Wednesday, October 12, 2016

Discovering what I don't want to be when I grow up.

First I want to apologize for not posting. It has been a crazy two years, during which I started writing this post and totally forgot to come back and finish it to post. Sorry about that anyways enjoy.

Sometimes learning or knowing what you don't want can be just as important of a choice as knowing what you do. We are told over and over again as we are young what do you want to be when you grow up, but never what do you not want to be.

When I started writing this post I had just finished a grueling year of both course work and hospital work. I was spending long hours in the hospital in wards I liked and others I did not. I was asked once what my plans were for the next few years. (this question always makes me laugh a bit because no matter my plans inevitably things go a different way... usually for the better) I started saying things like take the step exams, do this and that for rotations. Then this person stopped me and said but you have so many options available to you now how will you narrow it down? Is there something you for sure do not want to do. This questions left me speechless, which is a hard thing to do ask my family. My initial answer was no of course not I want to do everything and see everything. However, as I started to really think about it this was a great question what do I not want.

Well I said, I do not want to spend my next 20 years being unhappy doing something that does not bring me joy 75% of the time (Ok we can be honest even those that are the most self realized and happy people have at least 25% of the time they are not finding complete joy). I do not want to get wrapped up in politics (either general or at an institution). I do not want to be a surgeon. This last one was a bit of surprise to me because I for a long time struggled with the decision medic or surgeon. Then I spent a month on a surgical service and although I found it fascinating as well as interesting the skill of the surgeons. I knew after that month this just wasn't going to be for me.

Now what... I like working with my hands I always have but I like puzzles too. I knew I did not want to be a surgeon so, I found a sub specialty that allowed me to do both, Interventional Cardiology. This is a field of cardiology that uses percutaneous approaches to treat the heart. I can't wait to see where this takes me. I began my thesis internship in May of 2016 and I am loving it.

So a simple question of what do I not want led me to narrow down my options to get at what I do want. A new approach to the same question can really change how you view things sometimes. Give it a try. ;) 


Till we meet again,

~M~

Saturday, October 4, 2014

How Running Saved My Sanity... Sort of

I want to start by saying I have always been an active person. Whether it be playing soccer, swimming, or running track in high school, I always found myself working out for a few hours at least 4 times a week (most time much, much more than that). Then I graduated from university in Minnesota, and for the first time since I could remember, I did not have structured practices or competitions. This was a bit of a relief. When I moved here, after taking a year off, I decided to pick up running again: not as a “hard core” thing, mainly because I hated running, but as a means-to-an-end and just to clear my head. Here and there I ran with some friends from San Raffeale. There was a 5K run in June of 2013 that we decided would be a fun goal for the spring. So I thought “Why not?” At 10 euros, it was the cheapest entertainment you could find in Milan. It went well; my time was decent, nothing too amazing.

Then fast-forward a few months to late September of 2013. I moved into a new apartment in a different part of town, and had little time for anything but studying. At that point I was running maybe once or twice a month. My roommates would probably agree I was not the nicest person to be around those days. Then, in a blink of an eye, it was Christmas and I was back in Minnesota. Although I had managed to maintain my weight over the fall, I gained 8lbs (4 Kg) in a matter of 3 weeks at home. To drop my Christmas weight gain, I decided I would start running again when I returned to Milan. The January exam session came and went, and I still felt really “ungrounded”. Thus my goal for my 25th year was to find balance in my life again. Knowing my self and my competitive nature, I started looking into possible 5K runs in the near future for motivation. Plus, I had a new feature on my Nike+ App that gave me workouts to do for training.

And wouldn't ya know, the Stramilano half-marathon had a 5K and 10K option. So I thought, “Great, I’ll get my friend Alyssa to do it with me, and it will be relaxing and fun”, not knowing that two things were about to happen:
1. March 23rd is Alyssa's birthday;
2. Alyssa does “real” running, not like my “kinda sorta when I feel like it” running.

Hence, when she found out there was a 10K run option, Alyssa said it would be a great way to spend her birthday. I couldn't very well say no to her only birthday request, and so my first 10K race: here we come.

The first 10K race was quite an experience, but a fun one at that. I had this great idea that I would actually train for it. Hahahaha, right. Between my exams and the new block schedule of lectures, training fell by the way side. However, I did manage to get a few more runs in than I normally would have. My goal was to finish in under an hour, and that I did. By the way, for any American readers 10K is about 6.2 miles. This particular race was actually probably one of the best races for someone to do a first 10K because it was full of people just getting out: old, young, fast, slow, or even wearing costumes, it didn't matter. Everyone was just having a good time.

After the first one was such a success, I thought, “Ya, let’s see what other races are around”. And, lo and behold, the Nike’s women’s’ run “We Own The Night” was having a Milano date. This one was a bit more expensive: a whole 20 euros (nothing compared to races back home), but I thought, “Ya, it’s in a few months and I will actually train this time”. Righhhht…. This time, not only did I not have as much time to train, but I was also spending 8 hour days in the hospital, which is like doing an oral exam every day for 6 hours. Now do that for two weeks straight. Needless to say, I learned a lot, but had very little energy to train. I did manage to get in more than last time though, and dropped a minute or so off my time from my first race; however, it was much more painful. Bea came with to cheer me on. It was the first race she had been to, and Bea thought it was a pretty cool experience.

My next run was the same 5K run that started this whole thing back in 2013. It got rained out and rescheduled for late July. Despite the heat, I did manage a time once again faster then the year before, and had a great time doing it.

Now it’s June 2014, and I have started running about 4 days a week. I get up at 7 in the morning, because it’s the only time before a lecture or the hospital not blazing hot out to go for a run. It gives me a time alone, not that I do not love my roommates or classmates or friends, but running gives me at least 15 minutes alone with my thoughts and to clarify things. It also gives me something to do outside of my studies. Although I love my studies and I could not imagine doing anything else, especially after my first rotation in cardiology, when your whole life is in one field you can lose perspective. You can lose perspective on why you are doing it, perspective on the fact that there is an entire world going on while you are studying and working, and perspective about the things that really matter in life. Running gave that back to me. However, now I’m hooked on getting up early to run at the start of my day, which some may interpret as more insane. You be the judge. 

So in summary:
1. I managed to lose all the Christmas weight and then some;
2. Running gave me a place to go to and think, a place to clarify the jumble that builds up inside during the day;
3. I gained perspective that I had lost;
4. I found a bit more balance with that perspective;
5. I regained my sanity. 

Thank you running! I don't think I could have done it with out you. Let’s see what this new academic year has in store. Maybe a half marathon (21K) in March? You will have to stay tuned to find out. 

Till we meet again,

~M~

Monday, May 12, 2014

Exam Exam Hospital Rotation

When we last spoke I had just passed my cardiology block exam. Being now in the second semester of the third year our schedule shifts from the traditional style to one that lasts 4 to 5 weeks, followed by an exam in that course. In these blocks we learn everything there is to know about those specialties, the pharmacology, surgery, and pathology. We also revisit the anatomy and physiology of the organ system in focus. This current block had two topics: Principles of General Surgery and Gastrointestinal Disease. Last Monday I took the written exam for Principles of General Surgery and was unsuccessful in passing; however, due to the system of rejecting or retaking exams here in Italy, I will have another opportunity to retake the exam at the end of July.

Today I took the exam for Gastrointestinal Disease. This exam went considerably better then the last. I accepted a 26/30 and was very happy with my mark. This was a 30 question written exam with a mix of multiple choice and fill-in-the-blank questions followed by an oral component. I felt that I left both this course and Cardiology with a basic understanding of the organ system related disease.

Starting tomorrow (yes, fast turn around), I will begin my first two-week clinical rotation. I am very excited. For this rotation we were given a list of specialties and were asked to select our top three choices. My top three were Cardiology, ENT and Internal Medicine. I am happy to say I received my first pick. This is one of the major perks to being in a small program. During the two weeks we are paired up with a current resident in Hospital San Raffeale. That means that whenever they move, we move. If they have overnight, we have overnight. If they have weekend, we have weekend. If they start at 7:25am, we start at 7:25am. Lucky for me my resident told me to come in at 9am the first day, but I don't think this will be a recurring situation. I am pretty sure I will be starting earlier the rest of the time. Either way I am very excited. I would come in at 7am if I had too. My resident told me he is in the TICCH, which my friends and I believe is the CICU (Cardio Intensive Care Unit). I am a bit nervous, mainly because I don't want to say something stupid (which I know I will, heheh), but also due to my lack of spoken Italian. I hope that my slowly progressing Italian will improve more being at the hospital, but we will see.

In the middle of the rotation next week is the Gelato Festival, so I am praying I will be able to go again. It is literally the highlight of my year. :D Well, I am off to prepare my bag for the morning.

Till We Meet Again,
~M~

Thursday, March 20, 2014

Cardiology Milan 2014


Over valentines weekend I couldn't think of better way to spend the holiday then attending a congress on Cardiology (the heart). This international congress was meant as a continuing education for physicians and residents however the host of the congress was my current professor of Cardiology, Professor Camici, so I along with about 5 of my classmates were given the opportunity to attend. They were a long three days including my Saturday at University but it was well worth it. I learned a lot of interesting things about Atherosclerosis, Inflammation and Plaque Vulnerability as well as many others related topics. 

click here for the link to some of the lectures if you are interested. I was given the great opportunity to hear Dr. Wood from the UK speak about prevention problems. This lecture was very interesting as it shed some light on the fact that we should be trying to prevent these problems then fixing them after there are complications. 

Dr. Libby from Brigham and Women’s Hospital gave a great lecture on the role of inflammation and atherosclerosis. This lecture explained how decreasing systemic inflammation can be a major treatment and prevention tool for atherosclerosis which is one of the leading causes of heart attacks.  It was so refreshing to hear lectures done with such passion. These professors are truly in love with their jobs. It gave me some hope that after all the work and pain there is light at the end of the tunnel. 


This congress made it more evident that choosing the specialty for the correct reason is important. Choosing a specialty because it pays well or you are just good at it are for me not going to cut it. I need to find the specialty that I can't think of doing anything else. It reminds me a lot of when I decided to swim competitively. It started with me liking sports in general. I loved the high I got when competing.  I starting swimming to rehab an ankle injury. However, in no time at all I couldn't imagine doing anything else. I ate, drank, and slept swimming. I put my whole mind, body and soul into it. It became my life. Now that the competitive part of my swimming career is over it has been quite a transition. Redefining how I saw myself came with a move abroad far outside of my safety net. This move forced me to clarify what I value and where I was going with my life. With out a doubt I find my self missing the passion that I once had for swimming. I still love the sport but from day to day it is not an active part of me anymore. So my goal for 2014 is to find passion again and hopefully once again in medicine. I know I will find it. It is just a matter of where.

This opportunity of attending Cardiology Milan 2014 was a great way to study for my exam, which came three weeks later (which I passed with flying colors). I learned about new advances in cardiology and that cardiology might be where I find my passion again. However if it is not it gave me hope that i will find it. Its just a matter of time.

Till We Meet Again,
~M~

Some of these pictures are thanks to Marco Montagna









Monday, February 10, 2014

Turning 25 in Italy


Turning 25 can be considered one of those milestone birthdays. As a friend of mine put it best "congrats you are now a quarter of a century old".  When I turned 20 I definitely in a million years did not think I would be spending my 25th Birthday outside of the States, let alone in Italy. Yet 5 years later here I am. With a month of exams ending the day before I had two reasons to celebrate. Oh ya and did I mention my birthday landed on a friday. That means birthday weekend :D.

We had all these wonderful plans for my actual birthday: going shopping, out to lunch, baking cookies and cakes then a wonderful dinner and drinks. What actually happened was I made the cupcakes the night before (red velvet which turnout to be pink velvet),  I slept until 10 ate cupcakes basically all day while I watched TV in bed with the biggest cup of coffee in hand. It was raining hard most of the day so it was a fitting way to spend it. Then the troops were rallied and we did go out for that wonderful dinner and drinks :). We checked out this cute restaurant in Brera (the art district) called fiori chiari plates. It was a fun rustic sea side feel. We had a delicious antipasti plater for starters and then pasta all around.

We then headed over to a wine bar just around the corner N'ombra de vin (Their website seems to be under construction) where we drank prosecco the rest of the evening. This place was a fun change of pace from our normal location expect for their odd variety of music from Abba to the Rolling Stones. My friends were fantastic they gave me a bottle of wine and a gift card to one of my favorite, not so secrete anymore, places in all of Milan Signor Vino. I can't wait to use it maybe after my next exam??? We finished up at Shockolat one of the best Gelato shops in all of Milan. At the risk of sounding lame I am happy to say we were home by 1. I know I know but an easy relaxing evening is just what I wanted.


 
 

Day 2 of birthday weekend started out about the same as day 1 minus the cupcakes, well at least the excess of amounts of cupcakes. Alyssa gave me a salami in the shape of a pig yes a salami pig. It was soooooooo good. It was truffle favored so it had a hint of truffle in it. It went really well with Philadelphia cream cheese and Bea's bread from home. Then it was off to the local pub Matricola for some drinks with more friends. This night we did a Bellini toast with some great new and old friends. Once again we were home by I think 1:30 but it was so nice to get extra well needed rest.

Finally on day 3 the sun decided to make an appearance on birthday weekend. I woke up around 9 and went to church at Chiesa del Carmine. I don't go every week but every now and again it's nice to go to help put life in perspective. Then I met Daria, Moad and Bea to go ice skating out side in MILAN :D.  Followed by gelato from Grom. We also stumbled upon a massive foosball table in the middle of the piazza, so naturally we planed for a while. We ended up tying 1 win for each team.  After we were done there Bea and I went to do a little shopping I mean who doesn't need new nail polish when its only 1 euro. Then as our legs started to feel the burn from skating so, we decided it was time to go home. I made another batch of cupcakes to bring to University the next day, FaceTime with some friends and family, did my nails and that was the end of birthday weekend.




Monday starts block scheduling. Our first block is Cardiovascular disease. I can't wait. Stay tune for an update soon on the first block and Milan Cardiology 2014 a congress I will be attending over Valentine's day weekend.

Till We Meet Again,
~M~

Tuesday, January 14, 2014

Winter has come and so has exams....


A decent amount has happened since I last wrote you all.

I hosted my first thanksgiving with my amazing roommates. The great turkey hunt of 2013 ended very successfully the day before thanksgiving at Essalunga :D. Here in Italy they don't eat turkeys whole on a regular basis (in some place for christmas but not a lot) so it was quite the hunt to find one that would 1st fit in our oven and 2nd was in one piece. But alas we found our Tomas the Turkey (Tom the turkey italian style ;)). The only disappointment was our apartment is a bit to small to invite all the people I wanted to. Everyone had a great time. For most it was their first Thanksgiving so it was extra special sharing my families traditions with them. A few were pleasantly surprised about how great cranberry sauce is. I also made the perfect pumpkin pie this year wayyy better then last year. Some of these great pictures were thanks to Marco (green apron).




Then came the start of the Christmas season and the INTERNATIONAL FAIR. The only way to explain this fair is that it is kind of like a State Fair in the the United States yet better. hehe. We started with Tai food, yum yum, followed by a trip to Africa where I bought a lamp for my mom. Then off to the rest of the world. I found some amazing presents and ate some tasty treats.



 The following week my roommates and I set up our christmas tree. It was an interesting night as we also tried our hand at a batch of chocolate chocolate cookies. They tasted great but.... not exactly cookie shaped. They may have melted a bit.


Then we packed up and headed home for the holidays. Bea to Taranto, Gavin to Canada and me to Minnesota. I made it home just in time for Vinnie's University graduation :D It was great to be home minus the frezzzzzzzzzzzzzing weather. It was the coldest winter in 17 years while I was home. I mean really come on Minnesota coldest winter in 17 while I'm there thats just rude. :P We had a quiet christmas with family. I was able to bring home a panattoni for my family that was amazing. 
It was a working holiday tho because now it is January which if you have been following me you know that mean .... exams :(

This exam session I will be taking Clinical Lab Med, Basic Pathology, and Pharmacology. This past monday was the first sitting of Clinical Lab Med which is a 30 question written exam with 45 minutes to complete. You have to get 18 to pass the course. The results came out later in the morning and I passed. That's 1 down 2 to go and a great way to start both the week and the session. The next 2 exam will be at the end of the month one day apart so I will really need to get to work to pull this off.

Tonight we are going to a local pub (Matricola) for a beer for a classmates birthday and tomorrow it all starts again, so good night for now.

Till We Meet Again,

~M~


Tuesday, November 26, 2013

And so it begins again

With the change in season also come the start of a new academic year and a new apartment :D. I arrived back to Milan on September 18th. I ate some food and went to bed the next day was the day to go sign the official contract for my new apartment :D. So exciting. Along with my new apartment came two new great roommates and also new challenges. Anyone who ever said Ikea furniture was easy to assemble is lying. 38 minutes, 13 seconds and the brains of two medicals students later I had a desk... only a chair and dresser left to build :(. But we managed and a few weeks in everything was settled for the most part. The apartment is nice three bedrooms, living room, bathroom and kitchen. :D



After we signed for the new apartment and kinda half moved in I started my General Surgery Ward attendee where I shadow a resident in General Surgery at San Raffeal Hospital. This was great fun. I had one over night as well as the weekend shift. The surgeries were interesting but it was not my first time in the OR. To be honest the weekend shifts seeing patents was the most interesting to me. We had about 10-15 patients we saw that were staying on the ward. One I had seen a few nights before during my ER overnight shift. So that was really neat to follow some patients for a few days. It was also nice to see one of the patients a week later doing much better around the hospital grounds. I don't think he remembered me but it was nice to see him doing so much better.

Lessons began on October 1st. This semester I am taking Basic Pathology and Immunology, Microbiology and Mechanisms of Infectious Diseases and Clinical Laboratory Medicine. So far Micro is the most interesting to be but Pathology is a close second. My schedule this semester is good because expect for wednesday we rarely have more then 1 or 2 lectures in a day which leaves a lot more time to study this semester.
Another exciting thing this past month was having my parents and our family friends come visit me in Milan. They got to go see some great sites of Italy as well while I studied but it was great while they were here. We spent a few days touring Milan and showing them where I go to University as well as introducing them to my friends here. My mom was very excited to get her hair cut and styled here in Milan and it turned out so wonderful.

On the Saturday they were here we went to the city Bellagio on Lake Como for the day. OMG totally going back. Although the weather was only ok it was still a great place, just beautiful. This spring I think I will need to take a weekend trip back. Then we hurried back to Milan to go grocery shopping because the next day my parents cooked dinner for my friends at the new apartment. We had a great dinner with veal piacatta and polenta. There was enough food to last me for like a whole week :D An additional benefit to having them around.


They then went on the rest of their trip around Italy while I studied. The day after they left my university put on an exam that was a moke NBME (national board of medical examiner) they returned a week later for just one night. We had a calm evening with dinner at a pizzeria near my apartment. The next day they left to go back to Minnesota. I was sad to see them go but I knew there was no way I could focus on my studies enough if they had stayed.

Next up study study study until it is Thanksgiving time.

Till We Meet Again,

~M~