Super Star Blogs!

Congratulations to Meg! Premed of the Week!

1. Tell us a little bit about yourself.
My name is Meg Hammond and I am currently enrolled in a Pre-Med Post Baccalaureate program at the University of Delaware. As a “non-traditional” pre-med student, I graduated from Vassar College with a degree in Psychology and went on to complete my Masters in Public Administration at Marist College. I’ve spent nearly two decades working in the non-profit sector, looking to serve various populations in different ways. I currently work in healthcare administration and finance and am the owner of a consulting business where I provide reimbursement analysis to organizations throughout the United States.

2. Who was your favorite teacher in school and how did he or she impact you?
Two of my math teachers in high school were amazing. They were both strict in their expectations but clear in their instructions. Some people don’t like math because it’s hard to see how it’s applicable to “real life.” Because of them, it was clear that it wasn’t just the math I was learning; I was learning how to think and problem solve. And it is because of them that I never opened the book in my graduate-level statistics course as I knew the material from high school!

3. When did you first decide you wanted to become a doctor and why? 
While I have always wanted to help people and have had a love of science, early interactions with physicians put me off the idea of medicine. My first memory of medical “care” is being tied between two foam boards while various medical personnel attempted to draw blood from my six-year-old body. Hardly inspiring, unfortunately.

Then I suffered a serious spinal cord injury. And an osteopathic physician saved my life.

The fact that I initially hobbled into his office and walked out was admittedly impressive and I began to read anything I could get my hands on about Osteopathic Manipulative Medicine (OMM). The hands-on treatments provided significant pain relief but, more than that, my osteopathic physician showed me that I could be cared for and not just managed. He didn’t treat my MRI results, he treated a person. He showed me that it was possible to practice medicine with compassion and humility. He showed me that a practitioner could possess a broad knowledgebase and skillset that instilled trust. He practiced medicine that allowed for a partnership between doctor and patient when it came to recovery.

Had I not found him, there is no doubt in my mind that I would be another statistic associated with opioid abuse as I would have desperately sourced ways for pain relief.

I was lucky to have found him (and other physicians that have joined me on my journey of recovery) as I had the means and access to appropriate health care; it didn’t seem fair that I was going to be ok and others in equally precarious places of health would not. He held a place for my body to heal when I lost faith that it would; I decided that I had to become a doctor so that I could hold that place for others.

4. What area of medicine are you interested in?
Not surprisingly, I’m interested in the manipulation side of osteopathic medicine. To be proficient at it requires an expansive amount of knowledge in anatomy and physiology; you are a student for life. However, with the growing shortage of primary care physicians, especially in rural areas like my home in Delaware, the need for wrap-around medicine and physicians to coordinate patient care is increasing. It is my hope to work in a primary care setting that fully integrates the philosophies and principles of OMM.

5. What’s the coolest experience you’ve had so far on your premedical journey?
Originally, I read all that I could find on OMM so that I had a better understanding of what was going on in my treatments. During one of my treatments with my osteopathic physician, he started to explain what he was doing when I excitedly interrupted him and proceeded to finish his explanation of Stanley Schiowitz’s Facilitated Positional Release technique. He looked at me, chuckled, and commented that his students don’t know this. I have to admit that the idea that I knew more about this than some of his first-year medical students seemed pretty cool to me.

6. What is your favorite book? 
I can’t pick just one! The Hot Zone by Richard Preston tells the fascinating and horrifying story of the first Ebola outbreaks and is what originally peaked my interest in epidemiology and related fields. The Selfish Gene by Richard Dawkins thoughtfully explores evolution from the gene’s point of view and cemented my interest in biology. On a more lighthearted note, The Hitchhiker’s Guide to the Galaxy books by Douglas Adams are works of fiction that provide an irreverent and entertaining perspective of our place in the universe.

7. Tell us one thing interesting about you that most people don’t know.
I’m from Guam! I love the closeness to nature and the inherent sense of community that comes with island life.

8. If you couldn’t be a doctor, what would you want to do?
I would pursue various clinical and coding certifications to broaden my medical knowledge and bring that to my work in healthcare finance. Honestly though, if I couldn’t be a doctor then there’s nothing else I would want to be.

9. What has been your biggest obstacle as a premed and how did you (or are you) overcome it?
Doubt. I haven’t completely overcome it as think we likely all have moments of it. For me, becoming a physician means giving up a career that I enjoy and am good at to go back to school, take on an enormous amount of debt, and work ten times as hard as I do currently…sounds crazy. But I know this is the path for me so every time doubt rears its head, I remind myself of that.

10. What do you like most about PreMed STAR?
I love to see the various paths that bring people to medicine. It’s fulfilling to see the diverse qualities that our differences bring to our pursuits in medicine. More than that, I find that individuals drawn to serve in this capacity have many similarities and it’s comforting to find support for our shared struggles via PreMed STAR.

The One Quality Every Premed Should Exhibit

Last week, I met with a patient of mine who also happens to be a radiologist nearing retirement. After a brief visit, we spent a good 20 minutes talking about the future of medicine. He initiated this conversation by stating,

“You know… I am very worried about the future of medicine.”

He then proceeded to share his fears about insurance companies, managed care, costs of drugs, and growing clerical responsibilities. “But what really scares me is that some of the schools are selecting the wrong students and missing out on great ones,” he said. Since that day I have done a lot of reflecting on our conversation. This is a well-respected, sixty-something year old physician whose father was a small-town physician in the early 20th century and whose daughter had recently been accepted into medical school. He explained to me how he has students who shadow him while peeking at their watch every 15 minutes. He felt as though some students these days simply know the numbers they need to get in and the right words to say. He admitted that his daughter had a great advantage over others due to her access to finances, courses, and the “right” people.

I completely understand this sentiment shared by many older physicians and tend to agree with most of it. It is true that medicine is not what it was back in their day but it remains a noble field and there are many impressive students matriculating every year. I do share the concern that our field is missing out on many amazing candidates and at times selecting ones that blemish our profession. As I have mentored premeds over the past 10 years what sets many students apart can be summed up in one word:

GENUINENESS

Merriam-Webster defines this word as sincerely and honestly felt or experienced. I don’t know if there is a specific metric for authenticity or some sort of way to enhance it but we all intrinsically sense it. It is a quality we all want in a friend, a salesman, as well as a physician. These days, millennials may even say they like that person because they “keep it real” or “keep it 100.” Yet, as the physician/patient and I discussed, some are doing a disservice to themselves as well as the field of medicine when they are not genuine in their pursuit of the profession. I truly believe that genuineness and competence are the two top qualities patients are seeking in their physician. I can’t count how many patients come to my clinic complaining of physicians who ignore their complaints, speak over them, or make them feel as though they are “just another number.”

I have seen medical students, residents, and doctors become jaded, depressed and leave the field of medicine while others partake in illegal medical practices partially because they are bored with their job or lack sincere passion for it. It’s not that you shouldn’t be passionate about other areas of life or spend every second immersed in medicine but it is good to be true to yourself. While most students I speak to at recruitment fairs come across as genuine about the field of medicine there are a few who I can immediately tell this is not something they should get into. Making sure one is genuine about any pursuit is critical and will save a lot of time and pain. It is okay and good to question yourself (believe me, I did a number of times) but please make certain medicine is for you. Here are a few questions that may help you determine if you are genuine about the field of medicine.

  1. Am I doing this for myself or is someone pressuring me?
  2. Am I just chasing numbers and not internalizing my experiences?
  3. Do I truly enjoy learning and can I do it for the rest of my life?
  4. Do I care deeply care about people or am I easily annoyed by people?
  5. Do I feel fulfilled improving the health of others?
  6. Have you considered other career paths and why this one suits you better?

Congratulations to Patricio! Premed of the Week

1. Tell us a little bit about yourself. 
My name is Patricio Ruano. Right now I’m 18 years old and I’m a freshman majoring in Biology ang minoring in Global Studies at California State University Channel Islands. I’m the first in my family to go to a higher education and that can sometimes be a struggle for me. My job right now is to mentor high school freshmen who were also in my position. I go to a local high school twice a week with premade lesson plans and agendas I made myself built around college life and STEM education in general to inspire these students to follow my path and hopefully get them to get a stronger start than I got. When I’m not traveling all over my campus for club meetings or exploring study spots, I do triathlons with my school’s triathlon/cross country club, and without almost drowning, nearly falling off my bike and losing my breath every other week I probably would have lost my mind several times over by now haha. Before I was the competitive college student my friends know me as now, I didn’t take schooling seriously which I regret. For high school, I went to STEM Academy of Hollywood, which offered a medical or engineering pathway for all four years. The only classes I really tried in were these medical electives where I was exposed to the world of biomedicine. By the end of high school, I only had a 2.7 GPA. I remember the moment I actually enjoyed being competitive was for my senior capstone project. We had to come up with a question where the “answer couldn’t come up if you Googled it”. While everyone did simple experiments such as “Do Hot Cheetos increase heart rate” I decided to try something more difficult testing if religious teenagers vs. atheist teenagers are more or less stressed based on cortisol hormone levels. My “study” took 4 months to complete including statistical analyses and required me to stay after school every day for over three hours, but I unexpectedly enjoyed it. I liked the work that I put in, and I felt proud of what I was doing even though it was probably very basic compared to actual research studies. If you have more questions about it feel free to contact me! Once I got to college everything changed. I tried as hard as I could to get high grades in my classes and planned out what I need to do in the next four years to get into medical school. I like to think that college was a gear switch for me. My mentality changed and my outlook on everything I do changed as well. It can be a struggle to go through this without anyone in my immediate or extended family trying something like this, but I will try my best and I will do it.

2. Who was your favorite teacher in school and how did he or she impact you?
My principles of microbiology professor told me something recently when I visited his office hours that will stick to me. I noticed that in the past couple of weeks I haven’t had time to spend with my friends or anyone other than a textbook and my fish in my dorm. I asked him “When you were in your first two years, did you ever hang out with your friends during the week or anything like that or did you just kind of go from building to building all day and working”. He’s relatively young for a professor, only 28 years old, and he also went to my University for his undergrad as well. I felt like he would be the best person to ask something like this rather than someone who was a freshman 30 years ago. He told me this, “Yeah, I had my friends, but I knew what was more important. During the week I almost wouldn’t talk to anyone. I locked myself down and kept it that was until everything I needed to do was done. And yeah, I was invited by my friends like ‘hey Michael come with us to this house party you need to destress’ but no, I wasn’t done yet. Work hard, play hard. But only play once all your work is done. Those people who are getting over 95% on my exams? They do that too. And those people who go out every day and say ‘hey screw that exam’, they’re the ones who come here at the end of the semester begging for a curve. You need to keep your head on straight and keep motivated while surrounding yourself with people who are the same. All it takes is one or two people who are only half set and you’re screwed up. Keep working hard and believe me when I say that you’ll regret it so much more if you do end up going to that party over studying for that Calc exam”. I felt reassured that I wasn’t letting myself get off balanced by school. I needed that boost at the time.

3. When did you first decide you wanted to become a doctor and why? 
I honestly don’t feel the same as when I’m in a hospital. Whether its for volunteering, an internship, or a visit to the emergency room when my friend cut his hand open on our model Cessna plane. It started in high school when I got my first volunteering position at Kaiser Permanente. I met a multitude of people who I talked to while waiting for their family members to pick them up. I remember their smiles, the way they thanked me for making their day brighter, when though they shouldn’t have. I was just a volunteer. Each doctor I passed in the halls looked like the most amazing person to me. I visited the NICU, orthopedic surgery, the ICU, oncology, as many areas of the hospital as I could while I was discharging patients. Each visit I thought, “These people are alive because of someone. I want to be that someone one day”. I volunteered every other day for 4 hours a day after school for a semester. Each day I left I felt tired, but happy. These experiences helped me know I want to be a doctor, because nothing else will leave me with the same feeling. I want to be the healer and the reason that someone is leaving a hospital as healthy as they can be. It’s the only calling I felt, I need to do this.

4. What area of medicine are you interested in?
If you were to ask me to choose a specialty right now, I would say either family medicine or emergency medicine. Family medicine because I like the idea of staying with a certain person or group of people for a long period of time and actually getting to know them. I have a mentor who is a family medicine doctor as well, and hearing about what he does daily really interests me. Emergency medicine would be because I already enjoy working under pressure and being one of the first to assist someone. As said before, my friend cut his hand open on our model Cessna. This happened in class. The cut was deeper than his skin, and you could see the white tendons on the back of his hand. Blood was spilling everywhere and the whole class was in shock. He himself grew pale and was close to passing out. Even though its basic first aid, I was the one that quickly stopped bleeding, cleaned and closed the cut using hydrogen peroxide spray, pressure and butterfly closures. When I took my friend to the hospital to get sutures, I looked closely as the physician applied the anesthetic and stitched his hand closed.

5. What’s the coolest experience you’ve had so far on your premedical journey?
By far the coolest thing so far was attending the AMSA convention in Washington DC. It was my first real exposure to a large crowd of people who are just like me. I met a whole lot of cool people who were both practicing and aspiring doctors. Nothing that I’ve done so far will compare to what I learned about how to become a doctor while at the convention.

6. What is your favorite book? 
I really like “The Stand” by Stephen King. Its this book about a viral disease that wipes out the entire human race except for a few who are naturally resistant to the virus. The book goes over how society had crashed and the survivors are thrown in a world with no rules other than their own morality. I’m only 2/3 of the way done, but I’m still super hooked to it.

7. Tell us one thing interesting about you that most people don’t know.
I was part of my high school’s first cross country team that made it to CIF competitions, it required me to run around 8 miles a day everyday but it was worth saying that I was part of the first group of people that made it past league competitions.

8. If you couldn’t be a doctor, what would you want to do?
I’ve thought about plan B’s. I guess the main one for me would be to try and teach at my old high school. I want to teach there before I die, hopefully after a retire as a physician. I would want to specifically teach there because the school as a whole has helped me and supported me so much that I want to give back directly.

9. What has been your biggest obstacle as a premed and how did you (or are you) overcome it?
My dad is a diabetic, but also an alcoholic. Once he gets a taste of any form of alcohol, he won’t stop. There were time periods where he would be drunk for months at a time, only coming home in the dead of night passing out on the couch. Once he woke up he would go out and do it again. This left my mom and I struggling both emotionally and financially. We would have to go into our savings accounts to pay for rent, and food became scarce. Once I lost 10 pounds in 3 weeks. It was really hard to overcome, since I was still living at home during high school, only moving out recently for college. To get over this, I just avoided it. I stayed at school as late as I could to work on my senior project, or go to practices, or volunteer at the hospital. These outlets for me let me take my mind off of the struggles I was going through and straightened me back onto the path I wanted to complete. When college came, I moved out and most of the problems went away. When I’m at school, I try not to think about back home. It makes me off focus, worrying about what could be happening without me there.

10. What do you like most about PreMed STAR?
Since my university doesn’t have many premed students, PreMed STAR is one of the only outlets I have to be exposed to other students with the same goals as me. Without it, I would only know at most 5 pre med students. But with it, I’m able to connect with tens or hundreds.

THINK – Who Are You?

T.H.I.N.K. – Who Are You?

Who are you?  Tough question isn’t it?  Most people can’t answer it.  We often equate our identities with our jobs (e.g. I’m a doctor).  This leads many premeds to become so dogmatic that medicine is the only thing for them, that they fail to appreciate the other joys of life. “If I don’t become a doctor, I’ll never be happy!”  Well, I’d argue that you are more than a premed, and one day you’ll be more than a doctor.  Your job does not define you.  Who are you???

Considering this query and reflecting on my own life, I devised a way to answer the question, “who are you?”  It’s a very simple exercise, but it requires extreme introspection and honesty.  It’s my “T.H.I.N.K.” method.  Let’s get started.

T=Time.  Imagine that your long-lost uncle dies and leaves you with 86,400 pennies to spend every day.  The catch however is that you must spend all of it daily in order to get another 86,400 pennies the next day.  How would you spend it?  It’s likely you’d pay for your necessities (e.g. food, bills, etc.) then purchase the things you value the most.  Consider this, each day, God gives us 86,400 seconds that we can’t carry over to tomorrow.  The way we spend that time is a reflection of what we believe to be most important.  Even when we say something is important to us, the truth is revealed when we evaluate how we spend our time.  Is helping the needy important to you?  If so, your calendar should reflect it.

Question #1: What do you spend most of your time doing?

H=Hurt. My favorite Olympic moment was Keri Strug’s 1996 vault.  In the finals, Strug bombed her first attempt and got up limping.  It was clear that something was wrong with her ankle.  Through that pain and hurt, you could see her character.  While many people would have given up, Strug hobbled on along.  With a roaring crowd behind her, she bolted down the runway and nailed her second attempt on one foot.  After posing just long enough to secure the victory, she fell to the ground in agony.  Pain leads to action.  You either push through or withdraw.  What you do in times of pain demonstrates your character.  Furthermore, on an emotional level, the things that hurt you are the things that you care about.

Question #2: What single thing hurts you the most (on an emotional level)?  What do you do as a result of that hurt?

I= Inspire. There’s a great picture of Kobe Bryant standing next to Michael Jordan.  In it, the two are standing in the same position.  Kobe would be the first to tell you that Michael is one of his greatest inspirations.  What does this truly mean?  When a person inspires you, there is something special in him or her that you desire to have within yourself.  A certain character trait that resonates with you. Something you want to be part of your own identity.

Question #3: Who inspires you the most?  What is it about that person that inspires you?

N=Nurture. The Chinese Bamboo tree is quite the marvel.  To grow one of these, you first have to plant your seed.  Then you begin to care for it.  You have to water it, then water it, then water it.  Years go by and still nothing.  Then one day, it sprouts out from the ground and begins to grow faster than any tree you’ve seen.  This mighty tree that seems to pop up out of nowhere is the result of years of attention and nurturing.  For anything worthwhile to develop, it requires nurturing. Whether or not you realize it, every day you are nurturing things.  The things which we nurture, determine our impact on the world and how others will eventually view us.  They also determine how we will eventually view ourselves.

Question #4: What things do you nurture?

K=Know.  “If you don’t stand for something, you’ll fall for anything.”  At the end of the day, we must hold fast to a conviction that is the foundation of our actions.  Something that we believe so deeply, it unshakable knowledge.   It is ingrained in your core and is the nidus for all your other beliefs.  Truly, this is the most important element of you being able to define your identity.  For most people, the answer takes them back to the question of ages, “why we are here?”  If you don’t know, what you know (i.e. what you believe with utmost conviction), you have no foundation to stand upon and to develop your identity.

Question #5: What do you know to be true above all else?

 

I challenge each of you to spend time answering these questions and write down your answers in sentence format.  Read it over like a paragraph.  Truly reflect on them and come to an understanding of who you are at your innermost core.   After completing this exercise, please share with us how it impacted you. Did you learn something about yourself?

Sophomore Year Coursework: Road to Medical School

Hello peers, friends, and colleagues,

I am a sophomore in my undergraduate years humbly asking for advice in finishing this semester strong. Do y’all have tips in how y’all gradually transformed throughout undergrad from either C or B students to A students? The classes I am enrolled in, organic chemistry and cell biology, are genuinely fascinating. I am always willing to take the time to understand the concepts/do the problems and re-listen to my professors’ audio recordings (from lectures) to both understand and memorize the material as much as possible. Nonetheless, after spending hours of putting this information in my own words and trying to iron it out, I still seem to overthink or misunderstand the wording of some of these questions on test days. So, advice?

More so, if you could go back, what more do you wish you could have done your sophomore year (e.g. perhaps have more fun, take more leadership positions you were passionate about)?

Congratulations to Melissa! Premed of the Week!

1. Tell us a little bit about yourself. My name is Melissa Chase, I’m 21 years old. I was born in Milwaukee Wisconsin as Brynn Lisa Christensen then adopted into a loving family in Sonoma County California where I became Melissa Chase. I entered college to Sonoma State University as a Kinesiology major with a recent switch to being a Biology major after increased interest in upper division biology subjects (virology, immunology, bacteriology). I am two classes away from a minor in Economics, I’m not sure if I’ll be finishing that but I have a deep love for economics- perhaps micro more than macro. I’m the President of the Pre-Health Professions Club on campus and work to help get my fellow club members opportunities that expose them to medicine early and gain clinical hours to help them decide what health profession school they would want to apply to. By doing this, I created Sonoma State’s first shadowing program with local clinics that filter our students through a rotation of specialties to expose them to a shift with MD’s, DO’s, NP’s, and PA’s. I’m also the Chief Emergency Department Medical Scribe and spend most of my days (and nights) with the incredibly intelligent team of doctors who work there. I work as their right hand to aid in their productivity and quality of patient care. Last summer I had a surgical internship in Athens, Greece at the Ιπποκράτειο Hospital and observed over 100 hours of surgery with the most compassionate doctors and residents I have ever known. I was able to do this through the Atlantis Project which I highly recommend to every single pre-med student. However, the role I hold in highest regard is being a student instructor for Human Anatomy both in lecture and the wet lab where we have 3 full body cadavers and many varying organs and extremities. I lecture small groups of students as our class is over 100 people, I lead them in their cadaver dissections, teach them their lab information in addition to proctoring and grading all exams. I’ve found that I truly love teaching, seeing student’s succeed, being a confidant who can relate to their hardships having known the difficulties they’re facing, and sharing in their journey through Human Anatomy.

2.  Who was your favorite teacher in school and how did he or she impact you? My favorite teacher in school was actually a professor in my first year of college. I never was great at mathematics and had to enter into corrective math after performing poorly on the University entrance test. Dr. Steve Wilson, Ph.D was my professor. He made math understandable, dare I say he even made it easy, and I actually felt embarrassed that I never knew there were multiple ways to approach certain problems. He gave me confidence in mathematics, and now it’s a subject I excel in and enjoy. I am not the type to create excuses for my failings but my time in high school was met with hardships. I ended up having personal problems with my entry algebra teacher as a freshman in high school and that left me without a base of knowledge to build on.

3. When did you first decide you wanted to become a doctor and why? I wish I had a romantic life-changing story for this, it would make personal statements much easier. I feel like I have always known I am medically inclined. After being hospitalized for Anorexia Nervosa, restricting type, I was given a nutritionist and thought about the field of nutrition for about a year. After that, I witnessed a car crash right in front of me on the freeway and had this overwhelming urge to help even though I knew I couldn’t because I would do more harm than good with untrained hands on critical patients. Later that day, I looked into being an emergency medical technician, and paramedic. I researched heavily and read articles by EMT’s and paramedics about the lifestyle they lived with this as their career, I was left unsatisfied and dismayed. I pondered this job for a few days before deciding I would take the long road and become a physician which matched my medical predisposition and desire to generate positive outcomes for people in undesirable conditions. I also have become comfortable in leadership roles and desire these types of jobs, after working in the ER where the physician is the decision maker this only further solidified my yearning to become an M.D. A large part of being a physician now is the computer work. In a normal 2-hour long visit, we average roughly 5-10 minutes with a non-critical patient face-to-face and the rest of their time in the ER they spend with the technicians and nurses while we spend that time on the computer or the phone either ordering labs, imaging, calling for consults, and looking up past medical history as well as charting the current visit. This is also very common for most outpatient settings I’ve shadowed in. Being a doctor, in my experience, is not specifically interacting at length with the patient and only spending time with them. Rather, it’s mostly being away from the patient and being the director of their care ordering studies and looking over results to come to a conclusion which will ideally give the patient better health and clarity of their current state.

4. What area of medicine are you interested in?  I have experience in many areas of surgery including general, upper GI, cardiothoracic, ENT, as well as outpatient cardiology, family care, pediatrics, as well as extensive time spent in the ER as their Chief Medical Scribe. Out of these options, I would say I love all of them equally for different reasons. Surgery tests the intuition of the surgeon and relies on one’s knowledge of the entire body and all systems within beginning with histology which appeals to me because I find I take on challenging tasks. I enjoy family care and pediatrics because it allows one to form personal relationships with the patients and be able to watch them progress in their life in addition to being a constant for them, someone who is always there for them and to whom they may confide in. When they come in with an illness, they trust in you to help them which is a tremendous amount of responsibility. Finally, with cardiology and emergency medicine work, these are analogous to being a detective and figuring out a diagnosis which explains their symptomology. In the area I work in with the ER, we have a large population of homeless individuals who unfortunately have comorbid psychosis and polysubstance abuse. Getting the “whole story” as to why they presented to the ER is hard to obtain. Through lab and imaging results we can deduce the cause of their current condition. This “detective mindset” also applies to our patients who arrive unresponsive and were found unresponsive so their progression to this current syncopal state is unknown and we need to pinpoint exactly what is happening inside their body in order to save them. I’ve been in the ER now for almost two years to the day, and I’ve had firsthand experience with a handful of patient deaths that arrived in this unresponsive condition, both elderly and adolescent; most of them illicit drug overdose related, withdrawal related, but some were extremely interesting etiology including a saddle pulmonary embolus and an abdominal aortic aneurysm. As much as I love the ER I’m working in, I believe I may have had enough emergency medicine work by the time I retire and begin my journey applying for medical schools. However, my mind remains open and if I end up in an ER in my medical journey, I would be happy my end began as my beginning.

With that being said, I have a limited view of areas of medicine- I haven’t seen them all. If I had to chose now based off of my experiences, I would say perhaps general surgery interested me the most. However, again my views are obscured because I spent my time in Athens, Greece observing these cases and they do not have access to the same techniques, imaging studies, and technology that we do in America. In short, I am interested in all areas of medicine and am excited to expand my understandings.

5. What’s the coolest experience you’ve had so far on your premedical journey? My most treasured experiences being a pre-medical student will always come from my time spent in Athens, Greece with the Atlantis Project. I made life long friends through this program, we lived together in a huge apartment in Athens for a month and saw the most astounding Greek history every day. I can’t even begin to explain the coffee we drank when we got to the hospital at their café stand, which was 2 euros, and fails in comparison to any American coffee available. Every single place we ate at whether it be restaurant, café, or street trolley, had the best Greek food for barely more than 5 euros, and I crave it still every day to the extent to where I worry when one day I’ll be pregnant and ask my husband to fly to Greece to bring the food back to me! We explored the islands of Santorini and Mykonos and were able to navigate the metro system to explore as much of Greece as possible from the beaches on the peripheral to the country in the center and all the city-life in between. Aside from the social aspects of the trip, we were given direct access to observe surgeries for eight hours a day, every day. We also were invited to the medical student lectures (in English) since the Ιπποκράτειο hospital is Athens largest teaching hospital. Both surgeons and residents put in maximal effort to teach us what exactly they’re doing surgically, why, and how this will benefit the patient. We observed many cancer cases as tobacco smoking is extremely excessive in Greece- even the surgeons smoke even after operating on cancer related cases multiple times every day. I was able to see over ten mastectomies (breast tissue removal), esophageal cancer, stomach cancer, colonic cancer, lung cancer, and how they operate to remove these malignancies. My closet physician friendships were with Dr. Henry Markogiannakis along with Dr. Spyros Smparounis and Dr. Theodorou. All general surgeons, and chiefs of their departments. Probably the most interesting part of the internship was being hospitalized as a patient myself and being able to get the entire view of Greek medical care. On the third week of our internship, I woke with a fever of 39C, had chills, horrible lumbar back pain, and a headache. I thought it to be a common cold or illness and stayed home to rest until the pain became unbearable. I presented to our own hospital’s ER, where the surgeons quickly found out I was, and they came down to the ER and completely took over my care- which I was thankful for, the ER physicians never spoke to me in English and began triaging me and getting labs without me knowing what was happening. They found that I had pyelonephritis after an 8-hour workup where I got the most extensive set of imaging and blood work imaginable. Their preliminary blood work showed only an elevated white count which indicates an infection but the location to them was unknown and they sent me to three other hospitals for more testing. The entire area has one CT scan, so I was given renal, pelvic, and abdominal ultrasounds in addition to a full cardiac workup and serial blood tests. By midnight, I returned back to the ER at Ιπποκράτειο where the doctors were waiting my imaging to be sent to them. At this point I was still febrile, I asked for Tylenol which I learned is called Paracetamol in Europe, and wanted to go back to my apartment. I argued at length with Dr. Smparounis, he eventually made me stay as an inpatient while they conclude my diagnosis. I stayed in a room with four other people, the hospital is entirely non-air conditioned, and summers in Greece were always above 100F degrees. They gave me intravenous antibiotics and a dextrose fluid solution for the next three days until my fever subsided and they discovered I had pyelonephritis. My roommates brought me food, coffee, and all the books they had with them since I was confined to my bed with only my cell phone. During the course of my treatment, I got a diffuse bodily rash as an allergic reaction to one of the antibiotics they administered, which made them want to keep me longer for observation to my apprehension. I was eventually discharged then went cliff diving with my roommates that following weekend in Santorini and completed the final 4th week of shadowing in general surgery with the same surgeons who nicknamed me Lazarus for “rising from the dead” after my time in the inpatient ward. Luckily, the Atlantis Project prepares for the undesirable and provides all students with over 100,000 American dollars’ worth of medical coverage and I did not need to pay for my inpatient stay or studies. However, if I did have to it would only be roughly 300 euros for a comprehensive medical workup and hospital stay.

6. What is your favorite book? I might be a bit biased, but I have two favorite books. The authors are some of my closest professional friends. The first, Birth Day, is written by my former pediatrician whom I shadow now; I’m 21 years old and he has known me since I was roughly 3-6 months old. His name is Dr. Mark Sloan, M.D (He’s the original, Greys Anatomy didn’t begin airing until he was already out of medical school). Birth Day is a three-decades-long exploration of the marvels and peculiarities of human childbirth, it delves into every aspect of childbirth and the evolution of each step involved. I love this book, and it has made me eager to shadow in obstetrics- a mission I am still trying to accomplish. Dr. Sloan is an incredible doctor, and is the one responcible for me loving medicine in the first place. Whenever I would go in for a visit, he would explain medically relevant things to me, as a child, sparking my interest in medicine. Every time I came in with musculoskeletal pain from sports (I played many throughout my time growing up), he showed me X-rays, and explained anatomy. He also saved my life, which I’ll explain below in #9.

The second book which made me love Organic Chemistry even more (if that’s possible) is called Strange Chemistry by my chemistry professor Dr. Steven Farmer, Ph.D. This book is being discussed for a movie (but I’m sure I’m supposed to keep that a secret until all the signatures are on the line). This book is a collection of stories which relate our real-world experiences to the world of chemistry and brings about the knowledge of what happens chemically during every day actions. He discusses how alcohol affects the brain and can cause death in withdraws, how methamphetamine mimics the neurotransmitter dopamine, how asphalt is the most recycled item in the US, how Bengay can (and has) kill a human, as well as many other relevant things that open your mind up and help you to understand pertinent chemical reactions. No knowledge of chemistry is expected for the reader, he does a fantastic job making everything understandable to an individual without experience in any field of science. Words cannot do justice to my explanation of Dr. Farmer, I’ve been going to his office hours since before I ever had him as a professor because he makes everything comprehensible and he genuinely cares about helping students. His office is also like a mini free 7-Eleven, he gives out free food to anyone because he heard sometimes students are broke and go without eating. While you’re there getting chemistry help, you can also snack, watch his magic card tricks, and discuss with him his personal Guinness World Record or black belt in ninja training. I am thankful to him for never giving up on students and working so hard to counsel us and help us succeed.

7. Tell us one thing interesting about you that most people don’t know. I have competed in women’s natural bodybuilding and placed first two weeks after turning 18 years old. I still bodybuild but not for competition any longer, I enjoy being in a caloric surplus too much to give that up again. I train daily and work on being a functional and strong individual, it’s been an important part of my life keeping me healthy and confident. I recommend weight training to all women given its health benefits for the musculoskeletal system, cardiovascular system, and to promote positive body image.

8. If you couldn’t be a doctor, what would you want to do? I honestly have not entertained the idea. Perhaps if medical school does not seem likely after applications then maybe I will begin to think about this, but until then medical school and becoming a physician are my focus. I feel that the goal of life is to be happy, regardless of your occupation. When I am elderly, irrespective of what title I held, I just want to be able to tell my grandchildren that I was happy, regretless, and lived my life as best I could.

9. What has been your biggest obstacle as a premed and how did you (or are you) overcome it? When I began high school, I was chosen to play as a starter on their volleyball team. Perhaps this made me a target of jealousy or envy, that’s the only reasoning I could come up with after this entire experience concluded. Within my first week at high school, the bullying began from a group of girls also on the team but one year older than me- mainly over the internet as many adolescent girls fear in person confrontation. Every aspect of my physical appearance was targeted, weight, height, phenotype, even my eyebrows which remain a self-conscious factor to this day, eight years later. My strategy to get my peers to like me was to stop eating, I remember thinking “if I’m skinnier like they are, maybe they’ll stop”. I was never overweight, I was 5’9 and 145lbs which is exactly the baseline weight for my height. I trained hard for volleyball, so I had a fair amount of muscle in my legs and abdomen giving me a “thicker” look. I began to eat less and less, and the months and years progressed. The bullying stopped around my junior year when the main girl perpetuating the bullying graduated. At that time, I was exactly 100lbs and in full-blown anorexia nervosa. I would go 5-6 days without food and became a pro at throwing my food away without anyone noticing. My closest friends and my parents had no idea and I told them I was thinner from running more (a lie, I didn’t have the physical strength to even walk upstairs). My mom later told me she was suspicious and every night when I came home from practice she hugged me and would palpate my thoracic spine to assess how much bonier it’s becoming indicating further weight loss. The beginning of my junior year I began experiencing tremendous bilateral upper abdominal pain, nausea, vomiting, dizziness, and fatigue forcing 8 ER visits without a diagnosis (although, after working in an ER myself, my visits were not met with any pertinent testing which we would order on a normal basis. However, I was 16 and otherwise healthy which would make many physicians assume a benign cause and they were unaware of my anorexia). My pediatrician, Dr. Sloan, saw my many ER visits, was likely called for consult by the ER physicians during my final ER visit and he admitted me to the hospital to figure out what was going on inside of my abdomen. I had cholelithiasis, cholecystitis, pancreatitis, and multiple organ trauma from gallstones exiting my common bile duct and shooting into my digestive tract causing puncture- all secondary to anorexia. This was festering for six months, undiagnosed. I was told I had a 40% chance of full recovery assuming successful surgery outcome. Every night I saw my mother crying at the foot of my hospital bed, begging me to eat again and survive surgery. She’s never been one for God, but I feel like I remember hearing her pray. The entire recovery process was initiated by my volleyball coach, Dan Freeman and sophomore geometry teacher Mrs. Balli. Mrs. Balli noticed my weight loss within a one-year span since teaching me and asked my coach if I had additional energy loss and personality change. He confronted me about it- he’s the first person I told the truth to regarding my eating. He did the one thing that pissed me off the most- which is what I needed the most. He benched me from the season until I sought medical attention and told my parents about my eating and bullying. Without him, I wouldn’t have told anyone else about my anorexia. Making a long story short, I got my surgeries, received physical and psychological therapy, and began bodybuilding as a new hobby. I made competing a goal and won first in natural women’s bodybuilding one year later after my hospitalization, one week after I turned 18. I overcame this by realizing I shouldn’t look to others to form my own opinions of myself. This entire endeavor taught me self-love, compassion, and positive body image through strength training. I learned how important fuel is for the body and the importance of eating enough calories and making sure the macronutrients making up those calories are beneficial to how the body processes them. To this day, nutrition and strength training hold a high regard in my life and mental/physical well-being.

10. What do you like most about PreMed STAR? I love the community the most within PreMed STAR. Everybody asks great questions and the replies are all positive and helpful. Every single person appears to be genuinely welcoming and friendly. I find that as a pre-med this environment is rare, and many times we are so highly competitive that being supportive of one another doesn’t occur often. I try to create the most supportive and encouraging environment on my campus through my club, and to see a whole country-wide group of students doing the same is incredibly heartwarming. Ultimately, we are all going to be peers and colleagues and we will spend more time with each other than anyone else, we should be friendly and helpful from the start. I vehemently recommend this app to every pre-med student I know for this reason.

How to form good habits

Do you ever wake up in the morning, do a little hand dance on your bedsheets in a bid to find your phone while your consciousness is still busy transitioning from alpha waves to beta waves? Me neither. Well, who are we kidding? We have all been there. Starting your day by checking emails and social media may seem benign at first, but it subtly weakens the foundation of the productive day you forecasted. This leads me to my question: how to do you form good habits or rather, how do you do away with bad habits?

Habits are things we perform routinely and they are usually personal. Habits are like the atoms of our individual persona and they ultimately indicate the type of person we are or want to be. First, to form good habits, we must have unwavering faith about taking on/doing away with that habit. Have you ever wonder why people use the word ‘religiously’ to qualify an act that is done with so much care and almost to perfection? This is because to religiously perform a task, you have to strongly believe that the purpose of the task is to connect you to your higher self or to metamorphize you into your best self. I will use an anecdote to illustrate this. I went to a session at a conference where students were sharing with the audience how reading transformed their lives. It all began with one book and when they discovered the respective purpose that reading serves them– for instance, changing their lives—they made it a habit to read at least two books a month. One student mentions that she listens to audio books during her daily commute and the other mentions that, as a nursing student, during her clinical rotation, she uses reading to bond with patients who are paralyzed or brain dead. These students believed that reading transformed their lives so they made it an integral part of their identity. It became a means of escape from the chaos of the world and a tool to impact someone else’s life. So, to form a good habit, you have to perform it religiously.

Just like in many world religions where the performance of its daily rituals is rewarded supernaturally, connecting to your higher self generates some rewards, one of which is making you a productive individual. One habit that I have incorporated into my lifestyle recently is making my bed right after I get up in the morning. It is like a morning ritual that sets the tone for how the rest of my entire day is going to play out. Making one’s bed may seem like a total waste of ATP which could be saved for a 10-20 seconds walk to the coffee machine. But, this mere act gives one a sense of responsibility and organization. From the touch of softness used to smoothen the surface of the sheets to the sense of sharpness used to tuck the sheets at the edges, making my bed is my panacea for a bad day before it even started. Early morning habits like this give you a mindset that yields positivity, happiness, and productivity. Some other habits that make people productive are engagement in any kind of physical activity, writing a gratitude journal, praying/meditating, cooking and so on.

Habits are not easy to form and simultaneously, are very hard to relinquish. The key to forming a good habit that becomes a part of one’s persona is believing in its transformative purpose, in its ability to make you better than you are today, in its ability to refine your individuality. This belief will go a long way in helping you to become whatever you want to be. I don’t like physics, but here goes an analogy. Think of your habits as magnets that form a magnetic field in the universe. It will only attract things that resonate with its natural frequency. Hence, to attract what you want, form habits that bring you closer to it.

Eating Wise as a Premed

Hello Premed STAR! I am a practicing Endocrinologist serving a community roughly 50 miles from the University of Texas and 23 miles from Texas State University. Why do I bring this up? Well, I have a number of college students who follow up with me in clinic for a number of reasons but 9 out of 10 times, weight concerns come up or some sort of dietary indiscretions are uncovered. But I know I’m preaching to the choir here. As premeds, I know you all are setting perfect examples for your peers, right!

Let’s be real. Even premeds are susceptible to the cruel “freshman 15”, stress eating, malnutrition, eating on the go, excessive alcohol consumption, and eating disorders. If you are anything like I was during college, a cereal bar sufficed for breakfast, Chick-fil-A sandwich and waffle fries served as lunch, and a small on-campus joint called Rumors provided my midnight pancake, egg and bacon fix while I studied. My saving grace was my active lifestyle and avoidance of harmful drugs and substances. Now I am more than ever aware that poor diet in school can lead to not only weight gain, but a number of issues such as lower grades, higher risk of depression and anxiety, fatigue, sleep disturbances, and a host of illnesses. My hope is that you are more conscious of your dietary intake than I was. Let’s explore a few dietary tips that may lead to a healthier you, now and beyond your premed years. Don’t worry, I’ll try my best not to sound like your mom.

1. Don’t skip breakfast.  You’ve heard it said many times, “Breakfast is the most important meal of the day.” However, studies show that about a quarter of the US population regularly miss breakfast. Granted, there is mixed data regarding causation, many studies have shown increased risk for metabolic disease and excess weight gain in those that skip breakfast. It is tough to be on your A game on an empty stomach. Consider a nutritious bowl of oatmeal decorated with fruits for breakfast as I do. This is a filling meal providing fiber, micronutrients, and antioxidants.

 

2. Drink primarily water. Some recommend taking in eight 8-ounce glasses of water daily for all adults while others break it down based on gender, age, pregnancy, breastfeeding status, and physical activity. 80% of your fluid comes from drinking water and other beverages while the other 20% is derived from foods. Water can provide many benefits including assisting the body in removing wastes, regulating body temperature, lubricating joints, and smoothening the skin. I always recommend to my patients that at least 80% of their fluid intake should consist of plain water. Excess sugary and alcoholic beverages can be harmful to the body long term (especially the liver). Furthermore, the great thing about water is that it is FREE!

3. Limit processed foods. An eye-opening moment during my medical school days was when a grocery store clerk smirked as she rang up my groceries and whispered, “you must be a bachelor.” Although this was a true statement at the time, I was puzzled as to how she came to that conclusion. It didn’t take me long before I surveyed my cart and recognized I had 5 frozen boxes of pizza, pop tarts, cereal bars, ramen noodles, ice cream and Powerades. Rarely would you see any of those items in my cart after that day.

As I tell my patients, food is a daily medicine, invest in it. The sooner you recognize that the grocery store is the gatekeeper to your health, the better off you will be. I recommend periphery shopping where you will find much healthier options and less processed foods. Avoid shopping while hungry because an empty stomach is an easy set-up for failure at the grocery store. Consider using tools such as the Fooducate App which allows you to scan foods by their barcode to determine their scores and nutritional values. Alternative choices are provided as well.

4. Eat your Fruits and Veggies. Okay, I may be sounding like your mom now but this one is very important. Many if not most premeds are not consuming the recommended amount of fruits and vegetables. This leads to less vitamins, minerals, fiber, and antioxidants which can aid in fighting illnesses and chronic diseases. In 2011, the food pyramid was transitioned to the MyPlate model and this really emphasized the importance of fruits and veggies as they make up roughly half the plate. Fruits make for great snacks.

5. Don’t be afraid to seek help. We all know the premed track is hectic and unfortunately, it will only get progressively busier over the next 10 years. Do not neglect your health. I repeat, do not neglect your health. If you experience sudden unexplained weight gain or weight loss, go see a doctor. It very well may be nothing but endocrinopathies such as diabetes, thyroid disease, Cushing syndrome, adrenal insufficiency as well as malignancies can present this way. On the other hand, if you believe you have a substance addiction or eating disorder, seek help through a counselor, doctor or anonymous hotline. More than you may realize, this problem haunts a number of physicians. Many of these habits begin in college. In fact, I still remember my intern year rounding on the wards with an attending reeking of alcohol. A few weeks later, he was on life support after crashing his sports car. Thank goodness he survived, but he was charged with another DWI and I can only guess this took a toll on his right to practice medicine. There are many people who are willing to help you and others out there you yourself may be able to provide guidance to.

So, how are your eating habits?  What can you improve on?  What other tips do you have?  Please share!

Congratulations to Kenean! Premed of the Week!

1. Tell us a little bit about yourself .  My name is Kenean Bekele, I was born and raised in Ethiopia. I came over to the United States with my mom and two younger sisters when I was 13-years-old. The goal was to join my Dad and other family members as well as pursue a quality education that would enable me and my sisters to work anywhere.

2. Who was your favorite teacher in school & how did he or she impact you?  My favorite teacher came along when I got to Junior year of High School. I had an AP US History teacher named James Wright, he truly had a passion for US History and loved teaching it, this resulted in making his class one of the few classes that my peers and I really looked forward to. We all loved the fact that he loved US History, and slowly began to love the subject as well! He not only taught me but showed me how to love to learn.

3. What area of medicine are you interested in? The area of medicine I am interested in is Pediatrics, I love children, being with them and spending time with them makes me a better human; I believe we can learn a lot from them too. I want to be able to use medicine to help heal and ensure a steady developmental process for children and their families.

4. What’s the coolest experience you’ve had on your premedical journey? The coolest experience I have had in my premedical journey so far would be when I attended a scientific symposium held at my university campus that featured students who participated in scientific research and medical mission trips. Since I will most definitely be doing medical mission trips myself, getting to hear the students’ experience, insight and to be advised by them was really cool.

5. What is your favorite book? My favorite book is “Corrupted Science” by John Grant, an overview of how the beginnings of science were filled with error, scandalous events, and subject to manipulation by those who had both ideological and political agendas.

6. Tell us one thing about you most people don’t know.  Something interesting about me that most people don’t know is the fact that I know a good amount of conversational Hindi and understand it even better than I speak it.

7. If you couldn’t be a doctor, what would you want to do? If didn’t become a doctor I would become a clinical psychologist, it’s actually one of my majors along with pre-med Biology.

8. What do you like most about PreMed STAR?  What I like most about PreMed STAR is that it allows students who are passionate about medicine like me, interact with one another, learn from each other, prepare for medical school and create a unique support system for them that they can count on.

Our Pre-Med Story

I dedicate this poem to every struggling premed out there. If it were meant to be easy, everyone would be on this path. So, I implore you right now to fight for your dreams, make your hard work count, and most importantly, do not give up. If you believe in what you desire, it will come to fruition. Be determined. Be dedicated. I applaud you for making it this far. You are halfway there. Keep going!

I dreamed of saving lives
My thoughts were driven by my journey through life
I heard the moans of the sick
I witnessed the mourning of the dead
Then, I decided with unwavering faith
That I want to be a physician

Loaded with multifarious responsibilities
Here I am as a premedical student
I immersed myself in the pool of valor to be competent
I came out of my cave of fear to advocate for others
I took strides up a bumpy hill to help my community
Then, I saw my dreams looming forth
Emerging from the horizon like the gallant sun

To become well rounded, I went on adventures
I sailed through my labs and lectures with focus and hard work
I swung on the ropes of leadership guiding the sway with optimism to make an impact
I flew through the clouds of compassion by enthusiastically interacting with patients
I rode down the slopes of self-doubts, leaving behind my foes in every ditch encountered
Then, I arrived a step closer to my ambitions with confidence and relatable qualities.

On the night before my MCAT, I reflected:
I have mastered every concept and learned from every mistake
I have shivered through the chills of the library for hours of practice.
I had delved deep into every resource on the web and on print, soaking in every detail
So, I promised to leave my anxiety at the doors and walk into the exam hall like a fierce warrior
Yes! It is a battle because I am fighting for my dreams
I promised to make myself proud and walk out those doors feeling accomplished.
I whispered to my soul
Dear self, it is time to crush the MCAT.

You would find-from all walks of life- a premedical student
Those who have commanded organizations with the air of elegance and service
Those who have cared for the sick as nurses with soft humility
Those who have changed the course of narratives by the power of their inner voice through the pen
Those who have taught the next generation of professionals in schools and colleges
Those who have filled acoustic halls with the echoes of their mellifluous voice
Those who have served their country with a flaming passion
Those who have tackled and dribbled on the sports field with fortitude
Those who have put out the flames to provide ease to victims of fire hazards.
Then they realized
 Medicine was their calling all along.

Medicine is a noble profession which we all pursue with undying passion
We seek to build a healthy and happy community through medicine
We seek to educate about wellness and promote wellbeing
We love science and want to use it to change lives of people through medicine
We are life-long learners and are curious about everything we observe.
We have been smitten by the ravishing white coat and scintillating stethoscope
We are on the path of compassion and altruism
Wake up every day with your ‘why’ seeded inside of you
Stay afloat with hope and faith and rekindle them by visualizing your goals
Remember
We are not just premeds
We are the future of medicine.


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