Traditional wisdom says to take the summer off to recharge between first and second year as that is the only summer you will have off agin in a long time.
Conventional wisdom and advice also say that one should prepare for the USMLE/COMLEX the same way you prepped for the MCAt and other standardized tests.
So what does one do when these two pieces of advice collide??
I know from the first time I took the MCAT with about 5 months prep that I am the type of person who needs more than 5-6 months to prepare. The last time I took the MCAT, I prepped for the better part of a year, spending time on the areas where I was weak. And my score was siginificantly better becuase of it.
Yet I am not supposed to be doing anything this summer, I am supposed to be relxaing....that is what many of my fellow students are doing. They are taking vacations, enjoying time off and just chilling out.
Yet, since I am not traditional, I am chosing notto follow traditional advice. As of a few days ago I officially started the prep for the USMLE/COMLEX Step 1 exams I will be taking next year around this time. I am taking this summer to review the areas in which I am stronger as well as shore up the areas in which I am weaker.
Sometimes I feel like I am playing chess while others are playing checkers. I am thinking eighteen moves ahead and planning and carefully thinking about what steps to take and what path is the best. I am thinking about how to best maximize my chances at getting a residency in this area, since we have the house here and my husbands job is here when I know that is the furthest thing from some of my classmates mind. But I think it is just part of being a non-traditional student. We need to think ahead, we need to plan ahead. Our lives are much more complicated than our traditional counterparts....we have other factors and people to consider....we do not always have the luxury of picking up and going just anywhere.
So here is to breaking the cardinal rule :)
Friday, June 10, 2011
Tuesday, June 7, 2011
Final update on my grandma
For those of you who are not also my facebook friends....
My grandmother was readmitted to the hospital the Monday after finals with a right side lobe pneumonia, sepsis and a urinary tract infection.
Thursday morning, May 26th she went into multiple organ system failure. After fighting for over three months since she had her hysterectomy and her colon perforated, she passed away at 11:45pm on May 26, 2011 surrounded by her loving family.
She will forever be missed and forever loved.
A picture of my granny and me at my Masters graduation May 2010.
My grandmother was readmitted to the hospital the Monday after finals with a right side lobe pneumonia, sepsis and a urinary tract infection.
Thursday morning, May 26th she went into multiple organ system failure. After fighting for over three months since she had her hysterectomy and her colon perforated, she passed away at 11:45pm on May 26, 2011 surrounded by her loving family.
She will forever be missed and forever loved.
A picture of my granny and me at my Masters graduation May 2010.
Reflections on 1st year
What an incredible rollercoaster is all I can say!!!
So for those of you about to begin, or thinking about beginning this journey.....all I can really say is buckle up and enjoy the ride.
The hardest classes of the year by far: Anatomy and Neuroscience. Just an incredible tremendous amount of information and to know every detail in depth was daunting.
But at some point during these courses, it became not about knowing every minute detail, but simply about surviving. About passing. And you know what that was okay.
Most people have to only deal with the stress of medical school, which make no mistake is a HUGE stress.
On top of that, add in the fact that I had a grandmother who was in and out of the hospital and the ICU from February on, I am dealing with pre-teen drama courtesy of the almost 12 year old, the same almost 12 year old was significantly under performing in her classes and we had to push her to get her to achieve to the best of her abilities, my son had the teacher from heck who made his second grade year absolutely awful and miserable and just the normal stresses of having a family. I think my stress meter was at about a 15 on a scale of 1 to 10.
And just as I am in the midst of dealing with all of these things which are combining to make the first year of my dream a nightmare, the semi-truck hits.
It is hard being a non-traditional student. I think sometimes it is harder being a very identifiable non-traditional student. I have had so many people marvel at how I do it over the course of the year, openly ask me how I do it. There is no answer to this, I think it is something that only a parent understands. As parent, when everything needs to be done and you are the main one doing it you simply do what needs to be done to get the things done that need to be done. Things may not be perfect, but they are as close to perfect as you can get them, but they are done. And that was my year, I simply did what needed to be done. There were incredible sacrifices made along the way....we said no to family gatherings, we made the kids say no to birthday parties and gatherings with friends, we limited the activities they were involved in....but we kept the things that were important to us as family like always having dinner together or our family lunch on the weekends. But I guess there are some people who do not understand, who will never make any attempt to understand and who will try to undermine you no matter where you are. Those people targeted me, made me the center of their rumors and innuendo. Why?? Simply because I am different, simply because they can not understand, simply because they made no attempt to understand, simply because they made no attempt to know me or to know my work ethic and the sacrifices made to be where I am to do what I am doing to realize a dream so long in the making. I was so hurt when I heard of these rumors/innuendos, but now I am past hurt I am past angry, I am even past the point of trying to understand why these people would do what they did to me. I just know that they did it at the worst possible time, they did it when my stress level was at a 15 and they caused my stress level to creep up to a 20.
But these people are everywhere, I have seen people like them when I was working, even when I was volunteering. I think where I am now comes from knowing I can deal with these people, I can deal with these people and one day somewhere along the line karma will come and bite them on the behind.
So if you too are unfortunate to run across these people, these people who make no attempt to understand or to know, then I say to you what was said to me: Ask yourself if these are the type of people you would associate with if you did not have to. If you are like me and they are not then I was told the following: since you do not want to associate with these people, then why give them power over your happiness and let them control your path. And that was so empowering....to take the power back...to start to take my life back.
Then one stress got resolved.....we made the decision to switch my son to a different school next year. Knowing that he will be in a better situation for him is such a relief and has been a huge weight off my shoulders.
And now I have the summer to recharge :)
And I have finished first year. I may not have achieved everything I wanted to at the start of the year but I did the important goals:
1. I made it through the year without getting one of "those" emails from the dean advising me I was on academic watch/warning due to my grades in a class
2. I passed every class....again I passed. It may not have been the grade I was capable of if I did not have all of these other things going on but I passed.
3. I survived first year, the second half of which pushed me to the very edge of my limits.
3. Again I say to you I survived and passed first year.
May second year be smoother :)
So for those of you about to begin, or thinking about beginning this journey.....all I can really say is buckle up and enjoy the ride.
The hardest classes of the year by far: Anatomy and Neuroscience. Just an incredible tremendous amount of information and to know every detail in depth was daunting.
But at some point during these courses, it became not about knowing every minute detail, but simply about surviving. About passing. And you know what that was okay.
Most people have to only deal with the stress of medical school, which make no mistake is a HUGE stress.
On top of that, add in the fact that I had a grandmother who was in and out of the hospital and the ICU from February on, I am dealing with pre-teen drama courtesy of the almost 12 year old, the same almost 12 year old was significantly under performing in her classes and we had to push her to get her to achieve to the best of her abilities, my son had the teacher from heck who made his second grade year absolutely awful and miserable and just the normal stresses of having a family. I think my stress meter was at about a 15 on a scale of 1 to 10.
And just as I am in the midst of dealing with all of these things which are combining to make the first year of my dream a nightmare, the semi-truck hits.
It is hard being a non-traditional student. I think sometimes it is harder being a very identifiable non-traditional student. I have had so many people marvel at how I do it over the course of the year, openly ask me how I do it. There is no answer to this, I think it is something that only a parent understands. As parent, when everything needs to be done and you are the main one doing it you simply do what needs to be done to get the things done that need to be done. Things may not be perfect, but they are as close to perfect as you can get them, but they are done. And that was my year, I simply did what needed to be done. There were incredible sacrifices made along the way....we said no to family gatherings, we made the kids say no to birthday parties and gatherings with friends, we limited the activities they were involved in....but we kept the things that were important to us as family like always having dinner together or our family lunch on the weekends. But I guess there are some people who do not understand, who will never make any attempt to understand and who will try to undermine you no matter where you are. Those people targeted me, made me the center of their rumors and innuendo. Why?? Simply because I am different, simply because they can not understand, simply because they made no attempt to understand, simply because they made no attempt to know me or to know my work ethic and the sacrifices made to be where I am to do what I am doing to realize a dream so long in the making. I was so hurt when I heard of these rumors/innuendos, but now I am past hurt I am past angry, I am even past the point of trying to understand why these people would do what they did to me. I just know that they did it at the worst possible time, they did it when my stress level was at a 15 and they caused my stress level to creep up to a 20.
But these people are everywhere, I have seen people like them when I was working, even when I was volunteering. I think where I am now comes from knowing I can deal with these people, I can deal with these people and one day somewhere along the line karma will come and bite them on the behind.
So if you too are unfortunate to run across these people, these people who make no attempt to understand or to know, then I say to you what was said to me: Ask yourself if these are the type of people you would associate with if you did not have to. If you are like me and they are not then I was told the following: since you do not want to associate with these people, then why give them power over your happiness and let them control your path. And that was so empowering....to take the power back...to start to take my life back.
Then one stress got resolved.....we made the decision to switch my son to a different school next year. Knowing that he will be in a better situation for him is such a relief and has been a huge weight off my shoulders.
And now I have the summer to recharge :)
And I have finished first year. I may not have achieved everything I wanted to at the start of the year but I did the important goals:
1. I made it through the year without getting one of "those" emails from the dean advising me I was on academic watch/warning due to my grades in a class
2. I passed every class....again I passed. It may not have been the grade I was capable of if I did not have all of these other things going on but I passed.
3. I survived first year, the second half of which pushed me to the very edge of my limits.
3. Again I say to you I survived and passed first year.
May second year be smoother :)
Monday, May 16, 2011
Finals week!!!
Okay here we go...finals week!!!
4 exams between me and being done with first year!!!!
Then be prepared for an onslaught of blog posts that have been started and saved but not yet finished on advice and hints on how I survived first year.
So that others may not make the same mistakes I have made and that they may find things which prove to be helpful :)
And of course, maybe with some prompting, I may share pictures of the munchkins who have been wonderful through this year and are my reason for being :)
4 exams between me and being done with first year!!!!
Then be prepared for an onslaught of blog posts that have been started and saved but not yet finished on advice and hints on how I survived first year.
So that others may not make the same mistakes I have made and that they may find things which prove to be helpful :)
And of course, maybe with some prompting, I may share pictures of the munchkins who have been wonderful through this year and are my reason for being :)
Tuesday, May 3, 2011
Just barely two weeks left in OMS-I
Holy S&^T!!!!!
I swear we just started yesterday...yet here I sit just slightly over two weeks away from being completely finished with my first year.
This year has been trying, not only in my schooling but with family stuff in general. It has pushed me to my limits. There have been times when I have been more than ready to throw in the towel and quit, times when that white flag of surrender was ready to be waved.
And then something would happen, even something small, that led me to know I am in the right place at the right time. I am where I am supposed to be and that gave me the strength to continue.
It is a simple as talking to the interviewees which always lifts my spirit.
Or struggling with then passing anatomy.
My first clinical experience in the ER in Chicago were I felt like I was coming home.
My second clinical experience where I got such valuable advice even if there were not many patients.
The blog followers who have come up to me and introduced themselves to me at the two health career professions day I have done on campus.
The way the people on campus have surrounded me and enveloped me and given me so much when I have needed it.
The way my classmates have rallied around me and have given support when it was needed and have asked for nothing in return.
I am ready to be done with this year....I am so ready to move onto next year. Yet in the same breath I can hardly believe it is over. I swear it was yesterday I started this journey. The time since the Christmas holiday has simply flown, and now it is almost done.
Deep breath.....off to study and survive finals and enjoy my last summer of freedom :)
I swear we just started yesterday...yet here I sit just slightly over two weeks away from being completely finished with my first year.
This year has been trying, not only in my schooling but with family stuff in general. It has pushed me to my limits. There have been times when I have been more than ready to throw in the towel and quit, times when that white flag of surrender was ready to be waved.
And then something would happen, even something small, that led me to know I am in the right place at the right time. I am where I am supposed to be and that gave me the strength to continue.
It is a simple as talking to the interviewees which always lifts my spirit.
Or struggling with then passing anatomy.
My first clinical experience in the ER in Chicago were I felt like I was coming home.
My second clinical experience where I got such valuable advice even if there were not many patients.
The blog followers who have come up to me and introduced themselves to me at the two health career professions day I have done on campus.
The way the people on campus have surrounded me and enveloped me and given me so much when I have needed it.
The way my classmates have rallied around me and have given support when it was needed and have asked for nothing in return.
I am ready to be done with this year....I am so ready to move onto next year. Yet in the same breath I can hardly believe it is over. I swear it was yesterday I started this journey. The time since the Christmas holiday has simply flown, and now it is almost done.
Deep breath.....off to study and survive finals and enjoy my last summer of freedom :)
Thursday, March 31, 2011
Anatomy 101: How I survived
There is no two ways about it, Gross Anatomy is the single most time consuming and challenging class you will ever find yourself facing. Unless of course you are an anatomy guru in which case it comes easy for you, but myself....I am no anatomy guru. I had to work, hard, and keep working to get very point to achieve the milestone of passing gross anatomy.
1. get a atlas....or two :)
I had a previous edition of Netter's lying around, plus I picked up a Rohen's and a Thieme.
I found I did not use the Netter's as much. I liked the Thieme over the Netters due to the fact that the Thieme has charts in it which helped me to organize and condense information about origin, action and insertion. I also liked the more stylized drawings than the hand drawing style of Netters. But this is entirely a matter of personal preference. What I would recommend is going to your school's library and looking at both of these atlases and determining which style you like best and will work best for your learning style.
I could not have survived however without my Rohen's. I used this to study the cadaver look at home when I could not physically be in lab. I feel like when I did this before we dissected I had a better idea of what to look for in the lab. Plus, I found that most tagged examples for practicals were based on the best cadaver example in class so looking at an idealized picture of a cadaver with how it would appear was exceedingly helpful.
2. the textbook to end all textbooks: grays anatomy for students
I tried the text recommended by our school which was essential clinical anatomy and I personally did not like it. It was too brief and I found the text to be very choppy. I did not use it much for my first exam and while I did well I felt like there was a lack of understanding on my part that I could not quite explain. So I researched on amazon and saw the great reviews of gray's anatomy for students and decided to try this book for my future studies. I used this book for the last three units of anatomy and really felt that the way it was laid out and the order of the text correlated well with my notes. I felt like when I used this text in conjunction with the notes that I gained a better understanding of the material and it eeked over into lab as well.
3. study for class and lab together, do not treat them as separate entities.
I made this mistake for the first exam. I tried to treat the written class portion and the practical lab portion as two separate yet equal entities. For all subsequent unit exams, I would study my lecture notes with an atlas open and my text open and integrate what I was reading into what I would see in the lab. Anatomy is such a highly visual subject and I am a highly visual learner so this worked really well for me. Again, what works for any person is highly personal and you will have to figure out what works best for you but I do recommend integrating the two portions of the class as it helps in both areas to make studying a little better.
4. time in teh lab, time in the laba nd time in the lab
there is no two ways about it, you need to spend a significant part of your time outside of class in the lab looking at cadavers. I personally was fond of Saturday mornings as I found that I was often by myself or with a few other people. I never found it helpful to be in groups as I needed to work through the material at my own pace with my own methodology.
I know these are all what worked best for me, so take what you feel you can use and eliminate what maynot work. But this is how I survived anatomy :)
1. get a atlas....or two :)
I had a previous edition of Netter's lying around, plus I picked up a Rohen's and a Thieme.
I found I did not use the Netter's as much. I liked the Thieme over the Netters due to the fact that the Thieme has charts in it which helped me to organize and condense information about origin, action and insertion. I also liked the more stylized drawings than the hand drawing style of Netters. But this is entirely a matter of personal preference. What I would recommend is going to your school's library and looking at both of these atlases and determining which style you like best and will work best for your learning style.
I could not have survived however without my Rohen's. I used this to study the cadaver look at home when I could not physically be in lab. I feel like when I did this before we dissected I had a better idea of what to look for in the lab. Plus, I found that most tagged examples for practicals were based on the best cadaver example in class so looking at an idealized picture of a cadaver with how it would appear was exceedingly helpful.
2. the textbook to end all textbooks: grays anatomy for students
I tried the text recommended by our school which was essential clinical anatomy and I personally did not like it. It was too brief and I found the text to be very choppy. I did not use it much for my first exam and while I did well I felt like there was a lack of understanding on my part that I could not quite explain. So I researched on amazon and saw the great reviews of gray's anatomy for students and decided to try this book for my future studies. I used this book for the last three units of anatomy and really felt that the way it was laid out and the order of the text correlated well with my notes. I felt like when I used this text in conjunction with the notes that I gained a better understanding of the material and it eeked over into lab as well.
3. study for class and lab together, do not treat them as separate entities.
I made this mistake for the first exam. I tried to treat the written class portion and the practical lab portion as two separate yet equal entities. For all subsequent unit exams, I would study my lecture notes with an atlas open and my text open and integrate what I was reading into what I would see in the lab. Anatomy is such a highly visual subject and I am a highly visual learner so this worked really well for me. Again, what works for any person is highly personal and you will have to figure out what works best for you but I do recommend integrating the two portions of the class as it helps in both areas to make studying a little better.
4. time in teh lab, time in the laba nd time in the lab
there is no two ways about it, you need to spend a significant part of your time outside of class in the lab looking at cadavers. I personally was fond of Saturday mornings as I found that I was often by myself or with a few other people. I never found it helpful to be in groups as I needed to work through the material at my own pace with my own methodology.
I know these are all what worked best for me, so take what you feel you can use and eliminate what maynot work. But this is how I survived anatomy :)
Wednesday, March 30, 2011
The family crisis: My granny and her miracle
As many of my fellow nontraditional students are probably know, when we were younger daycare was not as commonplace and if there was one it was very expensive. Both of my parents worked, so I spent the majority of my childhood with my two grandmothers.
My life became less full when I lost my paternal grandmother to lung cancer in 1998.
My life almost came to a freezing halt this past November when my maternal grandmother ("granny"), the only grandparent I have left, told the family she had been having vaginal bleeding for sometime. Now for a woman in her early 80's, this is not a good thing, especially given the fact that she is on blood thinners for her atrial fibrillation. There have been various points in this whole ordeal when I have thought about taking a leave of absence and coming back next year and doing it all over again, but each time i even think about it I know how upset my granny would be because she knows how hard I worked to get here and the sacrifices I have made and she wants me to continue. Anyway, so after granny saw various specialists, they determined that the only thing they knew was that her lining of her uterus was thicker and they wanted to perform a D&C to see if that ended up halting the bleeding. January came and the D&C was scheduled. The doctor began doing the D&C, but stopped when he saw her cervix as he felt that something did not look right and he was very concerned about cervical cancer. This absolutely terrified me.....I do not know of anyone who ever likes to hear the "c" word but in this case it is particularly terrifying. You see, a few years ago my granny was diagnosed with Chronic Lymphatic Leukemia (CLL) and she has been doing remarkably well, her white blood cell count has stayed under control and has not spiked as they were expecting it to after she was first diagnosed. So the prospect of cervical cancer, and of any treatment that may accompany it, was particularly scary. As it would turn out, this doctor by stopping the D&C and not continuing, most likely saved my granny's life. So when they stopped, they took a small biopsy to see if their suspicions were correct and they wanted to schedule her for a hysterectomy. So, one was scheduled for two weeks later. The biopsy came back shortly before they did the hysterectomy, and all it showed was blood and inflammatory cells but no cancerous cells, the gynecologic oncologist said he could not rule out cancer because of the fact that you would expect to see inflammatory cells in a cancerous area.
The day of the hysterectomy came. Since they suspected cervical cancer, there was a high desire to keep everything well contained and limit the possibility for spreading, leading to the decision to make the operation open vs laproscopic. Once they began the operation, the surgeons encountered a more difficult situation than they had imagined. A few years back, my granny was also diagnosed with diverticulitis but no one really knew how bad it was. Apparently it was worse than any of us could have ever possibly imagined. Granny had extensive scar tissue and adhesions in her pelvis as a result of the diverticulitis which made the removal of the uterus without damaging the colon a very tedious procedure. Afterward, the doctor said he was worried about the possibility of a colon perforation as diverticulitis weakens the wall of the colon and in the process of removing the adhesions/scar tissue they were worried that the wall would not be able to withstand the stress. So as a precaution, they kept her in the ICU over the weekend.
Even though she was running a fever, it broke and she was transferred to a regular bed on Monday. But Tuesday she began running a fever again and her chest x-ray showed she had pneumonia. Then Wednesday she was still running a fever but was very weak, barely keeping her eyes open and was in severe abdominal pain.
then Thursday morning, the Thursday before finals week, I get the call I have been dreading for the past week. My granny;s colon has perforated and they will be performing an emergency surgery to repair the damage later that day. I picked up all the kids and we went to the hospital to wait with everyone for word. The surgery took over 5 hours. There was also an abscess in the upper portion of her abdomen and one of her ureters was damaged, so all these things need to be fixed leading to a quite extensive surgery. Every person in that waiting room knew the moment we saw the surgeon that the news was not going to be good. He told us that my granny was in septic shock from the colon rupture and she was in acute renal failure and that she may not survive the weekend. My granny was back in the ICU, sedated and paralyzed and on a vent. Somehow, even though finals had started and I had one the next morning, I managed to hold things together. I still do not know how, I chalk it up to perhaps being in shock...of not really believing what I was hearing of not realizing the extent of what was ahead of me.
Then the next morning, I took my ICM exam and the weight of the previous night hit me like a ton of bricks. It was Friday...and Monday held the exam that stood between me and passing Anatomy. And I hit full freak out mode. Worse case scenarios started running through my head. Something happening over the weekend, me taking the time to spend with my family and not devoting the time to anatomy, and then as a result not being able to achieve the needed points to pass.
This is one of those cases where I was reminded again how lucky I am to be where I am and how incredibly supportive the university is of students.
I went and talked to one of our associate deans and she officially let me freak out, which I think at that point in time I needed to do. She reminded me of all the hard work I had put in to be here and she asked me what would my granny want me to do? Would she want me to risk all of that hard work and sacrifice for her or would she want me to try to continue on? I knew in my heart she would want me to continue on. She also told me that if something happened to call her immediately, even giving me her home and cell number, so that she could call our anatomy course director and we would figure out what we were going to do about the exam. Honestly, I was grateful for the distraction of studying over the weekend.....it kept me from obsessing over everything that was happening with my granny and kept me from freaking out all weekend. But knowing that even if everything went to heck in a handbasket, even if the worse case scenario happened, that everything would be okay.....the exams would be sorted out was a huge weight off my shoulders and enabled me to focus more.
The weekend came and went. Granny was producing urine with diuretics so we knew by the end of the weekend that at least her kidneys worked.
The anatomy written exam Monday morning went as good as the previous exams, leaving me with 6 points needed on the practical to pass the class. Again, a huge relief to know I only needed 3 of 50 questions correct. I knew it was within my reach at this point. The practical went equally well, at least for me who traditionally struggles with practical exams at least in anatomy. I knew going home that anatomy was done and passed and things while hectic and crazy were okay...not great but at least okay.
I found out shortly thereafter how incredibly lucky we were that the doctor who had done my granny's D&C stopped when he did. The biopsy results of her uterus came back and while they showed no evidence of cervical cancer (a huge relief), they did show that there was a fibroid which was slowly eating its way through her uterine wall and was the source of her bleeding. If the doctor had continued her D&C, it is quite possible her bleeding would have dramatically increased and they would have had to do an emergency hysterectomy which would have placed her life in dangerous peril.
Tuesday came and went....status quo.
Wednesday came and when my mom called me after my exam I knew something was terribly wrong. That morning my granny had some episodes of Toursades de Pointe which precedes ventricular fibrillation. Thankfully they were able to shock her and stop the rhythm but they were very concerned about her health and heart. So i left school and went straight to the hospital. The labs came back normal, the CAT scan showed no brain damage so it was okay...he heart and brain were still okay. However, she was running a fever.
Her liver bilirubin levels though were beginning to rise. So now we had to worry about the possibility of liver failure and granny is not a candidate for any sort of transplant. The antibiotics she was on for her sepsis were causing damage to her liver and the one left they could switch her to was penicillin based and my granny is allergic to penicillin. Sp we watched and waited.
Then the good news began to trickle in. Her blood cultures began coming back negative which meant the antibiotics she was on were finally working and she was beating the sepsis in her blood. There were no more arrythmias and even though her bilirubin levels continued to rise she was not showing any signs of liver damage. They eventually switched her antibiotics to one that was less liver toxic and her bilirubin levels began to come back down. They took her off of the paralytics and began turning down her sedatives. She began breathing over the vent but was not quite waking up.
Then came the day when everyone held their breath. It was a Wednesday, she had been on the vent for almost two weeks and they needed to take her off. We were all warned about the disctinct possibility of granny having to have a tracheotomy and that was everyones main concern....how that woudl affect her health and recovery. But then came another huge step forward. They took out the vent tube and somehow someway she did not need a trach. She was breathing on her own. Then slowly she began responding to us. She would smile and crack her eyes open when you came in the room. Then her eyes were fully open and she woudl smile at you when you came but we had not really heard her talk much and when she did her voice was very hoarse.
Slowly, things got better. She began taking liquids and her bilirubin levels came back to normal.
Granny was well enough to be transferred to and acute care rehab faciloity where she is now. Since she has been there, she is taking more food in and her NG tube has been removed. They are slowly working on building her muscles back up and continuing to get her well enough to finish her rehab at a regular rehab facility. But where we are todat compared to where we thought we would be is nothing short of a miracle.
I told someone the other day that I must get my fight from her, along with my stubborness. When the chips were stacked against her, my granny showed what an incredible fighter she is. And somehow through it all, I managed to complete my finals and finish my second quarter of medical school.
What does this prove.....it proves that life happens. We may never know when the next thing around the corner that may come and knock us off our feet, but it is those times that we find out how strong not only we are but how strong others are as well.
My granny continues to amaze me everyday. I know forevermore I will cherish the time I have with her, my family's miracle.
My life became less full when I lost my paternal grandmother to lung cancer in 1998.
My life almost came to a freezing halt this past November when my maternal grandmother ("granny"), the only grandparent I have left, told the family she had been having vaginal bleeding for sometime. Now for a woman in her early 80's, this is not a good thing, especially given the fact that she is on blood thinners for her atrial fibrillation. There have been various points in this whole ordeal when I have thought about taking a leave of absence and coming back next year and doing it all over again, but each time i even think about it I know how upset my granny would be because she knows how hard I worked to get here and the sacrifices I have made and she wants me to continue. Anyway, so after granny saw various specialists, they determined that the only thing they knew was that her lining of her uterus was thicker and they wanted to perform a D&C to see if that ended up halting the bleeding. January came and the D&C was scheduled. The doctor began doing the D&C, but stopped when he saw her cervix as he felt that something did not look right and he was very concerned about cervical cancer. This absolutely terrified me.....I do not know of anyone who ever likes to hear the "c" word but in this case it is particularly terrifying. You see, a few years ago my granny was diagnosed with Chronic Lymphatic Leukemia (CLL) and she has been doing remarkably well, her white blood cell count has stayed under control and has not spiked as they were expecting it to after she was first diagnosed. So the prospect of cervical cancer, and of any treatment that may accompany it, was particularly scary. As it would turn out, this doctor by stopping the D&C and not continuing, most likely saved my granny's life. So when they stopped, they took a small biopsy to see if their suspicions were correct and they wanted to schedule her for a hysterectomy. So, one was scheduled for two weeks later. The biopsy came back shortly before they did the hysterectomy, and all it showed was blood and inflammatory cells but no cancerous cells, the gynecologic oncologist said he could not rule out cancer because of the fact that you would expect to see inflammatory cells in a cancerous area.
The day of the hysterectomy came. Since they suspected cervical cancer, there was a high desire to keep everything well contained and limit the possibility for spreading, leading to the decision to make the operation open vs laproscopic. Once they began the operation, the surgeons encountered a more difficult situation than they had imagined. A few years back, my granny was also diagnosed with diverticulitis but no one really knew how bad it was. Apparently it was worse than any of us could have ever possibly imagined. Granny had extensive scar tissue and adhesions in her pelvis as a result of the diverticulitis which made the removal of the uterus without damaging the colon a very tedious procedure. Afterward, the doctor said he was worried about the possibility of a colon perforation as diverticulitis weakens the wall of the colon and in the process of removing the adhesions/scar tissue they were worried that the wall would not be able to withstand the stress. So as a precaution, they kept her in the ICU over the weekend.
Even though she was running a fever, it broke and she was transferred to a regular bed on Monday. But Tuesday she began running a fever again and her chest x-ray showed she had pneumonia. Then Wednesday she was still running a fever but was very weak, barely keeping her eyes open and was in severe abdominal pain.
then Thursday morning, the Thursday before finals week, I get the call I have been dreading for the past week. My granny;s colon has perforated and they will be performing an emergency surgery to repair the damage later that day. I picked up all the kids and we went to the hospital to wait with everyone for word. The surgery took over 5 hours. There was also an abscess in the upper portion of her abdomen and one of her ureters was damaged, so all these things need to be fixed leading to a quite extensive surgery. Every person in that waiting room knew the moment we saw the surgeon that the news was not going to be good. He told us that my granny was in septic shock from the colon rupture and she was in acute renal failure and that she may not survive the weekend. My granny was back in the ICU, sedated and paralyzed and on a vent. Somehow, even though finals had started and I had one the next morning, I managed to hold things together. I still do not know how, I chalk it up to perhaps being in shock...of not really believing what I was hearing of not realizing the extent of what was ahead of me.
Then the next morning, I took my ICM exam and the weight of the previous night hit me like a ton of bricks. It was Friday...and Monday held the exam that stood between me and passing Anatomy. And I hit full freak out mode. Worse case scenarios started running through my head. Something happening over the weekend, me taking the time to spend with my family and not devoting the time to anatomy, and then as a result not being able to achieve the needed points to pass.
This is one of those cases where I was reminded again how lucky I am to be where I am and how incredibly supportive the university is of students.
I went and talked to one of our associate deans and she officially let me freak out, which I think at that point in time I needed to do. She reminded me of all the hard work I had put in to be here and she asked me what would my granny want me to do? Would she want me to risk all of that hard work and sacrifice for her or would she want me to try to continue on? I knew in my heart she would want me to continue on. She also told me that if something happened to call her immediately, even giving me her home and cell number, so that she could call our anatomy course director and we would figure out what we were going to do about the exam. Honestly, I was grateful for the distraction of studying over the weekend.....it kept me from obsessing over everything that was happening with my granny and kept me from freaking out all weekend. But knowing that even if everything went to heck in a handbasket, even if the worse case scenario happened, that everything would be okay.....the exams would be sorted out was a huge weight off my shoulders and enabled me to focus more.
The weekend came and went. Granny was producing urine with diuretics so we knew by the end of the weekend that at least her kidneys worked.
The anatomy written exam Monday morning went as good as the previous exams, leaving me with 6 points needed on the practical to pass the class. Again, a huge relief to know I only needed 3 of 50 questions correct. I knew it was within my reach at this point. The practical went equally well, at least for me who traditionally struggles with practical exams at least in anatomy. I knew going home that anatomy was done and passed and things while hectic and crazy were okay...not great but at least okay.
I found out shortly thereafter how incredibly lucky we were that the doctor who had done my granny's D&C stopped when he did. The biopsy results of her uterus came back and while they showed no evidence of cervical cancer (a huge relief), they did show that there was a fibroid which was slowly eating its way through her uterine wall and was the source of her bleeding. If the doctor had continued her D&C, it is quite possible her bleeding would have dramatically increased and they would have had to do an emergency hysterectomy which would have placed her life in dangerous peril.
Tuesday came and went....status quo.
Wednesday came and when my mom called me after my exam I knew something was terribly wrong. That morning my granny had some episodes of Toursades de Pointe which precedes ventricular fibrillation. Thankfully they were able to shock her and stop the rhythm but they were very concerned about her health and heart. So i left school and went straight to the hospital. The labs came back normal, the CAT scan showed no brain damage so it was okay...he heart and brain were still okay. However, she was running a fever.
Her liver bilirubin levels though were beginning to rise. So now we had to worry about the possibility of liver failure and granny is not a candidate for any sort of transplant. The antibiotics she was on for her sepsis were causing damage to her liver and the one left they could switch her to was penicillin based and my granny is allergic to penicillin. Sp we watched and waited.
Then the good news began to trickle in. Her blood cultures began coming back negative which meant the antibiotics she was on were finally working and she was beating the sepsis in her blood. There were no more arrythmias and even though her bilirubin levels continued to rise she was not showing any signs of liver damage. They eventually switched her antibiotics to one that was less liver toxic and her bilirubin levels began to come back down. They took her off of the paralytics and began turning down her sedatives. She began breathing over the vent but was not quite waking up.
Then came the day when everyone held their breath. It was a Wednesday, she had been on the vent for almost two weeks and they needed to take her off. We were all warned about the disctinct possibility of granny having to have a tracheotomy and that was everyones main concern....how that woudl affect her health and recovery. But then came another huge step forward. They took out the vent tube and somehow someway she did not need a trach. She was breathing on her own. Then slowly she began responding to us. She would smile and crack her eyes open when you came in the room. Then her eyes were fully open and she woudl smile at you when you came but we had not really heard her talk much and when she did her voice was very hoarse.
Slowly, things got better. She began taking liquids and her bilirubin levels came back to normal.
Granny was well enough to be transferred to and acute care rehab faciloity where she is now. Since she has been there, she is taking more food in and her NG tube has been removed. They are slowly working on building her muscles back up and continuing to get her well enough to finish her rehab at a regular rehab facility. But where we are todat compared to where we thought we would be is nothing short of a miracle.
I told someone the other day that I must get my fight from her, along with my stubborness. When the chips were stacked against her, my granny showed what an incredible fighter she is. And somehow through it all, I managed to complete my finals and finish my second quarter of medical school.
What does this prove.....it proves that life happens. We may never know when the next thing around the corner that may come and knock us off our feet, but it is those times that we find out how strong not only we are but how strong others are as well.
My granny continues to amaze me everyday. I know forevermore I will cherish the time I have with her, my family's miracle.
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