IM, WK 2-7: Inpatient

Oh hey there friends,

I’m back with a short 7-week update, lol.

I’m a little over halfway done with my internal medicine rotation and man have I learned so much in this short period of time. Trying to balance life with studying and rotations has been a challenge, especially in regards to keeping my sanity and mental stability but things eventually fell into place.

In the past 7 weeks, I’ve completed 2 weeks on the floors, 2 weeks in Nephrology, and 3 weeks in Ambulatory (outpatient medicine).

The 2 weeks on floors, I requested to be placed on the family medicine inpatient team because I’m really interested in family and thought it would be a great chance to show my face and get to know the residents in the program. Compared to the other “teams” on the floors for IM, the family medicine team took on a few more patients and was on call longer than the others, so I saw how overworked interns are in this aspect. I also noticed how robotic medicine has become due to the EMR. The residents wanted to check up on their patients more than just rounds, but their notes kept them busy way past sign-out. This is where medical students come in handy; since the residents had to work on paperwork, we would check up on the patients, contact the nurses, and collect blood for labs. I learned how the hospital functioned and where everything was mostly during these 2 weeks. I also really enjoyed working with the family med residents, felt like I belonged! I’m looking forward to my family medicine rotation in November when I get to work with them some more, but in the clinic!

After completing 2 weeks on the floors (AKA patients admitted in the hospital), I chose to do an elective in Nephrology. If I want to make myself seem like a studious individual, I’d say I chose Nephro because the kidneys aren’t my strongest system. But, if I’m being honest here (which I am), I chose this elective because it had the best hours and allowed me to catch up on all the studying I fell behind on during the floors lol. The attending expected me to be there from 11am-2pm (with a lunch break from 12-1:45), but I chose to come in around 9 to follow some of the patients with the residents so I could present. I actually enjoyed my time in Nephrology because the attending REALLY loved to teach. He would lecture us after our lunch on different topics but make it interactive, so we were engaged too. When I say we, I mean me, the 2 residents, and the 4thyear medical student that was also on the service. I walked out of Nephrology finally understanding how to calculate acid-base disorders, how to interpret lab values and the conditions/ concept of dialysis. Thus far, nephrology has been the most academically challenging and fulfilling- honestly worth my time.

Now I’m back on Ambulatory. I started off in the clinic when I first started rotations, and I’m back on until the end of this week. Coming back after completing inpatient services really showed me how much I LOVE the outpatient setting. Preventative medicine is something I’m extremely passionate about, and I feel the most fulfilled with the patients coming in for their primary care visit. The clinic has two aspects to it, the first being a med-student run clinic where we see the patients ourselves and present to the attending who has the final say. The second being a resident-run clinic where the medical students just shadow the residents. I obviously prefer the med student-run, but we have to do both every day. My favorite part of the clinic is being able to actually explain to the patients what is going on in their bodies so they can understand why compliance is so important- the hugs and kisses I get from them remind me why I chose this field every day. Also, knowing other languages have come in handy SO MUCH! I’ve had patients that I’ve spoken to in Punjabi and Hindi. Since I am able to communicate with them in their native language, it’s easier for me to convince them to take preventative measures (getting vaccinated, and lifestyle modifications). I’m working on learning some Spanish since we have a huge Spanish speaking population- let’s just say I have a loooooong way to go LOL. Also, working with AUC alumni is so much fun, we really look out for each other at this school, it’s no joke.

Outside of medicine, life has been chill. I’ve been getting time to relax and just enjoy life in New York… a part of me doesn’t want to leave this state-but that’s a story for some other day. Besides my indoor plants dying, life has been good. I see myself growing in different aspects every day. There have been bad days leaving me to cry in bathrooms to great days resulting in a random Amazon shopping frenzy. There have been days where I jump out of bed excited to get to work, and then those days where I just can’t do it anymore. Medicine truly is a challenging marathon that knocks you down every time you get back up, but it’s worth it.

So my first shelf is in about 4.5 weeks, I don’t know if I feel prepared or not, but I’ll just say that I’m not LOL.

Till next time…..

Stay Happy,

Preety 🙂

The Girl with Dreams

“ Okay class, what do you remember about Amelia Earhart”?

The students blankly stared at their teacher, so silent you could hear a pin drop.

I was so frustrated, I know the answer, we just talked about her yesterday! The first woman to fly across the Atlantic Ocean, oh how lucky she was!

“ Class, I will ask once more, who was Amelia Earhart”?

I opened my mouth, I will tell sir who Amelia Earhart is, yes I know the answer!

*thuddd*

“Sarina get up, if papa finds you sneakily listening to Tej’s class again, he will lock you in the house all day”

I slowly opened my eyes, my elder sister pushed me off my stool that I was standing on to listen to class.

“Mala di, I know who Amelia Earhart is, even Tej didn’t know, I need to tell Sir. If he knows how smart I am, he will convince papa to let me attend school”.

“ Sarina, mama wants you to clean the house and make food for Tej, let’s go home”

I respectfully called my sister Mala Di, which means sister, but she was never interested in the material I learned at school. During our walk home I told her all about Amelia Earhart, but she was not one bit intrigued, I don’t understand why.

Oh, let me introduce myself, I am Sarina. I am 9 years old and live in a small town in Nepal. It’s really nice in our town, lots of green trees, and you can see the mountains in a distance. I have a small family of 5 people- there is my papa, mama, Mala di who is 12 and Tej, my younger brother, who is 6 years old, and me. Our home is grey, made from cement with a yellow gate separating our home from the street made of stones. We have 3 rooms in our home, Mama and Papa sleep in one room, Tej has his own, and Mala di and I share a room. Mala di is getting married next month, so i’ll finally have my own room! The courtyard which is right by our gate is where guests come to drink tea and talk to papa, and there is small corner which is the outdoor kitchen where mama teaches Mala di and I how to cook different foods, it’s my least favorite place.

My day starts at 6am everyday, I wake up and make tea for Papa and Tej while Mala di makes them breakfast. Mama helps Tej get ready for school while Papa reads the newspaper. Papa and Tej leave at 8:30 to take Tej to school, and Mala di and I clean the house. I know class starts at 9, so when Mama and Mala di are talking marriage stuff, I sneak off to Tej’s school and find my secret stool to stand on and listen to class from the small window on the side, it’s at the perfect location because sir never sees me.

I started attending class with my stool a few years ago when Tej made a deal with me to let me do his class work so he could go play, how foolish he was to chose play over studies. I gladly took the offer, but I found that I needed to attend class in order to understand the homework. The next day, I found a stool outside the neighbor uncle’s gate, found the window which was part of Tej’s class, and have been attending class ever since. One day Papa found out that I had been doing Tej’s school work for him, and he took all the papers and told Mama to raise me like a woman. Since that day Papa watches Tej do his schoolwork everyday, so I don’t even get a chance to try helping.

I never understood why Tej was allowed to go to school and I wasn’t. I was much smarter and much more interested. Tej wanted to play all day, I wanted to learn but Papa always said that it’s too dangerous for a girl to go to school because no boy will marry me. I don’t want to be married, I want to be Amelia Earhart, or that one lady on TV, what’s her name? AH, Michelle Obama or Priyanka Chopra. I want to read books to little kids, listen to heartbeats of older people. I wanted to do something more than cook and clean all day, it’s so boring!

It was not always like this, Mala di got to go to school until she was 7 but everyone in the town told papa that no one would marry her if she was smarter than their sons, so that was the end of school for Mala di. I never got to go to school, sit in one of those wooden desks and wear those bright ribbons in my hair, oh how much fun it would be to tell sir who Amelia Earhart was and be placed in the front desk, it would be the best day of my life.  I want to be a teacher, I want to be called Madame, I’ll never teach them how to cook or clean, but I’ll teach them mathematics, history, science, all those wonderful subjects. Those were my thoughts before sleeping everyday.

One day Papa came home with a bag from the local shop, “Sarina beta, look what I have for you”. I quickly ran to Papa, I could feel Tej was jealous that papa bought me something and not him. I opened the bag and it was a new sari? “ but Papa, I don’t know how to tie a sari. I asked for books”

“ Sarina, books are for boys, this sari will look very good on you. No one will say no to  my beautiful daughter”

“Say no? Papa, what do you mean?”

“Sarina’s Ma, take her inside and have her wear her grandmother’s gold jewelry, the guests will be arriving soon”

I knew what was happening,  this happened with Mala Di too. Papa was arranging my marriage without even asking me. I didn’t want to get married yet. I wanted to go to school, I wanted to be a teacher, I want to be more than ordinary. I don’t want to get married. These thoughts were going in my head as Ma put the black stuff on my eyes,  and bright red lipstick on my lips. I looked so weird, I didn’t want this.

Ma gave me a hug, and I started crying,

“ Mama please, I don’t want to get married. I will stop going to Tej’s school, I will stop learning. I will stop dreaming of being a teacher, please Mama, please tell Papa I don’t want to get married.”

“ Sarina, you aren’t getting married tomorrow. Papa is finding you a nice boy then once that boy is done with school you will be married, this is a nice boy. He went to college, they say he works with computers. Sarina, you will be able to see a computer when you get married! They aren’t asking for much from us either. We don’t have to buy them a car  they just ask that you know how to cook, clean, respect your elders, and they want us to  buy him a gold watch. That is all. You are very fortunate that Papa found you such a nice family, just remember to act shy and respectful.”

I didn’t have much to say because Mama was on Papa’s side, like always. Mama made me cover my face and take tea out for the boy and his family, he looked weird. He was very skinny and tall with a full beard. His mom was very fat with short curly hair, I think the rings were stuck on her fingers because they seemed as she tried to take them off but couldn’t. His dad was short and skinny with glasses larger than his face, his head was bald too.  I learned, that they lived across town, which meant I wouldn’t be able to attend class anymore with my stool, what would I do? How would I go to school now? They have to say no!

* smash*

Oops? Perfect time to drop the cup of tea near his mother, now she will never say yes. She seemed like the boss of the family. I will not get married now, I will continue going to school!

I didn’t get to talk to anyone, Papa asked me to pick up the tea cups and return to Mama. After a few minutes they left with smiles on their faces, this was bad news.

“Sarina’s Ma, our job in finally done. Mala will be married next month, and they accepted Sarina into their family. She will be married off with Mala, we won’t have to double our expenses, one wedding for both our daughters!”

WHAT?! NEXT MONTH!? I DROPPED THE TEA CUP, HOW DID SHE NOT SAY NO?! We are learning about Mother Theresa next month, I can’t be married yet!!!

I am only 9 years old, I know how to cook, clean, and now will be married off to a man whom I don’t know and is much older than me. My new mother will be fat with rings stuck on her finger, and my father will have glasses larger than his face. Who knows, maybe my new husband will bring me books to read, or teach me how to use the computer. Or maybe I can read some of his old books to learn something, maybe getting married wouldn’t be so bad? Papa was handing out sweets to the entire street, this must be a good thing.

I don’t know how to feel because I have never seen Papa so happy and proud of me, this is what Papa wanted. This is how I am to make my parents proud, this was the purpose of my life. As a dutiful daughter, I shall oblige. Maybe in my next life I can go to school, learn about Mother Theresa, and become a teacher. Maybe I’ll know more than just the history of Amelia Earhart.  If a woman could fly a plane across the Atlantic Ocean, then in some lifetime I can go to school. Just Maybe.

*** DISCLAIMER: All characters are fictional along with the plot; however, this story is a reality for many girls around the world***

To learn more about Women’s right, to be involved, or spread awareness please visit: http://www.womenforwomen.org/what-we-do

Dear World.

I feel ashamed to live in this world today.

A world where we fight hate with hate.

We pray for one but not the other.

A world where we discriminate based on race and religion.

A world that see’s the pain of one but not the other.

I don’t want to live in this world.

A world where you’re defined by your nationality.

Where you are employed by your connections.

Regardless of having the same anatomy, we are different.

We live in a world where we will offer condolences on social media, but hesitate to donate a few dollars.

I don’t want to live in this World.

Mahatma Gandhi once said “An eye for an eye only ends up making the whole world blind”

Sadly, the world is blind.

Blinded by hate.

I grew up hearing stories from the India/Pakistan partition, the 1984 Sikh Riots, the Holocaust, Pearl Harbor, Hiroshima., and the Civil Right’s movement.

I lived through a country in grieving after 9/11.

And today, I grieve for all my brothers and sisters that lost their lives to that same Hate.

Have we not learned from our past that Hate gives us nothing.

What is this Hate?

Revenge? Or is it to prove strength?

All I see is weakness.

I see the weakness of these terrorists showing off their so called strength by killing innocent beings.

I see the weakness of the nations who respond back with the same tactics.

What’s the difference between them now?

It’s easy to pull the trigger, but it’s difficult to give a small embrace.

Why do we live in such a world?

Why do I live in such a world?

What’s wrong with Love? Aren’t we all the same?

Are we not all the same species? Are we not all humans?

Religion was not made to separate us, it was made to help us find purpose.

Our race does not define us.

What does define us is how we live.

Sadly, Hate has defined how we live.

If we continue to pass on the hate, our future generations will never know how to love.

If we live with fear, our fellow humans will continue to pass.

It’s time we join our hands and show the World Love prevails all Hate.

Love is powerful than these grenades and bullets.

Love is what keeps us together.

We don’t need another tragedy to unite us.

We need to stay united in order to prevent another tragedy.

We are all to blame for these tragedies’

Because we let the hate spread while we quietly watched.

Now it’s time to learn from our past.

If individual’s like Gandhi, Martin Luther King Jr., Nelson Mandela, and Malala can succeed

We can too.

We are humans just like them,

But we forgot how to Love, while they used the Power of Love.

It’s time to stop pointing our fingers and actually lend a helping hand.

I am tired of being ashamed.

It’s time we make each other proud.

It’s time to show those we have lost, that we hear their cries.

It’s time to Unite as a World.

It’s time to be proud to call this Earth is our home.

Love is the only force capable of transforming an enemy into friend.

~Martin Luther King Jr.

In Loving Memory of all that have lost their lives to hatred. 

holding-hands-peace-planet-earth-painted