Thursday, September 27, 2012

Yo estoy en vacaciones.

I'm starting to think that this random study break was more than just an accident of rescheduling.  That God, in His omniscience, had me take a step back from living my daily life, knowing the bigger picture would become clearer. Being able to be with Regg, Bev and Tucker Beer for a few days, and now being able to be here for the birth of my biological nephew...it's all very reassuring.  For some reason that I can't quite put into words. I keep coming back to that adjective.  Reassurance.

And for those of you wondering how my "studying" is going.  Let me reassure you, it's easy to study something you're interested in.  Something you want to know.

But....I must admit. It's nice to have the freedom to study while allowing distractions.  And if you have distractions, what a plus that this little guy was the culprit. :)




Hasta!

Friday, September 21, 2012

Yo estoy viajando.



Psych rotation ended today.  And as if to herald the event we were inundated with walk-ins, some escorted by the police (to put it nicely) and others unescorted starting at about 3:00pm.  Almost as if school got out and they all came over to us.  Question:  Just how badly do you have to behave in school to merit a full psychiatric evaluation and a police escort all the way to the psych hospital to make sure you get said evaluation?

I also had a 1 ½ hour conversation with a psychotic schizophrenia patient.  It was rather exhausting.

Now that Psych is done I have two weeks to “study”. Long story how these two weeks came about.  But since I have them I figure I can study from anywhere.  So tomorrow morning gonna pack up the car and head West.  Plan as of now is Junction, Ohio then Milford, Indiana then Chicago, Illinois and then finally Gridley, Illinois spending a few days in each before heading back to New York.  Should be some excellent studying!! ;)

Hasta!

Saturday, September 15, 2012

Yo estoy cayendome.


Thought I would share a little insight into the internal struggle I’ve been wrestling the past couple of months.  A struggle which has culminated and been brought to an end today, Saturday, September 15, 2012.  That makes it sound so final, as if a decision has been made.  Far from it unfortunately.  Rather it’s more of a leap, after months of standing at the edge, it’s a gigantic flinging of myself into the unknown.

This journey I’ve been on since…well, since high school has been navigated with no more than an end point and Jesus showing me where to next put my foot.  But that whole inbetween time…complete blackness.  Time between my current footstep and that end point, unknown.  And just where those footsteps will take me before I arrive, unknown.
Psalm 119:105  Thy word is a lamp unto my feet, and a light unto my path.

I took another step today, or as I mentioned earlier, more of a gigantic leap, that has been in debate between Jesus and myself for the past couple of months.  Today ERAS released residency applications. 

Have you ever seen a father in a swimming pool, arms wide open, beckoning to their child saying “jump”? That’s kind of what this felt like. Only, it wasn’t at the side of a swimming pool. And, I can’t actually physically see my father waiting for me with open arms.  Instead of a swimming pool, I’m at the open door of an airplane 14,000 ft up and my father says to jump.  Excitedly I grab a parachute and prepare, but am stopped.  “No, just jump” is what I’m told.  So for the past two months I’ve stood at that open door, unable to let go of that parachute.  Knuckles white it’s gripped so tightly as I can’t bring myself to let go of my own control of the jump, let go of my safety net.

Let me explain this analogy:
Residency programs will initially look at two things when considering applicants for residency.  #1 the school.  Well, I’m from Mexico so, Strike 1, no negotiation.  #2. Step scores. When I interviewed for this year in New York the doctor took a look at my Step 1 score and said that it’s not what it should be, but conceded that its “work-able” (strike 1 ½)  but, only if I did better on my Step 2, which I didn’t = strike 2 ½.  So in other words, applying for a general surgery residency I’m already 2 ½ strikes into striking out before I even get up to bat.  My chances of actually getting on base = slim to nil. 
(Sorry for getting side-tracked with another analogy…habit I guess)
I suppose that slim to nil is what makes it feel more like I’m jumping out of a plane than simply into a swimming pool.  And jumping out of a plane with a slim to nil chance of being caught, I immediately grab the parachute.  Taking matters into my own hands to assure myself that I’m going to be safe and not end in smithereens on the terrain far below.  In my own case, that parachute was a family practice residency.  A residency more prevalent than surgery in the United States and does not require the same high step scores. Not necessarily assuring me of obtaining a residency…but I at least was going to bat with a much better chance of getting on base.  But standing at the door parachute in hand I was convicted knowing I was picking it up not out of God’s will but out of my own will of fear, of my need to have control, and dare I say it, of doubt.  Then I’d look at my 2 ½ strikes and think how completely foolish I’d be to jump without at least some sort of back-up, you know….just in case.  And just like that an internal dispute continually raged.  Sometimes at a whisper in the back of my mind, other times at a deafening roar making my stomach knot, my jaw clench and my throat constrict.  Sometimes I could almost convince myself to put the parachute down, but it was as if it was glued to my hands, I couldn’t bring myself to let go even if I wanted to.

Over time I realized that if I was ever going to be able to let go of the parachute I had to be at peace with the possibility of ending in smithereens on the terrain far below.  He’s just telling me to jump. He’s not promising to catch me.  He’s just showing me what my next step is to be. 

What did Shadrach, Meshach and Abednego say to King Nebuchadnezzar?
Daniel 3:16-18
  Sadrach, Meshach, and Abednego, answered and said to the king, O Nebuchadnezzar, we are not careful to answer thee in this matter.
  If it be so, our God whom we serve is able to deliver us from the burning fiery furnace, and he will deliver us out of thine hand, o king.
  But if not, be it known unto thee, O king, that we will not serve thy gods, not worship the golden image which thou hast set up.

Perhaps not the best illustration of the situation I’m currently in…I’m not exactly facing death.  But their example has given me an example to follow.  I have the faith to believe that if it be so my God is able to catch me. He is able to find a place for me in a general surgery residency this application year.  But if not, I have the faith to jump as instructed, to fall and to land however painful it may be.

Being a Christian most certainly does not guarantee us a nice smooth and easy life.  Joseph was thrown in jail.  Daniel was thrown in the lion’s den.  Jonah swallowed by a fish.  Noah ridiculed.  We have no more than an end point and our next step.  If this next step is ment to take me all the way to the earth where bruised and broken I will then take the next step.  Who am I to think that I know how to arrive at the end point better than God.

So I jumped today without a parachute.  I know that chances are come March you will find me smashed among some rocks.  But I also know that even if I were stepping up to bat with 3 strikes already on the count my God would still be able to catch me.  So I’m jumping with 2 ½ strikes which is ½ a strike more than He needs.

Whereas I normally write stories on this blog to others; I took the time to write this more for myself.  So that come March, come what may, I can be reminded of why I jumped.  Jumped without a parachute.

Hasta!

Yo estoy tratando.


The weather finally took a turn for the perfect this past weekend.  We went to bed Saturday night to a hot humid summerness, slept through a storm and woke up Sunday morning to a clear, fresh and crisp fallness.  Perfect enough that Bekah and I drove all the way to Manchester after church just to buy a Frisbee.

I was originally scheduled for 5 weeks of Psychiatry and then rescheduled for 3 weeks.  Initially I was upset at being jipped out of 2 weeks of the hospital that I’ve paid for and told to go study instead.  But, now I guess I realize that if this had to happen at least it happened during the Psych rotation.  I am encountering quite a bit at the hospital, but at the same time not really learning.  Nor is it causing me to want to study.  Normally I’ll get home from the hospital with a list of topics to research.  Such as new terms I encountered throughout the day, topics I was PIMPed on and came out lacking, or topics I was told to research and then present the following day.  But I get home now and let’s just say studying isn’t a priority. ;) Even at the hospital, I’m reading about surgery or something other than psych during down time.  Such a horrible psych student I am.

I do enjoy the excitement that a psychiatric emergency room brings with it.  We get quite the characters.  Had a patient kick a great big hole in the wall today.   Got to make use of my boxing skillz and take her down.  I hope you didn’t just believe that.  Hehe.  No I ran screaming from the room and people with actual real muscles were called in. ;) Or… I could have just stood on the perimeter and watched the show. ;)

Hasta!

Saturday, September 8, 2012

Yo estoy loca.

Started a brand new rotation this week.  Psychiatry.  I'm having a bit of trouble adjusting to the new schedule.  I'm only at the hospital from 10 - 5 everyday.  I get home and don't know what to do with myself.  Maybe that's one reason why I don't mind the surgery schedule.  It makes the fact that I have no life outside of the hospital less noticeable.  So I have two weeks left of evenings to fill, whether with reading, studying or other form of entertainment.  Challenge accepted.

Thursday I was talking with the director of our Psychiatry rotation.  It came up that I am not actually interested in pursuing Psychiatry, but rather Surgery.  His response took me aback.  He said, "Oh, so you don't want to actually help people?" 
Psychiatry, Medicine, and Surgery are all very different areas of medicine and I can respect that.  I can also respect that doctors are biased towards their respective field...would almost even hope for that.  But to be blind to the fact that all areas are needed;  communication between all is vital to achieve an overall picture of health in our patients and the population as a whole.  And to think that only one area can help people......hmmmm. I guess I shouldn't be so upset.  I know the same mentality is harbored in many surgeons towards the field of Psychiatry.  I guess my goal should be just to remember this.

Hasta!

Monday, September 3, 2012

Yo estoy parando.

Marlene and Sylvain left this morning and I now find myself with a day to myself.  It's been awhile.  I had Marlene and Sylvain write a little for the blog yesterday, but thought I'd blog again today and upload some pictures.  The first are from a trip to the CT shore 8/19, I went to the Rhode Island shore the following weekend but don't have any pictures from that, but I finished with some pictures from this past weekend with Marlene and Sylvain
L to R: Kim Lanz, Lisa Zaagman, Me, Amanda Virkler, Rebekah Viens, Ashley Luginbuhl
At the Trumbull State Park one Sunday evening after first stopping at Captain Scott's for seafood.

 At Trumbull State Park.  The masts are on the Eagle "America's Tallship"  Property of the U.S. Coast Guard.  We walked up and asked if we could go aboard/have a tour.  It was fun exploring the ship eventhough they wouldn't let me climb the rigging.  Something to do with liability...;)

 The sun setting aboard America's Tallship

 L to R: Rebekah Viens, Lisa Zaagman, Kim Lanz, Ashley Luginbuhl, Amanda Virkler, Me
Aboard the Eagle "America's Tallship"

Since I couldn't climb the rigging, Ashley climbed some rocks with me.

 
 The polar bear at Central Park Zoo.

 One of the sea lions at Central Park Zoo.

 T-rex and Barosaurus (largest skeleton ever found)
At the American Museum of Natural History

L to R: Marlene, Me, Sylvain
At the train station this morning, saying farewell to Marlene and Sylvain.

Hasta!

Sunday, September 2, 2012

je ne parle pa francais.


Having some guests this weekend.  Marlene and her boyfriend, Sylvain, came to the US from France. Were in Boston the past week and are visiting me this weekend before they head to Cape Cod for the rest of their trip.  Saturday we went downtown.  They wanted to go to the Central Park Zoo to see Alex.  Alex is the lion in the Madagascar movies.  And then to the American Museum of Natural History.  I hadn’t been to either so was in total agreement.  Then Sunday I tried my hand at entertaining more locally.  Drove down to City Island then stopped and enjoyed Orchard Beach on the way back.  While staying with me Marlene and Sylvain went to work in my small kitchen.  Thanks to them I now know that my stove and oven actually work.  They made crepes and a French potato dish, absolutely delicious.  I gave them string cheese for lunch Sunday and upon trying it Sylvain stated “this isn’t cheese.” And then at the store later took it upon himself to purchase real cheese.  I am surprised to have learned quite a bit about French cooking and cheese this weekend.  I asked them if they would say a few words.  Sylvain decided to write to me instead of to everyone, so I cut and pasted some of his letter for you following Marlene.

Hi I’m back!!! Do you remember me? I’m Marlene a French friend of Christy I’ve been to Guadalajara last November. Again I am visiting Christy but this time in New Rochelle! Me and Sylvain are in vacations for 2 weeks in the US visiting Boston and NY. We stay for the weekend in New Rochelle to see Christy and visit a bit NYC. For us it is the discovery of the American way of life (especially for Sylvain) and for Christy it is a “French cuisine” discovery weekend. Indeed we did some Crepes, Gratin Dauphinois and degustation of a famous suiss cheese the Gruyere. Christy wil share the recipes I think and now she can also cook them for you!!!!
I am really grateful of Christy’s hospitality and kindness I hope that once we can welcome her in Geneva as she did it with me twice!

Marlene

Hi cristy, I’m very glad to meet you on New Rochelle.
I will remember forever the T-Rex that I see with you in the American Museum of Natural History near Central Park in NYC!!! But I don’t see Alex in the zoo…
 And I would like to say that the ocean is good but the sea is better! Maybe you could see my Mediterranean sea if you come.

Pschyt alias Sylvain PICCINI

Hasta!