To Pandakar and Back

It’s time to break my longest hiatus from the blog. Alas, I’ve officially succumbed to the hectic life of being a medical student. I often choose the pleasures of sleep, food, and an occasional Netflix or Hulu episode over writing. I might need to reevaluate my priorities.

Fundamentals proved fruitful. Unlike the other modules, it’s a hodgepodge of information, and I personally liked the variety of subject material (most of my fellow classmates probably disagree and prefer the focused content of most modules). We were graded on more classical methods of class work (lab quizzes, weekend quizzes, NBME midterm, NBME final, practical final, faculty exam final) and some more society-centered studies (medical interviewing of patients, full physical examination, and humanities essays on medical history and emotion processing after seeing patients). I actually enjoyed myself during Fundamentals. Despite the stress and long days, I enjoyed the information and had a decent time on the weekends, not so social, but I at least managed to get relaxing time in, which I desperately need to recharge.

Within 20 hours of my last Fundamentals final, I found myself on a bus to Pandakar, our patient role-play destination where the four-year USU med students used first-year students as well as volunteers as guinea pigs for a mock deployment scenario of patient health care. We stayed in barracks, which were much nicer than I anticipated. Likewise, all the porta-potties around Pandakar were surprisingly well-maintained. It’s the simple pleasures that keep you going.

We began our first day by taking an emotion intelligence test, personality test, and by learning how to play patients (which included an understanding of various medical abnormalities, how to act them out, and how the fourth-years should be treating our conditions). The next few days in Pandakar were quite epic and exhausting with more or less moulage involved. We played patients in combat scenarios as well as in sick call scenarios to give the fourth-years a plethora of presenting conditions to treat.

I will have more on what the MSIVs do in a few years for their side of the story of Bushmaster (Bushmaster was this doctor-patient role-play experience in fake-country Pandakar/real-world Fort Indiantown Gap in Pennsylvania). They had several roles to play, including security, surgery, ATL, CSC (for mental health), medic, litter carry, and a few more I either cannot remember or never learned myself. The poor fourth-years seemed exhausted by the end and were organized by platoons into different clinical teams by helmet color. I happened to see the Red platoon all the time, and I also happened to play a couple of hilarious patients, one of which was an “odd person”. For the respect of not showing us goof off with fake injuries, we can’t share our photos from Bushmaster, but it was an awesome/exhausting/educational experience for both the patients and the physicians – an experience no other medical school gets!

After Bushmaster, we had our own military training experience as MSIs within our platoons that included M9 shooting/safety training, LRC (leadership reaction course – my COT training served me well), land navigation, preventive medicine, ultrasound, CBRNE (training for chemical, biological, radiological and nuclear defense), combatives (thanks to a West Point graduate I partnered up with, I learned way more and definitely enjoyed myself…slash we sparred in pairs at the end, which I found terrifying to watch but fun/painful to do myself), Health Service Support (strategy of establishing medical/military posts during combat), casualty evacuation, and movie nights to watch clips of videos/documentaries and listen to panels/speakers ultimately illustrating the realities of military medicine [besides my parenthetical insertions, I promise this sentence/paragraph wasn’t a run-on].

And thus, we reached the end of our time in Pandakar. I bonded with the members of Alpha company (the half of MSIs that did Bushmaster before MSI training), and it was nice to go home and have a few days off before classes started up again. Unfortunately, on my last day in Pandakar, I woke up with the world spinning around me. I basically crawled to the bathroom to vomit from dizziness. Luckily I found two kind classmates to take me to the medic who diagnosed me with vertigo due to a viral infection. Fun times. The next few days were mostly spent at home recovering and relaxing, with some occasional activities within the scope of my ability to sit and walk slowly.

This past weekend before classes started, I went to a pumpkin patch with some Air Force friends and had my first experience pumpkin-carving at my parents’ place with Andrew. Also got to catch up with a few local friends and family before classes began yesterday. After organizing my calendar and planner for this next module, MSK (musculoskeletal), I am both excited and terrified to hit the books again.

Here we go again.

Medical School: Round 1

It’s official: I completed my first exam of medical school today (terrifying). I finally have a chance to write a brief update. Now I know what real academic volume is. I especially sympathize with my classmates who have children because I can barely manage myself these days. Graduating from William and Mary, I feel adequately prepared in terms of my undergraduate education, but being two years out of the classroom came with challenges. Bright side: I don’t find it horribly difficult to sit eight straight hours studying on a Saturday. I have averaged about 11 hours a day of school/study time in the past three weeks (weekends included). Granted, I am a slow reader, but I feel like my schedule is probably reflective for most of my classmates as well.

Our first module, Fundamentals, highlights biochemistry, histology, pathology, epidemiology/biostatistics, microbiology, and immunology. It is a good introductory review of science as well as getting the basics of histology and pathology down (we have computer-based labs for these courses too). It’s a nice way to level the playing field in terms of everybody’s background education in science.

In terms of patient experience, we are already learning how to conduct medical interviews and how to perform a full-body physical examination. These take up our Tuesday and Thursday afternoons. I was incredibly anxious at first, but all of our preceptors are amazing and approachable. These sessions are opportunities to begin developing specific skill sets in physician-patient communication and the ins and outs of performing an examination. Medical interviews are done with standardized patients (actors) or real patients at Walter Reed. We practice the physical exam with other classmates in small groups.

Thus far, I am excited about the USU medical school curriculum. They instituted a recent change that bumped up Step 1 scores remarkably, and the layout seems well-thought out and organized. Each module usually lasting 7-8 weeks has a major theme: Fundamentals, Musculoskeletal (MSK), Cardiopulmonary-Renal (CPR), Neuroscience, GI/Hepat/Nutrition/Metabolism, Reproduction/Endocrinology, and Multi-System/Complex Disease. Between Fundamentals and MSK, we’ll be heading out to Fort Indiantown Gap in Pennsylvania for 10 days of leadership/teamwork training and some patient role-playing for the fourth years.

All in all, I am enjoying medical school despite not seeing my friends/family in the area very much. I definitely have my moments where I feel like I am riding the struggle bus to downtown struggle city. But don’t we all?

Stay tuned. I might be changing the blog up a little bit because med school talk cannot stay interesting on its own.

From Montgomery to Nashville to USU Orientation

As a COT-graduate, I had been entirely too sleep deprived. Right after the graduation festivities on Friday, everything still felt rushed with the campus bustling and people all over Morehouse Hall exchanging goodbyes and luggage. Andrew and my dad helped me pack my belongings into my dad’s car (well, the car that said “Distinguished Visitor” on the license plate – I learned from one of the administrators that the Air Force views SES as equivalent to 3-Star Generals and the Army generally views them as the civilian equivalent to 2-Star Generals. Makes me proud!). 

I had the opportunity to show my dad and Andrew downtown Montgomery when we grabbed lunch in The Alley near the Riverwalk. I scarfed down a bacon cheeseburger like nobody’s business. My dad bought wine, and we celebrated my accomplishments/survival. I mostly celebrated the ability to see my family and go home and sleep (you’ll notice this theme of SLEEP will come up frequently). After lunch, we picked up Charlie (my 2006 Honda Accord) from the shop with her new battery. McGriff’s Auto Shop proved to be a great spot right next to Maxwell AFB (suggestions for future COT-goers who have their batteries die…I heard of a number of individuals with this problem, probably because we had to leave our cars unattended for a few weeks). Beware of politics if you mention you’re in the Air Force though. The guy working at the auto shop certainly had his opinions about “Barack Obama negotiating with terrorists” and I prefer to steer clear of such conversations with strangers, namely to avoid political affiliations with the military. Remember: whoever the President is, he/she is your Commander in Chief!

Once we got back to base (I’m beginning to rock the car salute), we all decided to take a power nap in the Fairchild suite my dad and Andrew were staying at. Originally, Andrew and I planned on driving to Nashville after dinner as a pit-stop on the way home – we both have friends in Nashville and have never been to Tennessee. However, this power nap turned into a 4+ hour affair. Neither my dad nor Andrew wanted to wake me up, and I am grateful they didn’t! After waking up, showering, and having a cup of coffee, I was finally ready for dinner. At this point, it was sometime after 9pm, and we set out back to The Alley. My dad and Andrew were both very impressed by Montgomery, and I attribute that to my tour guide skills of downtown. Enjoyed some Mexican food, some margaritas, and some good old-fashioned conversation.

Blurry photo of Andrew at El Barrio in Birmingham, Alabama

Blurry photo of Andrew at El Barrio in Birmingham, Alabama

My dad’s flight went out Saturday morning, and Andrew and I headed for Nashville a couple hours after. Because of traffic, our 4-hour drive turned into an 8-hour drive (somehow there were 4 accidents on the one highway we were taking). We managed a pit-stop in Birmingham, Alabama, and to the suggestion of my Alabammer flight mate, we went to El Barrio, a fantastic Mexican food place in the downtown area that had A+ breakfast burritos. Very cool ambiance. Several hours later, we made it to Nashville! Andrew treated me to the Marriott with a view of Vanderbilt Stadium. 

View from our hotel room

View from our hotel room

Soon after, Ben – a William and Mary friend who I knew through Project Phoenix (a tutoring/mentoring organization), APO (a community service organization), and math/science classes, currently getting his education degree at Vanderbilt – picked us up for a driving tour of Nashville and dinner at Five Points Pizza. If I was a Yelper, I would have given fabulous ratings. I never realized what a small city Nashville was, and it has so much Southern character. After dinner, the three of us went to Andrew’s friend’s place. His friend is managing a band in Nashville, a great city to kick start a music career. His friend, also named Andrew, took us bar hopping and gave us a variety of scenes – from underground bars to Broadway street. Music was everywhere. The streets were absolutely packed. I have never seen so many bachelorette parties in one location! 

Broadway Street in Nashville, Tennessee

Broadway Street in Nashville, Tennessee

After our half-day in Nashville, Andrew and I had to make the drive back home Sunday morning, which was really painful due to traffic and poor pit-stop experiences, including a gas pump in Knoxville that kept going after my tank was full, resulting in gas spilling over onto my feet. Eating at Cracker Barrel eased our hanger – don’t judge, I’m a huge Cracker Barrel fan.

Once we made it back to Northern Virginia, I had this brief existential moment when I realized I had changed. COT definitely had a greater impact on me than I expected. I have this huge appreciation for being home as well as being with the individuals I care about. I also appreciate time to sleep (which I should hold dear to my heart before medical school really picks up). It’s time to prioritize what I value most in life. Spend less time on the things that don’t matter and more time on the things that do. I’ll try to maintain the school-life balance to the best of my ability, but I want to be a qualified physician and will do what it takes to get there. Wish me luck 🙂

I have been attending USU orientation for the past three weeks, the first two designated for Military/Brigade Orientation and the latter week for Academic Orientation. Military Orientation was a little like COT 2.0 with more direction and without the screaming. We had some lectures relevant to the military and mostly filled out paperwork and completed online training programs. Orientation provided ample free time to get life in order. It was a fabulous time to catch up on my social quota with friends and family in the area and to catch up on much-needed sleep. Academic Orientation this past week introduced us to the USUHS curriculum, mostly focusing on the pre-clerkship period in the next year and a half. We had a lecture for our first module, Fundamentals, which basically provides a foundation for the rest of the modules and is Pass/Fail (no honors, unlike the other modules).

I’ve been spending lots of time with my fellow USUHS Bravos and the one amazing USUHS Alpha (I’m clearly still in COT-speak. We have been staying in touch with our fellow Bravos – a few of us went out to U Street when a Bravo from Philly visited last weekend. And our flight commander sent us a final Bravo Bombers morale memo to motivate us for the next stage of our careers). All in all, my classmates seem awesome. Everybody is friendly and always willing to help each other out. Faculty members thus far seem fabulous, both engaging and caring for their students. I am a balance between excited and terrified to embark on the next stage of the journey. Somehow I am already swamped with readings, an essay, online quizzes, and a massive to-do list. First day of medical school is tomorrow! Although I feel quite unqualified, I see my first patient this week and am doing a home visit with a classmate on Wednesday. And so it begins. Ready, set, gooooo!