Showing posts with label 3rd Year. Show all posts
Showing posts with label 3rd Year. Show all posts

Tuesday, May 29, 2012

Operation Smile

I walked out of my final short case exam on Friday with a cryptic text from an unknown number simply stating "please call S____". Still buzzing with adrenaline and excitement at being done I dialed the number, worried that something was wrong, perhaps with someone I knew.

"Hello, this is ABB, I received a message to call."


"Yes, hello ABB, are you finished your exams?"

The slight worry ratcheted up one degree.

"Yes..."

"Oh good. Well I can congratulate you on that and something else as well...you've been selected as the recipient of the Operation Smile medical student fellowship!"

[Cue exhilaration and dress wearing suppression of cartwheels on sidewalk].

I think I then said the words delighted and thank you about 17 times. She added that the competition was stiff but they thought that I'd had some amazing life experiences and that the organization wanted to add to that list for me. Which I thought was such a lovely thing to say.

Of course I am honored (and surprised nearly beyond belief) that I was chosen. Being unable to take on international electives or sign up for volunteer work since starting medical school has been difficult, especially after getting a taste for it on my Himalayan expedition in 2008. I've been having to bide my time and just look forward to future opportunities much further down the line. But now, I won't be waiting long at all!

This is such a gift for me, and I am fully aware of the fact that it is the chance of a lifetime. According to their website they receive thousands of inquiries a year from medical students, for only about 20 available positions. I. Can't. Wait.

Still don't know when or where, but will be keeping the blog updated as things unfold. I still can't believe that third year ended on such a high note, especially after the last few months. And so, back to packing boxes. Smiling.

Image from http://www.operationsmile.org/


[Incidentally, you can donate to Operation Smile any time!]


Saturday, May 26, 2012

Heaven and Hell

Survived third year!! A brief montage and summary of the past week. 

Monday was the long answer written exam (3h, 10 questions) and the extended matching exam (150 questions). I know some people run marathons without food, and most people write exams without food. I could not imagine either. When my blood sugar gets low (i.e. below 6) I get hangry and my brain function ceases. I was certainly not taking chances with finals. Photo below was taken with my sweaty pre-exam hands before we were strip searched for electronics.


After the incredulous feelings of did they really have an immunization schedule long answer question? along with seriously? gynecology emergencies? dissipated, Margaret and I noted that the sun was shining outside and we had two days of studying still ahead of us. 


So we took something beautiful (her parent's backyard)...and made it ugly.


We spent Tuesday and Thursday hammering for the clinical exams. 

 It has been so long since I've had to use sunscreen I thought I ought to take a photo. 

One of the really stressful things about the clinical exams is that they were a different format than the previous 2 years, where we had OSCE's. This year our long case was a patient with real pathology who we had 30 mins to examine and take a history from (the cases ranged from things like a post-op orthopedics case to diabetes). Then the examiners questioned us for 20 mins. 

My patient was a good historian and had a very straightforward presentation which I had prepared well for. I am usually rubbish at presenting (you have to be detail oriented and well-organized) but somehow the planets aligned and I actually did my best case presentation ever! What are the odds? 
There were no questions that stumped me and the absolute best part was after the examiners walked out I turned to the patient and she said to me I hope I am never in the hospital again, but if I am I really hope you are my doctor! I was completely bowled over and honored. 

The short cases went quite well too. They were all very barn-door spot diagnoses and exams. Though I did manage to stutter out some random statements and completely forget basic things (which I would never forget in an actual hospital, i.e taking a blood pressure from a patient in atrial fibrillation). Yeesh. The highlight was one of my surgical case patients yelling to the examiners as they left the room GIVE HER AN A.  
Awesome and awkward. 

So there you have it. Third year, done and dusted. I also just received some rather big news. But that deserves its own post. Heh. A little suspense to keep all of you coming back. In the meantime, it is sleep time. Sweet, sweet sleep.


Friday, May 18, 2012

One...Week...Left...ughhhhh

Cottage Love
I have been commanded by my friend Ryan to update the blog (so he can get Guns and Roses out of his head). I figure I need to make the few people that still check in on me happy, so here's a quick post!

I am in the final stretch of 3rd year. I spent the last 4 days holed up in a classmate's cottage, attempting to cut myself off from the world and bury myself in the books. Amazing how much more productive I am when the only internet I have access to is an intermittent flickering of 3G on my burner when the planets align.

I had planned to go just for the night but the fireplace and views were too lovely to tear myself away from. So I burned home, picked up the rest of my books (oh, Toronto Notes, you monkey on my back...you) some tinned mackerel, instant coffee, and returned.

A week from today final exams will all be behind me. And two weeks from today I'll be on a plane back to Canada. I am mentally composing my ode to the Irish countryside already. Some questions that will remain...Year three, where did you go?? Did I squeeze every last drop out of my year on the wild west coast?


Monday, May 7, 2012

Welcome To the Jungle - 2012

Things are starting to pick up momentum here on the wild west coast of Ireland. Exams are exactly two short weeks away (eep, why I am I still typing this blog post instead of memorizing differentials for fatigue??)

A brief look at life for the next few months:

May
-exams
-pack up house
-move things / car into storage
-fly home

June
-start pediatric emergency elective in Alberta (4 weeks)

July
-have a week 'off' (see below for what will actually be happening during 'off' days)
-start gastroenterology elective in Nova Scotia
-start CaRMS application process (Canadian post-graduate application)
-have 10 days holiday to study for MCCEE (Canadian board exam)
-fly back to Ireland, find place to live / move in / start psyche rotation

August
-study for boards while doing psyche rotation while working on CaRMS

September
**Canadian Board Exam**

October
-CaRMS and obs/gyne rotation

November
-Submit CaRMS
-collapse from exhaustion

December
-hit 'refresh' on email inbox until residency programs start emailing
-possibly decide that I'll stay across the Atlantic for post-graduate training

Just typing all of that gave me a facial tic. I may have to start playing this song everyday when I get out of bed.


 

Tuesday, March 27, 2012

I (Heart) Rural Medicine

In the last 48h have included having the opportunity to:

-catch a baby
-cut a piece of glass out of someone's face (and then stitch them up afterward)
-surgically assist with fusing toes, replacing hips, replacing knees
-perform a D&C
-assist with a hysterectomy
-sew up knife wounds
-assess / treat / discharge about 75 emergency patients
-learn how to insert an IUD

Despite the exceedingly damp climate my hands are cracking from so much handwashing, I'm surviving solely on t.v. dinners and instant soups, clean underwear is becoming a scarce commodity, and I've spent every day (except one) in the hospital since my arrival. And I couldn't be happier.

My days are so full and varied, with such fantastic teaching from the docs here. It's hard to sleep at night, completely wired and excited by each day's events. I feel so fortunate to be here. I'm starting to believe that saying about how "there are teaching hospitals and then there are learning hospitals". Say what you will about rural medicine...but my experience is that people working in remote areas have half the egos and double the desire to teach.

I've been spending a lot of my retractor-holding and trying-to-sleep time thinking about the (soon arriving) residency application process. Today I truly felt like a few things have started to crystallize in my mind about what I want to pursue...

As always it is a work in progress, but I think that will have to be a post for another day.

In the meantime, check out my new O.R clogs while I try to get some well deserved sleep.

Yes, yes I did.

Sunday, March 25, 2012

Hard Mattress

After a somewhat lengthy orthopedic surgery where I had been holding a foot / leg up off the table, Dr. Boots handed over the suture material and told me to get to work.

Me:
Umm...should I come around to the other side of the table?

Dr. Boots:
No, sweetheart just get to work, this man's got a bloody tourniquet on! We don't have time for dancing around. Put in some mattress sutures

(Some of you might scoff at the fact that I haven't mastered the mattress suture. As a potentially aspiring surgeon I maybe should be able to do them in my sleep, however, I spent most of my time in general surgery trying to perfect my sub-cue stitches and hand-tying. Bad medical student, BAD!)



And now I have.

And they were a thing of beauty. All two of them. Damn you arthroscopy and your tiny wounds!

Dr. Boots:
There, that wasn't so bad now. No need for all the shivering and shaking. You know my 17 year old daughter can do mattress sutures, no problem. She taught herself.

(Surgical Drape) Curtain Falls. 

[For the record...my hands were shaking because my forearm muscles were maxed out from assisting...I swear! I should also add, Dr. Boots is amazing and kind of like the slightly-unimpressed-but-fantastic-teacher orthopedic-surgeon-father I never had. Above example illustrates the way we communicate. Me, hopeless rube in ortho...him ortho king. Get it?]

Saturday, March 24, 2012

First Ultrasound!

Bet that got your attention!

Yes, last night I had the opportunity to do my first ultrasound on a pregnant woman. Can I just state for the record that there are many concepts in medicine that fascinate and perplex me, not to mention the endless list of interesting presentations and procedures. But apparently there is one thing that turns me into a giddy, effusive fool: prenatal ultrasound.

I trundled down to the emergency department last night after my flatmate (and ER nurse) called me in to see some good cases. The doc who was working knows me well so he was happy to have me seeing and working up patients. Early on in the shift a pregnant woman presented with some minor bleeding so he wheeled in the ultrasound machine, flicked off the lights and handed me the transducer.

At first all I could see was fuzzy blobs and fluid and then lo! A vertebral column appears in the darkness! And then I saw the heart, its tiny chambers pumping away. I practically jumped up and down, Look! Look at the heart! Hey, there is a femur, wow! The baby is moving his, ah...or her hands! That is amazing!! 

So maybe I should have played it slightly more cool, but I couldn't help myself. It is quite something to look at a nearly flat and unremarkable belly and then suddenly be given a glimpse into a hidden world that houses a kicking, twirling, fist-pumping little being.

I spent the next portion of the evening smiling to myself as I stitched up wounds and listened to heart sounds.

The little beating heart and those dancing legs were a delightful reminder that there are also joys in medicine, even in the emergency department on a Friday night. 

Thank you, little one. I needed that.

A little bigger but you get the idea, image from here.

Thursday, March 22, 2012

Apparently I Look Like a Drug Dealer

So, I am here in BC doing an orthopedics elective. But really, I am doing an everything elective. I've worked in this hospital before as a nurse and most of the doctors know me. I want to scrub for surgeries, stitch wounds in the ER, catch babies, intubate, whathaveyou. So I need a cell phone, otherwise no one can reach me when wounds / babies / femurs are presenting themselves.

I walked into the 7-eleven and looked for the cheapest phone. $39. Brilliant. I asked the attendant to please fetch me the $39 phone from behind the counter. He looked at me strangely and said, "Er....are you sure you don't want a nicer phone? These ones are only $100". I waffled for a moment but held strong. All I need this for is "baby coming" texts. Status symbol, status schmimbol. Give me the ridiculous one. 

I was quite proud of my new phone so during my next shift I whipped it out to show one of the murses. He burst out laughing, "Dude!! You've got a burner!!"


"Uh...what is a burner?"

"It's a phone that drug dealers use so that their calls can't be traced. They're disposable. Hilarious. You totally will look like a dealer every time you take that phone out."

Now I feel old, and crazy out of touch with slang.

The next day I get a text at the nurses station and I'm trying to thumb my way through a response when one of the other nurses starts pointing and laughing, "NICE BURNER!!!!"

Siiiiiiighhhhhh. Am I the only person that didn't know this term? Apparently if I watched The Wire or CSI I'd be well versed in these matters.

I sent a text to my orthopod to give him my number (since we were on call) saying "Here is my mobile number courtesy of 7-eleven" and the next day in theater he tells me that his wife saw the text and asked him who was sending him messages from a burner.

For the record, he's in his 50's.


It's no iphone 4, it's small, it is ridiculous. I look like a complete rube (and low-life, apparently) when I try to text from it. But you know what? It is almost so lame that it feels cool. In fact, I like that it is ghetto. It feels slightly rebellious and hip to not be showing off what apps I can get on it. I wear rubber boots to work and I own a burner. It is just how I roll these days.

Monday, March 19, 2012

On Bended Knee


I've really been loving the push, the post race endorphins, the crazy sense of "did I really just do that?"

Until recently, I would never have considered myself an athlete. My friends are athletes, my family members are athletes. But since November, when I did my first adventure race, I've come to think...maybe I am one too?

Three weeks ago I did my first trail race. It was a 1/2 marathon with a nice sprinkling of 3500ft elevation for good measure. It was much, much harder than I anticipated. Waaaaaaaaay more difficult than the 10 mile road race the weekend before, and hella more mentally challenging than the Sea2Summit (which was 2h longer). I got crazy calf-cramp-of-doom followed by inhumane-hamstring-tetany-of-death which stuck with me steady for the last 2 miles. Yeah, I was 'running' as if I had a wooden leg, whimpering, and generally feeling miserable and frustrated. But dammed if I wasn't going to finish it...and then chug a large glass of orange squash concentrate by mistake at the finish line (who has bottles of concentrate and no water at a finish line???)

So I've been kettlebell-ing and running a little and cycling, feeling pretty pleased with my fitness and shiny new upper-body strength.  Ok, maybe the odd twinge to my knee and feeling of fullness in the back of my leg. Then 3 days ago I squatted down in the emergency department and saw stars...um...why can I not squat? Oh, because my knee is blown up like a balloon. Awesome.

So ice, ibuprofen, ice, elevation...more ice...did I mention I bought this sweet gel sleeve that doesn't freeze solid and can cuff right around my knee?

No improvement. No acute injury...hell, I hadn't biked/run/kettled in a week.

Today I had a steroid / lidocaine injection into it just before heading into theater for the day. Ooooooooh maybe standing on it for 8h after wasn't super brilliant. And now I am here. Not allowed to run or squat, my knee hurts like a fecker and looks like it belongs to Rita McNeil.

So frustrating to finally feel like I'm getting into the shape I've always wanted to be in...with an adventure race coming up in 4 weeks, a 1/2 marathon in May, and a triathlon in June...GAHHHHH!

[Pouts]

[Reaches for bag of peanut butter cups.]

[Recalls how tight work pants already are, puts aforementioned cups down.]

[Steps away from cups.]

Signs off.

(Photo credit: pic of the race trail taken by my good friend Stephen Bennett.)


Friday, March 16, 2012

Surgical Pearl: Nutrition

Today the locum pediatric orthopod took me down to the x-ray department to look at some films, on our way out he stopped at their desk and poached some chocolate. He clearly saw my judging questioning gaze (I have firm beliefs that you ought to contribute to the trough you graze from).

"Look, when you're a surgical resident you learn to get calories from any source available. It's an old habit. You find every patient fridge that is stocked with ensure or crackers...this hospital is great because the recovery room fridge has cheese. Cheese will be where you get your fluids from."

Residency: when you begin to see cheese as hydrating nourishment.

Saturday, March 10, 2012

My Recent Mid-Term Evaluation


Above is photographic evidence of why Dr. Joe is one of my favorite people on the planet. Yesterday we went through my mid-term evaluation. On the back of the score sheet they are invited to make comments on specific strengths and weaknesses (theoretically so we can improve by the final eval).

I pretty much spent the rest of the day chuckling when he handed it over to me to submit to the school.

Wednesday, February 29, 2012

When Med Students Pretend to Know

Hugh: So, Doc tells me to go ahead and do the vag exam. I'm hoping he'll, you know, teach me how to do it. So I get gloves on...wait for Doc to come and help me out. I pretend to spend ages looking for lube hoping Doc will join me, the nurse gets annoyed and asks if I am going to do exam or not. I put on confidence face hoping that it hides fear face and tell her uh yeah! as I realize doc is actually now scrubbing up and has no intention of teaching me.



So I put a finger in and think Shit! what am i supposed to be feeling for? I kind of move my finger around and try to figure out the noteworthy anatomy and all I can think of is the vagina is so spacious! I can't feel a damn thing! Then I think if only I could put TWO fingers in, then maybe I could feel something...but I don't want to look greedy so I just keep to the one. How are you supposed to feel anything in there? How are you supposed to actually do a vag exam??

Me: [Initially unable to speak due to fit of laughter and piece of chicken lodged in my throat] Dude, first of all, never put the words 'spacious' and 'vagina' together in a sentence ever again. Second, two fingers isn't 'greedy' it is proper technique. Third, there is a reason it is called a bimanual exam.

That was an excerpt from recent dinner conversation with MD student currently on obs/gyn rotation. In fairness, Hugh is actually a very smart, personable, and responsible medical student. And yes, he had consented the patient to perform a vaginal exam under anesthetic prior to her procedure. It is probably good that she was asleep.

I am sure the nurses thought he was a complete idiot while they watched him flounder. But this whole story illustrates one of the pet peeves I have about medical culture. Medical students are students which means they are allowed to not know the right dose of clopidogrel the first time they see a heart attack. They are allowed to not know how to do a bimanual exam the first time they are faced with a real person and not a doll during a 1st year clinical skills lab. But yet the culture of medicine makes you think that you should know everything at all times and if you admit to not knowing, you are admitting to being a sub-standard medical student / future doctor / human. So as I nurse I witnessed loads of medical students pretending to know how to do something and not asking for help or not admitting they hadn't a clue.

It is scary that even as students we are afraid to admit we don't know, admit when we need help, or admit we're in over our heads.  What happens when we grow up to become real doctors?

*Shudder*

I know there is a fine line between looking incompetent and looking like someone who might have a clue, and clearly everyone would rather be in the latter category. But I can honestly say that in the past when I've admitted that I didn't know something in similar situations the person is usually happy to explain or demonstrate (passive-aggressive bullies, aside). In fact, afterwards (again, passive-aggressive bullies aside) the teacher generally trusts you more because they've seen that you're willing to admit your shortcomings, i.e. that you are safe.

I fear that many more botched vaginal exams will occur before medicine accepts learning and ignorance as part of medical education. In the meantime, confidence face?




Saturday, February 18, 2012

Racing: The Irish Way

A few weeks back I convinced my brotha-from-anotha-motha, Ryan, to run this 10 mile race. So he signed up. 

I balked. He trash-talked. I registered. I regretted.

It was actually pretty fun.

The drive there was an adventure, at one point the GPS (who I've named Dunce Cap or D.C for short) even got lost, telling us to turn left but mapping us to the right and then getting all hissy when I went left. I really want to throw that thing in the majestic river Shannon most days.  Though the road (pictured above) was scary and narrow, the directions were typically Irish ('after a long bend in the road take a left and follow that road') we somehow found the place. I had a moment of anxiety the night before when I realised that doing a race in the middle of February is actually a really bad idea. You see, it is too soon for there to be any resolutionists (as I like to call them). No one decides on Jan 1st to do a race 6 weeks later. Most would think it is not enough time to train for a medium distance run. And this race, in particular, is known as the 'most challenging 10 mile race in the country'. I'm not sure about this claim as it is possible that it is the only 10 mile race in the country. So, the folks running an ass-buster in Feb are likely going to be really in shape, doing it as a fun day out as they prepare for their next big race somewhere else. 
Oh I so called it. As we pulled up we could see a blur of lyrca stretching and light-jogging up the first hill.  Formidable specimens, they were. I could see the outline of their vastus mediali  from the parking lot (which, by the way, was a farmers driveway, complete with fowl and swingsets, pictured above).
This is what happens when you set a camera timer and try to look tough.
The weather was outstanding. It was indeed a challenging race with loads of hills. But both Ryan and I were happy with our times (Ryan had hoped to do it in 1:30 despite the elevation and he finished in 1:19)! I was hoping to finish under 2 hours since I haven't really been distance running since....oh....2008! But I managed to pull a 1:32 out which isn't exactly olympic qualifying time, but it got the job done. And I was pleased. And apparently haggard.


Hello, beauty.
After the race I drove home, grabbed some food, water, bathing suit, and towel, and headed to the icy Atlantic nearby. My car thermometer read 7 degrees yet somehow I managed to strip off my many layers and plunge in. I am a firm believer in the ice bath. It had to be done and I figured a sunset dip in the ocean would be better than the view from my bathtub.


Turns out, I was right. Shortly after my dip the clouds rolled into this amazing formation that nearly took my mind off the fact that every cell in my body was shivering. I sat in my car, cranked the heat on (sorry environment, it had to be done for a few minutes) and ate my picnic supper. I made a mental note regarding what a lovely date I'd taken myself on, and deciding that yes indeed I would go out with myself again. Once the beach was dark I drove to the gym and vegged out in the sauna and decided that life was pretty much all I ever hoped it'd be. Oh Ireland, I really (heart) you sometimes.

Tuesday, February 14, 2012

FIRST CUT!!

Dear Diary,

Today I had the chance to make my first scalpel to skin incision. M.C was very nonchalant about the whole thing. I had set up the tray as per usual (thanks to years of nursing and having to set up many a tray for minor ops) and then he just casually said to me, "okay, so work away there...get a blade for yourself..."

Yeah, I tried to play it cool but I am fairly sure that the eyes-popping-out-of-my-head-with-questioning-stare gave it all away.

He smirked and pretended to have something to do away from the patient while I went about (excitedly) excising my first skin tag.

This was followed by a sebaceous cyst excision and another skin tag removal (of a patient I had seen 1 month ago and booked for the procedure). She said she hadn't felt a thing, and that I was worth every penny that he was paying me. HA! I shall never let M.C live that one down.

I was pleased to learn that I have a steady hand and do indeed get a rather large kick out of cutting people (in the socially acceptable cutting to cure sort of way). I am sure that such a milestone is something you never forget. Course I am happy that this happened in one of my favorite little hospitals, on Valentine's day nonetheless.

Today was a good day.

Sincerely,

ABB




Monday, February 13, 2012

Surgical Field Trip

Headed for the hills today for a surgical assist field trip. M.C took me with him to the wild and wooly west coast for an operating theater day in one of the remote hospitals.

I have Monday's off (from GP) but was more than happy to spring out of bed at 0545h, knowing that I'd have the chance to be first assist and 'camera woman' for all the cases today.

And indeed, it was well worth it. Worked a lot on my sub-cue suturing skills and scope handling. Lots of neck craning and nervous sweat. So. Much. Fun.

I really cannot pretend to be aloof about this whole surgery thing. Pretty soon I'll stop sheepishly mumbling and toeing the floor when people ask me what I want to be when I grow up. Not today, but pretty soon.

Sunday, February 12, 2012

You Know You Live in Ireland When...

Driving home from the race today we hit a bit of a traffic jam.


Eventually they decided to let us pass...


Never a dull moment behind the wheel in this country!

Saturday, February 11, 2012

Abort! Abort Mission!

My old roommate, Scott, and I used to have this secret hand gesture that we'd use at parties, called "the tap". If one of us was embroiled in a conversation that was giving us a rash we'd lightly tap on the underside of a table, beer can, ashtray, anything we could find. In our perfect, imaginary world you were actually tapping a small, invisible button that would do one of two things: either open a slide chute below that you could escape through, or activate a team of ninjas that would break through the windows, tumbling in, swinging on black rope.

The ninjas would surround you and then whisk you out of the room in a flurry of ninja-like moves. Either way you were freed from the shackles of painful small talk, irritating diatribes, drunken blathering, whathaveyou.

The other day I found myself reflexively tap...tap...tapping to no avail. The conversation went like this with a young fellow medical student...

Med Student: Why on earth would you go into medicine if you were a nurse? I mean, you already had a career, and a paycheck?

Me: Well, just because you are getting paid to do something doesn't mean you should keep doing that thing forever, right? Other things are required to feel fulfilled and happy in your career and life.  I was--

MS [cuts me off]: I mean I had no burning desire to do medicine, I just picked it based on a process of elimination, seemed like it'd be alright. But if I'd been a nurse already I'd never bother going into medicine!

This is the part where I had a flashback to all the money, blood, sweat, tears, and time that it took me to get into medical school. Then a quick roll call of some of the Canadians in my class who could say the same. Followed by all the people I know who are still trying to get into medicine.

Me: Er...[not really sure where to start]

MS: Did you do it because you could make more money as a doctor?

Me: It's really not a money thing [tap]...if I was doing something for money I wouldn't start by going $300 000 dollars in debt [tap]

MS: But you'll make tons of money once you're a doctor so it isn't really a big deal.

Me: tap....tap.....TAP.......TAPPPPPPPPPPPPPPPPP! Scott / Ninja's where are you when I need you??????





Thursday, February 9, 2012

Slippery Slope

So I've just accepted my first handful of samples from a drug rep.

I shamelessly asked for them (to take myself) and he obliged.

Is this the start of a long and amoral love affair with pharmaceutical reps?

Perhaps.

(For the record, it was vitamin D and also for the record I think the stuff should be mega-dosed into the water table. Just sayin'.)


Wednesday, February 8, 2012

The Heart of Inspiration


Below is the combination of several pieces that I've written about my granddad and the story of his lectures which were given to me this past summer. I wanted to post this version, which I recently submitted for a school project. I think that (finally) this tells the whole story in the way that I wanted. Apologies to my frequent readers who are probably tired of hearing me harp on about all of this. 

I thought the timing was interesting, as this is another week where I've needed some major inspiration to keep my head up. 

--


My Beginning

I remember the exact moment that I decided to become a doctor. I was seven years old and standing in the front pew at my granddad’s funeral. I had been listening, really listening, to what the mourners in that packed church had to say. Granddad was a doctor. The eulogists spoke of his wisdom, generosity, and kindness. I heard references to his medical innovation, his skill as a physician, and his dedication to patients. Throughout the speeches there were murmurs and nodding of heads, dabbing of eyes. I was mesmerized by the sea of stricken faces behind me, feeling the powerful impact his life had had on all of these people. I saw very clearly a glimpse of what a meaningful life looked like, the legacy that was left behind. I knew I wanted to leave a similar mark on the world and I remember determining, in my seven-year-old mind, that like my grandfather, I would be a doctor.

Long Before That

My granddad, Russ Taylor, fought in WWII. For his service as a navigator in the Royal Canadian Air Force, he was granted free tuition in the university and program of his choice.  As a fifteen-year-old Russ had heard Norman Bethune, famous humanitarian and champion of universal medicine, speak at his high school.  From that time on Russ had wanted to study medicine. But the Taylors were a farm family with six children so Russ had attended normal school to become a teacher. And as well, in a part-time job his hand had been deformed in a printing press.  He never imagined that because of the war his dream would be realized.

For his post-war training Russ chose biochemistry and medicine at McGill and went on to become, first, a legendary rural family doctor and eventually a polio expert. He was on the team of physicians who brought the first iron lung to Canada. In his forties Russ studied internal medicine and then specialized in cardiology.  After further training at McGill he returned to set up the first Cardiac Care Unit (CCU) in Alberta.

Even after being diagnosed with cancer Russ Taylor continued to work in cardiology, still visiting his long-surviving polio patients.  In his last months he wrote an account of the polio epidemic for the university and he was working on a cardiology textbook when he died. The cardiac ICU at the University of Alberta hospital is named the Russell F. Taylor ward in his honor.

It almost feels wrong to extol the virtues and accomplishments of this truly humble man who was never comfortable with praise. Because I was a child when he died most of my knowledge of him is second-hand. I have only a handful of my own memories… watching  him play the piano, sitting with my head on his chest listening to his mechanical heart valve (consequence of childhood rheumatic fever), sharing scrambled eggs with him in the morning before he left for ward rounds.  I also remember clearly that he was one of the few adults who spoke and listened to me with genuine interest and delight… with respect for my personhood.

 All of my life I've been steeped in stories of his astounding medical career, his profound love of medicine, his intelligence, insatiable curiosity, and his interest in the world around him. Each of these stories is locked in my memory coupled with the sadness that I was never able to know him as a health care practitioner, myself. Sad that I could never hear his opinions on certain procedures, ethical dilemmas, learn what he loved about medicine, or find out what frustrated him. Ultimately, I feel cheated that I never was able to have him as a mentor. Others have often described him to me as the 'greatest teacher and mentor' and yet I never had the opportunity to learn from him.

My Granddad’s Voice

In the spring of 2011 my mother woke up one night thinking about a couple who been good friends of my Granddad’s, Dora and Richard Lam.  Dora had arrived in Canada as a young Chinese woman, to study at the Southern Alberta Institute of Technology in Calgary. After finishing her secretarial program she became my Granddad's medical secretary. Over time she and her husband, Richard, developed a close friendship with Granddad.  At that time Richard was a masters student trying to gain entry into medical school.

Knowing how much I valued learning more about my grandfather’s life, my mother set about trying to find the Lams in the hope I could someday meet them.  And I did meet them.

It was the week before my writing of the USMLE. I was feeling guilty for taking a day off from cramming for the exam, but at the same time I was looking forward with delight to meeting them and gleaning a few more details to add to the mental portrait I have of Granddad.  It makes me feel somehow closer to him when I hear about him from people whose lives he touched.

According to Richard, it was my Granddad's letter of reference that got him into medical school. His interviewer commented on the weight that a recommendation from Dr. Russ Taylor carried. Dora claims my Granddad was very much like a father to her, and that she would never have become a "damn good lawyer" if it hadn't been for his continuous support and encouragement. When people with tears welling up in their eyes tell you things, you simply have to believe that they are telling the truth.

At one point during our lunch, Dora pulled out a small bag that she had brought in with her.  She told me it was something that she'd kept for the past 30 years, through three residential moves…something she wanted me to have. Even before she pulled out the contents I felt my pulse quicken. "This is going to be a treasure," I thought. It didn't matter what it was...whether it was going to be an old pager, or a chart he had signed, a fountain pen...anything. I couldn't wait to see what the gift was.

Dora handed me a collection of audio tapes. All the hours of my Granddad's cardiology lectures to 3rd year medical students.

She had been the one who typed up the manuscripts for him, and she had kept the old reel-to-reel tapes in a box in her basement. "These are his lectures on cardiology and his notes for the cardiology textbook that he was working on. I could never bring myself to throw them away. And now I know why,” she told me.

I was overcome with emotion.

All my life, all my adult life I have wished that I could hear my granddad speak to me about medicine.  And now that would happen. I couldn't contain myself. The tears poured down my cheeks. There in the trendy restaurant with a handful of photographs on the table and an empty coffee cup to stare into, I could not wrap my head around it. There in the final week of a very challenging year, studying for a terrifying exam, feeling completely over my head, second guessing myself at every turn…at that moment my Granddad's actual voice was given to me.

It was the boost I needed. Granddad speaking to me across the years, reaching me through people whom he loved. Talking with the Lams about their careers and about Dr. Taylor’s vocation for medicine gave me an immeasurable dose of determination and renewed my understanding of why I chose this path. It was not only because he was great physician, but because I could see how his example and his legacy continues to move and inspire others to meet challenges and make contributions.

I have finally been able to listen to my grandfather’s voice, the sound of which I had forgotten. I hear him talk about his passion, about something that inspired awe in him…Medicine.   

CBC

The radio show, White Coat, Black Art is a national program hosted by Dr. Brian Goldman, which airs on the Canadian Broadcast Corporation (CBC) twice weekly. Dr. Goldman is an emergency physician and best-selling author, and one of my medical heroes. I was thrilled when he contacted me last summer and asked me to appear on the show, for a piece they were doing on nurse and physician communication styles. When his producer asked me if I’d like to contribute again to the show I knew what I wanted to do. I wanted to bring the story of these tapes to life and create a radio piece with excerpts from the lectures.

When the show entitled Inspiration aired on Christmas Eve, it was very well received. A former RN who had worked with Dr. Taylor heard the show and emailed the host to say how much she had enjoyed being a colleague of Russ Taylor’s for years on the CCU. It was also a delight for our family to hear him over the radio waves after all these years… the sound of his voice rousing memories.

My Granddad loved listening to CBC, often sitting in his car in front of the house to hear the end of a program before coming in from a house call, or in later years retreating to his study to listen to a program on his old radio. It was a strange and wonderful gift exchanged between us…these tapes with his voice and my voice responding to them through the radio show. But the lasting gift was to me from him…a reminder of who set me on this path, why I chose it, and how I’ll carry on. Rededicated to my childhood ambition of twenty-five years ago… I will be a doctor.