Sunday, June 30, 2013

Time Travel

I don’t really like most episodes of the twilight zone. It’s not that I have anything against Rod Serling per se, it’s just that I think many of his viewpoints are depressing. In one particular episode, a scientist despairing at the state of the world builds a time machine and attempts to change three major events in the history of the world; warning the Japanese about the bombing of Hiroshima, attempting to assassinate Hitler, and trying to stop the torpedoing of the Lusitania. In each time period, he is unable to change the course of events, because history, in Mr. Serling’s view is static; that is events are predetermined, and one cannot change anything in the world.
I choose to disagree because if that is so, then there really is no free will at all. If all our actions are merely parts being played in a vast cosmic play, then what is the purpose of any of the decisions we make. Armed with foresight about the world, Serling’s protagonist attempts to escape to a Midwestern town in the 1800s, the epitome of the small town ideal. In this time, he is unable to prevent the fire that took the lives of several school children, and in the process of attempting to change the event ends up causing it himself.
I believe that history can be changed. Pick an apple in old England and Newton may never have considered gravity.
The subject reminds me that there is currently a researcher attempting to make a time machine at UConn. Current scientific consensus is that if the time machine does in fact work, you could only conceivably take is back to the point at which it was invented. Barring all technological or physical obstacles, I can think of a few places I’d like to time travel to:
First, I would like to go to the “beginning” of human history and observe the first Homo sapiens. There are many hypothesis out there about when humanity first began to exhibit modern behavior and I think it would be the opportunity of a lifetime to go back and see it. Assuming changes were reversible—and I think I’m more in the territory of a “what-if” machine by now—I’d love to see what would have happened had evolution taken another path; what if we were the descendants of another hominin like Paranthropus bosiei or even if another genus had developed in our place (hyper intelligent ants? Birds? Elephants?)
Second, I’d like to take an afternoon and visit some of the greatest pioneers of science; Einstein, Edison, Tesla, Newton, Galileo, and see what they would make of our world today.
Third, I would visit some of the greatest cities in the Ancient world in their prime: Pompeii, Rome, Tenochtitlan, Babylon, Jericho, see the pyramids being built. I’d sit in Athens and hear the lyre music that has been completely lost to modern ears. On the other side, I’d love to see Manhattan island the way it was before Hudson “discovered” it. I’d like to feel the absolute wonder you must have gotten looking out on a forest and knowing it goes for hundreds of hundreds of miles.
In some ways, because I was born in the nineties, and have seen so many technological advances in my short 22 years, it feels like the future can’t be to foreign. Serling’s scientist never went to the future—at least in that episode—and I think it was a mistake. His fundamentally pessimistic viewpoint precluded the potential bright future that might lay ahead.
I think I would have gone ahead to see what we accomplish in ten, a hundred, or a thousand years. Unlike most people, it seems, I’m confident that we’ll find the solutions to disease, to global warming, and to war. Sterling may have been stuck on the evils we as a society have perpetrated in the past, but I’d rather look ahead. That future, it seems I can change, whatever Mr. Serling may have believed.
He might have been right. But since I don’t know what will happen, and time travel—at least for now—isn’t real, I’d prefer to go on thinking that what I do has a drastic effect on how the future plays out, because while my actions may not make a difference to the world, they make a world of difference to me.

                                                                                                                                                                 

Friday, June 28, 2013

The Return of the Medical Show


46 Days to Go


                I’m sure I’m not the only incoming medical student my age that has loved scrubs since I first saw it. I watched the first three seasons as reruns and the moment I caught up, I watched it obsessively. It was, without question, my favorite show. For the same reason that I get anxious around the pre-med society people, seeing the possibility—even the farfetched hysterical one portrayed in scrubs—of my future filled me with dread. Even thinking about it would give me cold sweats and a sinking feeling in the pit of my stomach.
                As the fall went on, and the spring began, and I got my acceptance to St. George’s, I still felt the anxiety. Scrubs, Grey’s Anatomy, and Private Practice—shows I watched almost religiously in my first two years of college—only made the anxiety worse. I would avoid episodes of Scrubs on Netflix, change the subject as quickly as I could when one of the three shows came up in conversation. I told people I stopped watching Grey’s because the “plotlines got too unrealistic.”
                It’s only now, as the anxiety is starting to fade and the reality is taking its place, that anything has changed. This morning, rushing to get out the door so I could make the train on time, I grabbed the first DVD in the messy cabinet; to give myself something to watch on the train. I didn’t even look at it.
                As the train pulled away from Hackettstown station, I worked on budgeting out my financial aid for the fall. I looked in my bag and pulled out the DVD. Without my choice, and a 2 hour train ride ahead, I popped in the first disk of the 4th season of scrubs, and with a twinge of anxiety, pushed play.
                No sinking feeling. No dread. My stomach felt fine. I descended the mountain of med school applications and dredged my way through the valley of interviews and decision emails and climbed the mountain—which may have only existed in my own mind—of going to St. George’s, and suddenly I found myself on the other side looking out over the world, and I realized that my entire future is in front of me, and there’s nothing to be anxious or nervous about anymore.

                Well until the first exam…

Wednesday, June 26, 2013

Train Thoughts

48 Days to Go

I spend a lot of time on trains. It means that I spend more than my fair share of time lost in a book or a TV show or just letting my mind wander. When I was in High school, and some of the time in college, I wasn’t especially happy. I was overcome with indecision. I was anxious. For the final year of college, when I should have been enjoying myself, all I could worry about was when the next email from a med school would come, which waiting lists I was on, what interviews I went to. I did almost everything with the secret hope it would somehow transform my application into a “must have.” Oh he went to a CONFERENCE? FIND THE PHONE AND ADMIT THAT MAN!
As the alternatives fell away, and I accepted going to St. George’s, I realized how much stress and pressure I had put myself under.
I don’t want to feel that way for a long time. I still have barriers and rules and necessities and pressure. I go to my internship four days a week, and haven’t found a regular paying job. I do get worried about money, about going to Greneda, about lots of things. But now, I do whatever will make me happy.
Spending time with friends makes me happy. Talking to Kayleigh on the Phone makes me happy (visiting her makes me happier). Going to the museum makes me happy. Watching hours of Netflix makes me happy.
I tell myself not to worry so much. I’ve been pretty lucky so far and everything has worked its way out. I’ve lived an interesting and rewarding life. I get up (almost) every day to do something I love. I got the girl. I spend a lot of time on trains. A lot of time spent smiling. The people around me probably think I’m crazy. Fuck ‘em.

I’m happy, and that’s more than good enough for now. 

Monday, June 24, 2013

Future Choices

It seems casually arrogant to choose a specialty before even starting medical school. Other than books, television, movies and the occasional shadowing experience, I don’t really know what specialties of medicine are like. There are subspecialties, I’m sure, that I’m not even aware of. By the time I graduate in four years’ time, there might even be new emerging areas of medicine to get into. I don’t really need to choose for 3 and a half years (though knowing earlier could help structure my fourth year electives). If this whole thing is a game then, I don’t even know the rules.
I do, however, know myself. I have some useful abilities. I’m a quick thinker. I’m good under pressure. I’m good with my hands. I can follow instructions. I’m extremely competitive. I’m willing to work hard. I’m willing to work long hours. I also have weaknesses; I’m not patient. I have a short attention span. I have an average memory. I’m sometimes hot headed. I need to feel important.
All things being equal, the money isn’t that important to me. I don’t need to be rich (at least not while I’m young). I don’t spend a lot on myself, but I would like to start a small family at the right time. I would be more than comfortable driving a cheap car, living in a reasonably sized house, and spending the rest of the money on the people I really care about. I’m not sure what’s wrong with me, what part of the American capitalist spirit I missed out on, but I don’t see the point of buying nice things for myself. I’m sure it’s something to do with my childhood or self-esteem or something but I’d rather not tease that out right now.
So with the compensation out of the picture, I’m left with what might fit my personality best. I want to be challenged with something new every day, but most specialties will give me that. I’ve always been interested in solving puzzles, so I think I would very much like diagnosis.
One thing that really makes me interested in Surgery is the idea of immediacy. It isn’t universal, but most cases I would be involved in would fit this model. First you identify the problem. Then you actually manually fix it. I like this part because it involves some skill, a great deal of pressure, and a sense of importance. Then, as harsh as it might seem, the problem is either fixed or it isn’t.

Becoming a doctor for me has always been about helping others. As much as I think surgery is the best option for me right now, I’m not sure that over the next few years it won’t change. I’m willing to wait and see; sometimes the best part of the journey is when the destination is just out of sight over the next hill.

Friday, June 21, 2013

The Drunk Biology Study


Freshman year, I was a much less responsible person than I am now. It made for some experiences that were less fun, but for much better stories. It worth mentioning again that I was a much less mature, stupid, freshman at the time this story occurred. An unsurprising amount of these stories involve alcohol.
The fall semester was just starting. As the deceptively nice summer weather gave way gradually to the hell that is winter in Storrs, CT, I was taking college classes for the first time. Since I had always done well enough in high school without studying, I just assumed that the same would go for UConn. I sat through my biology class with my friend Jake once or twice a week (the class met Monday, Wednesday, Friday).
The professor, Dr. Abbott was 6’5” and had huge bushy grey eyebrows. We naturally assumed they were so bushy because they were filled with knowledge. A quick digression if you don’t mind (and if you do, then this is the wrong blog for you). Dr. Abbott had a best friend at his post doc fellowship who was a “little person.” The LP was also a post-doc working on the same project. They quickly became best friends. This was my favorite fact about Dr. Abbott.
Our first exam for the class came about a month into the semester. Because we lived in the honors dorm (we were both honors students), we decided to try this “studying” thing we’d heard so much about. On the night before the exam, a Thursday, we sat in the ground floor lounge of our building and ordered Buffalo wings. In between mouthfuls of wings, we quizzed each other on the study guide. It was boring.
Karolina was a girl we both knew through a mutual friend. She was having a much better evening. We decided that studying could wait and headed up to her room. The cool thing to do in the honors dorm (other than studying), was to have parties in your dorm room. Since being an RA, I have found it almost impossible to understand why we ever thought this was a good idea. “Drinking underage and making lots of noise? Oh you know where that would be better? Remember that person being paid to stop you from doing that? Why don’t you do it next door? To where they live.” We were also not especially sneaky about the whole thing. After being on the other side for a year, I am shocked that we weren’t caught.
We got to her room and immediately took a pair of shots. Each. This, we rationalized, was absolutely responsible behavior in light of the circumstances. Karolina had squeezed at least 15 people into the tiny double room. There was music pounding and the overhead lights were off. One advantage of living in an extremely isolated dorm at the extreme far end of campus was that you knew everyone relatively well. That meant that we had probably ten friends in that room.
Two “responsible” shots each quickly turned into four, and then six. We were both starting to feel the effects. After an hour, we realized we needed to get back to what we were doing before we got distracted. And so, we left the party and ordered more wings.
After we ate those, we realized we still hadn’t studied in any meaningful way. We headed back downstairs and parked ourselves in the main study lounge. Again, the effective isolation of our dorm worked against us again because one table over were a group of our friends. After hanging out (procrastinating), we got out the study guide and started quizzing each other.
It was laughably easy. We always knew the correct answers. Our small group of friends gathered around our table. For some reason, they seemed very interested in our study session. They were even laughing along with is—we thought—about how easy the questions were! This studying thing was working out great! So far, I had eaten wings twice, gone to a “party”, and generally had a great time. Logically (and this made perfect sense to me at the time) since I never studied in high school, and got okay grades, any amount of studying at all would mean an “A” on the exam for sure.
The next day, we got up and walked to class, confident we would ace the exam. As I worked through the fifty multiple choice questions I found myself getting a little irritated. Dr. Abbott had given us the study guide after all, and it seemed like none of the material I had known so effortlessly the night before was on this exam!

It took a few days to get back the scores. Jake got a 66. I got a 72. And we never drank alcohol again. (Not really). But we did learn a valuable lesson: Never make friends. (Just kidding).

Thursday, June 20, 2013

Lessons I learned from Rugby

Rugby is the most demanding and rewarding sport on earth. I was fortunate enough to play four semesters of Rugby at UConn. Our program was Division I-AA, but we were poorly supported by our school. Every other team in our conference had at least partial recognition from their school’s Department of Athletics, and the money that goes with it. We were a “club sport”, and only received funding extremely reluctantly from the largely ineffective and corrupt Undergraduate Student Government at UConn.
The Basic Rules of Rugby:
Rugby Union is played with an egg shaped ball on a field no larger than 100 meters by 70 meters. In the middle of each of the short sides of the rectangular field are two H-shaped goal posts. Each team’s goal is to carry the ball to one end of the field. Players play both offense and defense, and unlike American Football, play does not stop when the ball-carrier is tackled. Instead, players from each team fight over possession of the ball by attempting to push one another away from the spot of the tackle. This is called the “Ruck.”
There are 15 players on the field (“pitch”) at any time for each team. The players are numbered 1 to 15. The numbers correspond to a specific position. Numbers 1 through 8 are “Forwards”, the remaining 7 players are “Backs”. Forwards are usually larger and their main job is to maintain possession of the ball after tackles. When Forwards run the ball, they run powerfully, crashing through the defense in order to gain short meters. Backs are faster, quicker, and smaller. Their job is to pass the ball out wide, exploiting gaps in the opponent’s defense and scoring the majority of the points. There are two ways to score in Rugby, and both are roughly similar to American Football. The first is to carry the ball into the end-zone. In order to complete the score, you must touch the ball to the ground in the end-zone. This is why it’s called a “touchdown.” This is called a Try and is worth 5 points. A kick at the goal posts follows a try, and is worth 2 points. The second way to score is by kicking a field goal. Just like football, it’s worth three points. A game goes for 80 minutes, with a ten minute break halfway through. The ball can only be passed backwards, but may be kicked forwards.
On my first day of practice, “Doc”, the head coach, ran us through some tacking drills. We hit the bags and practiced carrying the ball into a tackle. My understanding of the game was extremely limited. He split us into “forwards” and “Backs.” Without really knowing what that meant, I became a forward. As I would soon learn, it wasn’t easy. Being a forward meant being tough, it meant making a tackle, and then another and another and another all in a row without stopping and then hitting a ruck and then another. I quickly learned that I was out of shape.
I am reasonably sized, 6’ and 215 lbs. I am reasonably quick, reasonably strong, and reasonably athletic. I knew that I wouldn’t get playing time based on sheer athleticism. We had two teams, an “A” team and a “B” team. The A-side would play the game that actually counted, and then the B-side would square off against the opposing team’s B-side.
Every practice that first semester I just wished it would be over. It was too hard… I couldn’t do it. I played 8 games on the B-side but didn’t see so much as a minute of substitution time on the A-side. I was out of shape, out of my league.
Every day that winter I ran through the team mandated workout plan. I ran until I felt sick, I lifted until my arms wouldn’t move. I’m not sure why I wanted it so badly, maybe just to prove I could. And gradually, as the next semester started, I started to look forward to practice. I had learned after months of feeling like I had nothing in me, that I would always be able to push myself just a little more. Instead of walking between rucks I would run. I started to get better. I still didn’t play on the A-side that spring, with the exception of the annual Blue-White scrimmage (I scored my first try) but I could feel I was getting better. My excuses were melting away.
That summer I ran and lifted all I could. In the fall, the team plays in conference games. These games count. The friendly matches in the spring didn’t. I worked my ass off.
When the fall came, I didn’t find myself on the list of players selected for the first game. Or the second. Or the Third. Undeterred, I doubled my efforts.
The fourth game, we were home against Middlebury College. The practice before the game, the coaches read the starting 15. I wasn’t on that list, but I was listed as a substitute. I didn’t play that game.
The fifth game we were home against UMass. I dressed in my A-side white uniform and watched from the sidelines. 75 minutes in our lock injured himself. I got the call and played the rest of the game.
I didn’t play again until the final game of the season. We played Northeastern away. I was named to the starting roster and played 60 minutes before injuring myself (a very minor knock). I stood next to the coach and asked to be put back in. I came it, caught a pass, turned up field and ran thirty yards.
The spring semester I started four games on A-side. I wasn’t the best player on the roster by a landslide. I probably wasn’t the 20th best. But I worked hard each and every day.

I want to go to medical school to be a surgeon. It’s not going to be an easy road. But, I was lucky enough to have learned from Rugby: If you work harder than everyone else, nothing in this world is impossible.
 Playing Flanker against Northeastern (I'm in the blue wearing the red cletes)

Wednesday, June 19, 2013

The one where I was an hour late to a 75 minute long exam.

I took (as most science majors do) General chemistry during my freshman year of undergrad. It was my least favorite class. There wasn’t anything wrong with the teacher, and the material was actually relatively interesting as these kinds of classes go. The thing that I couldn’t wrap my head around was the math. Not actually doing the math (I had a calculator), but I could never figure out which equation went with which situation. The exams were usually open ended, with credit given for partially correct answers. My general strategy usually involved writing down as many of the equations I could remember and just solving them all in the hope that one of them would give me a useable answer, and worst comes to worst, would be partial credit-worthy. This strategy actually worked better than one might expect, I got a 78 on my first ever general chemistry exam (before the curve).
The night before the second exam, I was up late studying, as I had yet to learn that actually being well rested for an exam would be more helpful than a late night cram session. Once I finally went to be at about 4 am, I set the alarm on my cell phone for 9 am, leaving myself 20 minutes to walk across campus to the exam, which went from 9:30 to 10:45. I awoke the next morning feeling groggy and was struck immediately with the sickening feeling I had slept through the exam.
I turned the phone over; 7 am. Plenty of time left to sleep. My alarm was still set, there was no reason to worry. I rolled over and went back to sleep, reassured that it was all in my head. I woke up again a few hours later, now not worried at all about missing the exam. I felt surprisingly well rested. I casually rolled over and flipped over my phone to check the time.
10:20 am.
I was late, extremely so, and there was no make-up exam. I pulled on my clothes and just barely remembered to grab my calculator and a pencil as I sprinted out the door. I don’t think I even locked it.
The walk to the chemistry building took fifteen minutes. I lived all the way on the opposite side of UConn’s huge campus. Sufficiently motivated, I think I made it at a dead sprint in 5.
I ran, panting into the lecture hall at 10:30, almost an hour late. The TA gave me an exam, but she warned me that it was not possible to finish the exam in just 15 minutes, and that no extra time could be given.
I sat down with the exam. It was extremely difficult. Without any time to think, I just scribbled down the first answers I could think of to each problem. Without the time I usually enjoyed to experiment with many equations, all I could do was guess which one I thought fit best and work through it.
I did finish that exam, but I was terrified to see how low my grade was. Whenever they announced the grades, they would give you a range of the lowest and highest grades. I had never been the lowest, but I had the sad, sickening feeling that mine might make an appearance this time. The last lowest grade had been an 18%, and I assume that person had to fail. Math might not have been my strong point, but I was aware that an 18/100 lowered your average considerably.
The next week, the professor stopped class early to hand out the graded exams. The lowest grade was a 22%. I was pretty sure it would be mine. She called each person’s name and had them collect their exam. In a class of 50, it took a while. Finally she got to my name.
I walked up to the front of the class, defeated and expecting the worst. The professor was inscrutable as she handed me my exam. I flipped the exam over and looked for the red number in the top right corner.

78/100.

P.S. Parks and Rec is my favorite show....

Monday, June 17, 2013

Things I learned in Undergrad

Things I learned from going to class:
·         How to use Microsoft One Note.
·         Archaeology involves a shockingly small amount of fighting Nazis and using a Bullwhip.
·         There is a reaction that makes alkenes, whose name I don’t remember. It was originally performed in Vodka, because it was done by a German Chemist immediately after WWII, and they couldn’t afford supplies. This is the only thing I remember from Organic chemistry.
·         Iguanas lay eggs.
·         Sharks are fish. Whales are not.
·         How to take a multiple-choice exam: process of elimination, and then lucky guesses.
·         At first, you will not study. You will not get an “A”. Panicked, you will study furiously. You will still not get an “A”. Don’t worry: There’s probably a curve.
Things I learned from not going to class:
·         Netflix is worth $7.99- to the approximately 7 people in the world who pay for it and share their login info with everyone else.
·         A liquor store is called a “Paki Store” in New England.
·         Just because the dining hall has pizza every day, doesn’t mean you should eat pizza every day.
·         The way to derive and integrate an equation: It’s a very simple process. Just type “derivative of {Equation}” into Wolfram Alpha.
·         If you’re willing to pay for it, Chegg.com has all of the answers to the online physics homework.
·         If you ever do badly on an exam, blame the professor’s poor grasp of English. This won’t change your grade, but it will help you avoid dealing with the fact that you might just be dumb.


My Undergrad Degree (s)

56 Days to Go.
To be honest, having an undergraduate degree doesn’t feel any different than not having one. Part of that could be that the diploma itself is still in the mail. Even so, I don’t think that the official document will make much difference. Because I am an overachiever (and thanks to some lucky double dipping requirements), I actually got two degrees in undergrad (but I only paid for one! Take that, state of Connecticut!).
As a prospective medical student, I was lucky in that I didn’t really need to learn any actually marketable skills. My first degree, which I had almost entirely finished by the end of sophomore year, was the more medically focused one: I had always heard that a BS in Biology was the best degree to have as a pre-med student (Other than Biomedical Engineering, and frankly, my math skills were never at what one would call an “Engineering” level). The degree nicely dovetailed with the pre-medicine suggested requirements (and the actual requirements for most medical schools). I capped off my “biology” education with a research thesis, one of the worst experiences of my life.
I think I’ll have to wait for the dust to settle for a few years to see if it actually helped any of my applications, but writing that paper was one of the most painful things I ever did. The writing itself wasn’t a huge problem, but the experiments were. I had been lucky enough (so I thought) to be accepted in the research lab of a relatively prominent (at least a few years ago) virologist. Just for a point of reference to establish his level of expectations from his students; one of his grad students (David Baltimore, about 30 years ago) won the Nobel Prize. The lab only took a couple of honors students every few years. Because of the “hands-off” approach, I was able to essentially work independently, which was a radical departure from the way things usually worked. Most times, an undergrad is assigned to a grad student, who would make them do the simplest, least important, and most unpleasant experiments as part of their own (the grad’s) project. In my case, I was given my own project (an ambitious one), taught some of the basics, and set loose.
At first, it worked out great: I could come into the lab on my schedule, I didn’t have to report to anyone except my advisor, and I had plenty of time (years!) to worry about results. And, for the first couple of semesters, it really did work. The results I had didn’t mean much, I had only really covered about a paragraph’s worth of my potential thesis, but I had heard that just handing in a coherent paper got you an automatic “A”. I was told that it was more of a rite of passage than an actual evaluation of my academic progress.
During the first semester of my senior year, with the actual due date starting to loom, things started to go horribly wrong. Literally every experiment I would try would fail. Some became infected with mold that grew due to the dust floating around the lab as it was being renovated. Once I solved that problem (by putting a fungicide in all of my cell media) the results still made no sense. It turned out my advisor had given me the wrong dilutions of some of the viruses I was using. After that was fixed, finally usable results- except the cells in the control plates were all dead. After that, a problem with some of the cells we needed to purchase from an outside company. After that, some results that were too good to be true (they weren’t true). Time kept running out. Finally, the week of finals at the end of the spring semester.
I had one week to produce a usable paper from one experiment’s worth of results. (I should have had pages and pages of results to work from: I had about half a page). I drew some incredibly tenuous inferences out of that half-page. I made some half-assed graphs. I was afraid that I would fail, that there was no way I’d be able to graduate after turning in such a terrible thesis. I emailed the paper to my advisor (I was too embarrassed to hand it in in person).
I got a B.
I was so immensely relieved that it didn’t matter to me what grade I got, so long as I passed. To be entirely honest, it was mostly my fault that it turned out the way it did. It also didn’t mean that my entire biology was wasted. I actually really enjoyed most of what I learned, aside from writing that awful, hell of a thesis.
My second undergraduate degree was an accident. During the middle of sophomore year I was stuck in a slump. I didn’t think that any of my classes were useful in any way to me. (Looking back, I’m pretty sure I was right). I’ve since learned that that is a relatively common attitude among college sophomores. (Nerdy side note: I learned that in a class for Resident Assistants that was essentially a sociology of college class. I’d absolutely recommend that if you can devote the time to it, be an RA. You end up learning a lot about yourself. Also it never hurts to be above the rules.)
                In the midst of my rut, I had to select classes for the spring semester. The way that things ended up working out, I was essentially locked into the “second half” of most of my classes, so I only had one or two slots open for electives. I took “Intro to Weightlifting” for two credits. (To be clear, UConn does not have a gym requirement, this was purely my attempt to waste my own money and time). In an effort to find something, anything that might be relevant to medicine, I typed the keyword “medical” into the class search dialog box on the registration website. A few hits came up, but most had prerequisites. Purely out of curiosity I clicked on the link to “Medical Anthropology.” Kayleigh had taken an “Anthropology through Film” class the semester before, and she seemed to enjoy it. Without really having any idea what it was about, and desperate to learn something I considered worthwhile, I signed up for the class.
                It met Monday nights from 5:30PM to 8:30PM. It was a three hour lecture in a crowded, stuffy classroom filled almost entirely with upperclassmen I did not know at all (as a “science” major at a large University, I had very little contact with “non-science” kids). The class met for the first time the second week of the semester (we had the first Monday off for Martin Luther King Day). I took my seat at the run down, graffiti covered desk and looked around the room. There were about 30 of us, and most people seemed to know each other. The class was probably about 70% female.
                Until that point my classes had been taught by old distinguished looking professors, usually dressed in business casual. The person who walked to the head of the class was entirely different. She looked about thirty. She was dressed in a simple black t-shirt and jeans. Half of her head was chopped short, the other side hung to her shoulder. Hear arms and neck were covered in tattoos. She introduced herself as “Susie.” She had just finished her PhD. She asked us to each tell the class our names, why we were in Anthropology, and our home towns. I waited my turn. Most people, unsurprisingly, were from Connecticut. I listened to all the other students, trying to find an acceptable reason for my presence. After about two-thirds of the class had gone, my turn came.
                “Uh… I’m Aaron. I’m from Long Valley, New Jersey, and… Uh…” I started, not sure how it was going to end, “I don’t know what Anthropology is.”
                The class laughed. Not a great sign, since this was a 3000 level course.
                Susie replied, “Oh Long Valley? I grew up there! My Mom teaches math at the middle school!”
                Small world.
The rest of the class introduced themselves. She started to explain that Medical Anthropology was the study of health and human systems of health. Despite my unfamiliarity with many of the theories she was discussing as if the class knew them already (They did), I found myself utterly fascinated. After the first night of lecture, I went to my advisor and asked how I could get a minor in Anthropology.
The class only got more interesting. We talked about cultures I had never heard of growing up in isolated rural New Jersey. We learned the power of ritual and shamanism, about culture-bound syndromes, diseases unique to other cultures. We learned about what it meant to be healthy and the extremely varied continuum over which conceptions about health existed. We read “The Spirit Catches You and You Fall Down”, a fascinating book about Lia Lee, a Hmong infant diagnosed with Epilepsy living with her family in Merced, California. Lia’s doctors prescribed the best treatments they knew in order to control her disease. She didn’t get better, and the seizures continued. After several months, Lia’s physicians discovered she had not been taking the medication. Instead she had been treated by a Hmong Shaman. The book chronicled the struggle between tradition and modernity, with the fate of a child in the middle. What I drew from it was the lesson that a physician needs to understand how a patient understands their own condition, regardless of their cultural origin, in order to work with them together towards a cure. Lia’s parents had no way of understanding the concept of the medicine she had been prescribed. They assumed, when she suffered serious side effects, that the drugs did not work. In Hmong medicine, there were no side effects; one either got better or they didn’t. The Hmong thought that Epilepsy was caused by being “caught” by a dab (an evil spirit). Lia’s physicians didn’t (at first) take the time to understand how the Lees saw their daughter’s illness, and failed to understand that they were trying as best they knew how to make her well, in the same way the doctors were.
It influenced the kind of physician I’d like to be, and even came up in a few interviews. After the next semester, that minor turned into a double major, and a semester after that, an additional degree- a BA in Anthropology. It also led me to one of the best experiences of my life; a research internship at the American Museum of Natural History in New York City, something I’m continuing this semester. I had no idea when I started college what Anthropology even was. I’m glad I got the chance to learn, and I’ll be doing whatever I can to integrate what I learned into my future life.
It’s far from the first time I’ve been absolutely, completely wrong about something. As hard as the last two years of school were (I took over 20 credits in a semester twice, and 19 most of the other times), getting that second degree was worth every penny I didn’t spend.
I guess part of the reason that graduation didn’t feel any different is that I already feel like I earned it. It was a sigh of relief. I got through it, the good parts and the bad, and now I’m ready to take the next step, to medical school. 


Saturday, June 15, 2013

"Crazy" Night "Out"

58 Days to Go

Living in a small town is not fun. My town has more cows than people in it. (Not actually that much of an exaggeration). Today my friends and I went "out." Going "out" in Long Valley, is not the same as anywhere else. Our "crazy" night started at Walmart, went on to Friendly's, and ended with Half-price apps and drinks at Applebee's. Home by midnight.

Friday, June 14, 2013

Random/How my Pre-med Classes Felt

How I Felt after an exam in undergrad:



Learning to Cook

59 Days to Go

Cooking relaxing and creative and the best part is if the food you're making is no good, you can throw it out and microwave some pizza. One of my goals this summer is to identify some healthy, easy, and most importantly tasty recipes I can make pretty easily next semester. There is a kitchenette in the dorm I'll be staying at- which means I'll have a stovetop and refrigerator to work with. I made this sandwich a few days ago after coming home from my summer internship, and it really hit the spot!

A similar sandwich from 501dinnerclub.com

“Gourmet” Turkey Melt

Ingredients

The "Guacamole"

1 Haas Avacado
1/4 Sweet Onion
1/4 Tomato
1/2 tbsp Lime Juice
1/2 tbsp Garlic (pre-minced is fine)
1/2 teaspoon Red (Cayenne) Pepper

Preparation

1)     Slice the avocado in half. Remove the pit. Scoop out the avocado from the skin and place in a small bowl. Add the lime juice and mix to ensure that the avocado is coated in the juice. Pour out the remaining juice, and mash the avocado to a smooth consistency with a potato masher (a fork will work just as well).
2)     Chop up the Onion (I prefer chunks about a 1/8th inch wide, but it’s up to you!). Chop the tomato, removing the seeds. Mix the tomato and onion into the avocado. Add the Garlic and red pepper. Set aside.

The Sandwich

2 Slices Whole wheat bread
3 strips bacon
4 slices Turkey Breast
Salted Butter (Softened)
Shredded cheese (Mexican blend)
¼ sweet onion
Preparation
         
1)     In a sauté pan on low to medium heat, cook the bacon strips to your preferred consistency (I like them on the chewy side). There usually is no need to pre-grease the pan as long as you watch to make sure you do not burn the bacon. You can use precooked bacon for this step if you have access to a microwave to warm it up.
2)     Chop up some onion and add to the same pan after about a minute stir frequently in order to avoid burning the onion. You want to brown it (5 to 7 min).
3)     When the bacon and onions are finished, set them aside.
4)     Place the turkey in the same pan. Make sure to flip it frequently so it does not burn to the pan. Warm each side for approximately 1 full minute.

Assembly
1)     Butter one side of each slice of bread. On the other side of one slice, put some cheese (several small handfuls of shredded cheese or 2-3 slices). On the other slice, spread the guacamole mixture.
2)     Place two of the bacon strips on the guacamole side. Eat the other one. You earned it.
3)     Place the other slice of bread (the one with the cheese) in the pan. Add turkey and caramelized onions on top. Put the remaining slice of bread together with the sandwich.
4)     Once the bottom of the sandwich is golden brown, flip and brown the other side.

Altogether, this recipe takes about 25 minute and only leaves you with one pan, one bowl, and one plate to clean! (Another huge bonus for me!)


Thursday, June 13, 2013

The Starting Block

60 Days To Go (Until the start of Med School)

My name is Aaron, and I'm about to start one of the most difficult parts of my life. Over the next few months, I'll be leaving my normal life in the US to travel 2,141 to St. George's University School of Medicine on the island nation of Grenada. (On a related note it may not be awesome that it took me three tries to spell the name of the country I'll be spending the next two years in. To be entirely fair, I spent four years of undergrad in Connecticut and I never quite got the hang of that one)

It's not totally unprepared that I've set myself on this course; both my parents attended the school, and while  there are a lot of aspects that frankly scare the crap out of me, it's starting to excite me more than worry me. Well that's not entirely true. (see diagram below)

While I took my fair share of difficult science courses in undergrad, I know they'll be laughable compared to what I'm getting myself into next. I'd like to start off on the right foot, and hit the ground running in terms of studying.

A little background info about me; I'm 22 years old. I grew up in New Jersey. To answer the first question most asked of me when people met me in college- No, my house is not near a garbage dump. And no, I  don't know any of the people on Jersey Shore, nor am I a "guido." I do fist pump probably more than the average person, but that's mainly caused by a severe lack of dancing ability. 

I'm engaged, I met my Fiance in the first month of undergrad, and while we didn't start dating until April of our freshman year, I knew she was special even then. Because she has loans to pay off after graduating, she wont me coming to Grenada until the second semester (the country generally doesn't allow foreigners to work). While it may seem like a long time to be apart, we're used to the lon
g-distance thing during school breaks. She's from New Hampshire (which I have since learned is far more that just being "the one in the way of Maine").

I did Fencing in high school, and played Rugby in college. I was an RA at UConn, involved in student government, and avoided the pre-med society. For some reason, those people always intimidated me. It wasn't really anything specific. The meetings just made me worry about not getting in to med school, made me feel behind and unqualified, and worst of all, made me feel like I wasn't good enough to be a doctor. This blog is a way for me to share my journey from an extremely intimidated undergrad to (hopefully) a competent medical student, and finally to a doctor.

I'm hoping that I can keep this up as a kind of journal, to entertain myself now, but also to be able to look back on myself in four years and see all the important parts (and unrelated musings) that will make up my journey.