportunity to learn." --Albert Einstein
Nicole, MD
Friday, December 21, 2007
Almost time to go....
I've ordered my books and all of my doctor equipment. At this point I look like I know what I'm doing more than I know what I'm doing! Give me a few months, and I will amaze you with my knowledge. Just think, in approximately three and a half years, I'll be Dr. Baca!! Of course before I can practice, I have to do my residency (another three to five years depending on the specialty) and if I subspecialize I'll have another three or four years! For example, if I decide to do pediatric oncology, I will have to do a three year residency after medical school years to be a pediatrician then another three or four years to complete the hematology/oncology fellowship: approximately ELEVEN years!!! Recently, I've been more and more interested in Infertility and Reproductive Endocrinology (which would also be approximately eleven more years: OB/GYN residence and Infertility fellowship after medical school).
I hope that everyone has a Merry Christmas and Happy New Year!
Sunday, December 9, 2007
Time flys when your having fun....
The family went to Olympia to visit friends for Thanksgiving. It was GREAT and we happened to get out of the west side of Washington, just in the nick of time. I went down to the Walla Walla barrel tasting....IT WAS GREAT! I can't tell you how much fun it was!
Well, I only have a few weeks left and so much to do. Hopefully I'll talk to you all soon!
Saturday, November 17, 2007
Woodworking isn't for me
Since Dad was going out to play billiards with the guys, Mom and I went out to Twigs for dinner tonight. It was slam packed. I didn't realize that so many people would have the same great idea...maybe I am a genus after all.
Friday, November 9, 2007
Keeping Busy at Home!
I was at the book store today and found a copy of "First Aid for the USMLE I." I am such as nerd. I am as excited about getting another review book as a young girl is about getting another doll.
I am getting excited to head south to go back to school, but I'm trying to enjoy my break. There won't be another real break until my name is Dr. Nicole!!
Wednesday, October 31, 2007
Glad to be Home!
I don’t usually love Halloween, but I’m excited to see the little guys this year. I hope we get lots of trick-or-treaters. I think I’m going through children withdrawal; however, I’m not going to have any kids of my own any time soon!!!
Wednesday, October 24, 2007
Home at Last!
I’m happy to be home. Last night was the first time I’ve slept for eight hours straight in months. It’s funny how the little things make me happy. I probably shouldn’t get used to sleeping through the night as I head to Dominica in January. As a good medical student, I’m taking these two months to do a little extra studying—you know, to try and review a little bit before the storm of studies hits!
I have so many people to see. I can’t wait to catch up with all of you!!
Sunday, October 21, 2007
Good Bye Miami
I’ll be leaving Miami tomorrow and I’m shocked to say how excited I am to get home. It’s been great fun down here, but I’m too old for some of these antics. I have no desire to go to clubs or to drink until I’m sick and I feel like much of Miami is overwhelmed with this party mentality. I’m excited to sleep in my own bed (with my 500 thread count sheets—boy, did I spoil myself when I had a job!).
I’m using my last day in Miami to do important things, such as catch up on Grey’s Anatomy and pack. I still have medical jargon all over my mirrors in my apartment so I’m still reading my mirror and seeing things like “the portal triad is comprised of the branch of the hepatic artery, branch of the hepatic portal vein and the bile duct.” Helpful information when I’m watching Grey’s anatomy.
Friday, October 19, 2007
The final is done!
I was so tired last night. I could barely enjoy a nice night at the wine bar, and I love a nice glass of wine so that tells you how tired I was. It is still almost 90 degress down here. Boy, am I going to have a shock when I get home next week! I keep thinking it is sill July or August. I like the heat, but I miss the four seasons---I'll probably be eating my words next week. I am getting a bit excited to come home, sit by the fire, knit, read about GI physiology and drink tea. Can't wait to see you all next week!!
Tuesday, October 16, 2007
You know you’re a nerd when…
Well, I spent seven hours at the library on Friday, 11 hours at the library Saturday and almost 12 hours Sunday. I’m off to school to do a 200 question “pre-test” before the final today. Just another fun day in Miami, but I’ll be home before I know it! I’m sure I’ll be freezing my tail off!!
Sunday, October 7, 2007
Less than two weeks....
Anyway, I better hit the books. I can honestly say that even though it's 90 degrees out, I'm excited to get home and away from my terrible apartment (I'm sure ALL of you know what I'm talking about!!).
Thursday, October 4, 2007
By George, I think I'm becoming a doctor!
Well, I headed back to school for a review session and decided to grab a cup of coffee and some soup. I made my order then asked the man to stop. When I was cleaning out my bag looking for my keys, I left my wallet at home. The gentleman owns the little shop (with white hair and I’d guess is in his 60s) informed me that I was going to have my soup and coffee and that I would just bring him the cash in the morning. I told him it wasn’t necessary and he insisted that I take the meal. It isn’t often that people are that nice anymore.
Well, it’s been raining down here a TON! I mean by the buckets! It is still so strange to me; it is warm! If I walked to school in a real downpour (which is six blocks away), I’d look like I just took a shower. I’ve been awoken several times in the last week from the sound of raining and the lightening, which lightens up my room enough to read a book, even in the dark of night.
I was down at the health district today and I’m sure that I’m becoming a doctor. A woman came in with a todler who had been exposed to TB and had a positive skin test (meaning you have antibodies). I think I could have counseled the woman on the differences of having a positive skin test and being VERY sick from TB. I felt so proud. However, I also was a little afraid of the little, cute guy because he started coughing and TB particles can go up to 10 feet when someone infected coughs! So, if you have to take the public transportation anywhere, stay away from people who are coughing or sneezing because they have a ten foot -circumference surrounding them full of germs!!!
Thursday, September 27, 2007
Fall is strange in the south
Well, I've narrowed down the fields I don't want to go into: cardiology, nephrology and pulmonary are OUT! Maybe I shouldn't rule out pulmonary because I've always thought that cystic fibrosis is VERY interesting; however, I don't like calculating the pressures and the bronchial equilibrium points, and etc. I do LOVE infectious disease and obviously cancer. I guess love isn't the correct word ... I find them extremely interesting. Speaking of interesting, I have to review more kidneys and histology before I get to go to bed! I have a great story to tell so I'll write again in the next day or two.
Wednesday, September 19, 2007
Kidney's and a cold
We are starting the kidney's in physiology this week. My advice to you: don't mess up your kidneys! They are complicated and they are very important. Don' t do anything that may hurt your kidneys.
We are only a month away from the final and I started reviewing on Monday. I'm tired and looking forward to having this first semester behind me.
Friday, September 14, 2007
Sunday, September 9, 2007
Holy Smokes: Mass was CRAZY!
Our big exam is on Thursday. I am feeling okay about it, but I’ve decided I as wrong about pulmonary. I don’t like pulmonary as much as I did at the beginning of the unit. I think I’m going to learn to love high altitude this afternoon! I’ll write more after the exam, when I get a little bit of my life back!
Sunday, September 2, 2007
Consumerism in Florida: It's different than at home.
Some things are very different in Florida, for example Costco has a liquor store. I realize that liquor is not regulated at the federal level; however, it is the weirdest thing to me to walk into the Costco Liquor Store. It is outside the main store, like the tire shop is at the Spokane stores. They also must tax less for their liquor because it is dirt cheap. I really don’t need any liquor sitting around the house, but I considered buying some for a moment because it was so doggone cheap! There is a Nordstrom just one metro stop away from my apartment. It is also strange because they have different stock. I guess it is to be expected that the stock is different than in the Seattle and Spokane stores, but I don’t think it is a step up. Much of the inventory doesn’t look as classy as I expect Nordstrom to be; however, I wouldn’t describe Florida as classy—I’d describe it as flashy!
I think I’ve figured out the real secrete to the South Beach Diet. Honestly, it has NOTHING to do with the actual diet: it is the heat! Since moving here, I don’t want to eat because it is so hot. I usually love to cook, but here I don’t want to cook because I don’t want to heat up the house. Some of my friends have been resorting to eating lots of fast food; but for the most part, nutritionally it is terrible and I think that it tastes horrible. I’ve been losing weight probably because I end up snacking throughout the day and eating one meal because food just doesn’t sound good. Maybe if I wasn’t allergic to seafood, I’d have a different opinion of Miami. I’ve been surprised that the fruit here is so expensive, especially the oranges. Eating fresh fruit is one thing that I’m willing to pay a bit more for.
Anyway, I think it is time to hit the books again! I have a few muscles to memorize for anatomy class!
Saturday, August 25, 2007
South Beach on a Friday Afternoon!
We were out there late enough to see the sunset. Well actually, I was standing in the ocean (that feels like a bath) watching the sun set. It was like my own little piece of paradise. However, getting out of the water at dusk, was the first time I’ve felt cold since moving to Miami (there was a breeze and it was only 85 degrees out!). It is amazing how exhausting it is to lay on a beach for hours at a time. I’ll have some new pictures up as soon as my friend emails them to me. We got some great pictures of the sunset and ocean.
Thursday, August 23, 2007
One of my worst nightmears come true!
Well, cardiac has started to grow on me a little, but it is definitely not my favorite. We started pulmonary and it is MUCH more intuitive for me. I guess all of those asthma attacks and upper respiratory infections are coming in handy. When talking about the pressure in the lungs and how it changes, I can recall when my pressures have been out of whack! There is an Arabic proverb that says, “No man is a good physician who has never been sick.” I think I’m ready for medicine!
I LOVE my immunology class. It really is my favorite. It is so interesting and for some reason comes easier to me than anything else. The nomenclature can be a bit confusing because it is all so similar, but once you get that straight, it just makes sense. I had a feeling that it would be my favorite, but I’m a little surprised how much I love it. When I have to study it doesn’t even feel like work. It is great!
Monday, August 20, 2007
Insects and Leo the Lizard!
As many of you know, I really hate anything that is creepy and crawls, such as lizards. However, upon moving to Miami, I’ve decided my hatred of insects far outweighs my hatred of lizards. Therefore, I’ve made an alliance with a gecko that I like to call “Leo the Lizard.” I figure as long as he doesn’t crawl on me, he can live in our apartment. I think he is REALLY afraid of humans because I see the fear in his eyes every time our paths cross. I hope that he doesn’t get too scared because lizards are known for dropping their tails when they get scared—that would gross me out!!
Classes are going well. We learned about disseminated intravascular coagulation (DIC) today in biochemistry. DIC is a life threatening condition that causes excessive clotting (thrombosis) or bleeding (hemorrhage) throughout the body and can lead to shock, organ failure, and death. I think that I was one of the few people in class who had previous knowledge of DIC. Our biochemistry professor has a Doctorate of the Arts and is a lab rat. He was discussing the treatments for DIC and made it sound like a somewhat treatable disease, but from what I know about it; it really isn’t curable. It was exciting to learn about something that I saw while working in the hospital!
Well, I have a quiz in clinical medicine tomorrow so I better get back to the books! Goodnight!!
Thursday, August 16, 2007
Cardiology isn’t for me and neither are the Miami mosquitoes!
This week we started cardiology in most of our classes: physiology, anatomy, clinical medicine, and histology. It has been nice to have the overlap, but I don’t think that I will become a cardiologist. Don’t get me wrong, I don’t underestimate the importance of the heart, but I really am not a huge fan of physics and circuits. If I liked circuits, I would have become an electrician! I am a little intimidated by cardiology because it is an area of medicine that I have no prior experience or knowledge in. I spent a good chunk of the evening studying the cardiac cycle and pressure-volume loops and it is starting to become more intuitive.
I think that I am still adapting to Miami. There are just some strange things that happen down here. For example, every washer and dryer I’ve seen has been outside on the back porch. I guess it makes sense since they release so much heat and it is already hotter than heck in Miami (also there aren’t any basements down here). In our complex, the washers and dryers are in little closet sized rooms that are below the staircases. Today, I was smart enough to think to put on insect repellant BEFORE doing laundry. I didn’t get a single bit while moving my laundry, which is amazing. I never thought I'd have to put insect repallant on before doing laundry.
The mosquitoes down here must be a different species than up north. They are black with white stripes; I’m not sure if that means anything, but perhaps I will check out my books to see if it is indicative of mosquitoes carrying the West Nile Virus. At any rate, these mosquitoes are almost as aggressive as the men in Miami! For example, I stood outside talking to a friend for 15 minutes two weeks ago and I had about 35 bites on my legs. These bites are so intense and so fierce that I still have residual marks on my legs. It’s been a while since I’ve been attacked my mosquitoes at home (as they don’t allow mosquitoes into the Davenport Hotel nor into Nordstrom), but I swear that these mosquitoes leave a much itchier mark. I’ve even woken up in the middle of the night itching my leg. I don’t ever remember doing that at home!
Monday, August 13, 2007
Miami is a whole different world!
I think that in many ways, I'm an old woman in a young woman's body. I like to cook, go wine tasting, hand write letters, and I love to knit, which is clearly the strongest piece of evidence that I'm an old woman. Well, I decided on Friday night to join my friends and go out to one of the hottest clubs on South Beach, Mansion. I'm really glad that I decided to go. I had SO much fun (which is hard to imagine since there was no knitting involved, ha-ha). As most of you know, I'm a terrible dancer, but that didn't keep me from dancing the whole time I was there.
We all car pooled there and some genius decided that we should park at a lot on the corner of Lincoln and Michigan, which was approximately one mile from the club. I don't have a car in Miami, but even I know that there are parking lots that are cheaper and within three blocks from the club. The car I rode in had one gentleman and three women, who were all wearing at least three inch stiletto heals. Needless to say walking back to the car after a night of dancing, we moved as quickly as a two year old leaves an ice cream shop on her own accord. I still can't believe it, but it took us one hour and twenty minutes to walk to the car. Our driver was complaining about her feet and the gentleman in our group took off his giant man shoes and gave them to her. I laughed so hard seeing this cute, dressed up girl in a man's size 12 shoes--her feet sliding with every step she took. To top it all off, men were approaching her on our walk and asking for number. If I wasn't laughing at watching her, I was laughing looking over at the gentleman walking in dress socks. One good thing about being in Miami is that it is still 80 degrees at 2:00am. It really was a fun night, even if it took us longer to walk to the car than it did to drive across Miami to go home. Two days later, I still have blisters on my feet in places I didn't realize that blisters could develop. Going out is fun, but I'm still just as happy sitting at home knitting, having a cup of tea and watching a good movie.
Thursday, August 9, 2007
Welcome to Miami
It isn't really shocking, but I've found that I don't have as much time to write friends and family as I thought I would. That is why I decided to start posting to this blog; however, my life isn't very exciting so I'm not sure anyone will want to read it! So far, the most exciting thing was the first day of class when the professor said, “Welcome to your first day of medical school.” Hearing those words was so overwhelming that I thought I was going to cry...then the work started!
I've always been a bit of a nerd, but I think I'm becoming nerdier by the day. Last week, I was beside myself with excitement over getting the Netter's anatomy flash cards and the Board Review Series for Physiology and Immunology/Microbiology. I immediately ripped open the box and started quizzing myself! I've even started flipping though some anatomy flash cards we aren't working on in class as a study break! The other night I was studying the cranial nerves right before going to bed. I woke up at 0400 dreaming of them and started reciting the cranial nerves and their functions before going back to sleep. I also did this several weeks ago with the activation and deactivation of PKA. I heard in class that memories are solidified during REM sleep; perhaps that is why I was dreaming of my studies.
We had our first big exam today. I think it went well; but the more I hear other people talking about it, the more worried I get. About one third of my class went to South Beach after the exam. This is the fourth time I've been to the beach since moving here (the other three times were all within the first 10 days of moving!). The beach is BEAUTIFUL. In fact, it is the best part of Miami. The sand is an amazing white color and it is extremely soft, unlike anything I've ever seen. Since we are so far south, the water is warm--like a bath. It was a nice, relaxing afternoon at the beach, but it is always so exhausting to be out in the sun. Despite my best efforts, I'm developing a bit of a sun tan.
I’ve been really lucky to have met a great group of friends and I’m excited for the next four years. I once heard someone describe medical school as the most fun one can have that she will NEVER want to live through again.