Wards: Internal Medicine

EDC. It’s been too long.

I’ve been doing ward medicine for 3+ weeks and have appx 1.5 weeks more to go. It’s been a rocky transition. I won’t go into details here, but just know that being a medical student vs. Intern is just completely a different world and that the team dynamic really makes or breaks the experience.

Otherwise, ward medicine has been something else. The learning curve is a beast, the hours are rough, and maintaining your sanity is a daily challenge. Right now, I’m on Medicine Red (one of the 4 resident teams) at the hospital. My team consists of one senior resident (R2), a c0-intern (R1), and a medical student (MS3). We alternate Attending Physicians every two weeks and right now are super lucky to have an excellent Attending to work with. The schedule is intense. We all, easily, average more than 80 hrs/week. If I leave the hospital by 4pm, it has been a successful day – but this has only happened once. Yesterday.

Here’s a quick run down of a typical day:

  • 6:15 am: arrive to the hospital, head to the team work room and print out patient lists
  • 6:30 am: head to the 4th floor, get sign out from the overnight team on my patients, grab the pagers, and code pagers if we’re on call
  • 6:45-8 am: pre-round on my patients. Currently have 5 pts (thank gravy!!!) and I know them all pretty well, so this doesn’t take too long.
  • 8 – noon: round with Attending and Sr. resident; which are regularly interrupted by other meetings:
    • 8:50 am: social work rounds
    • 10 – 11 am: Morning Report w/ the other Medicine/Neuro/Endo teams
    • noon – 1 pm: Case Report/Teaching/lecture, etc w/ lunch
  • 1 pm – 6:30 pm: discharge pts, consult other docs, put in orders, write notes, see pts again if needed
  • 6:30 pm: sign out pts to the overnight team; if we’re done early sign out to the on-call team.

If we’re on call, we accept patients from noon – midnight. The time is very strict, on my last call we got two new admits at 11:15pm and 11:30pm. This basically results in nobody sleeping. Regarding the call schedule, we’re on a Q4 system – so every 4th night we’re on call. The post-call day we have to round on our new admits, write notes, do orders, etc and sign them out to the day team and get out by 11 am. Then go home and sleep.

It’s overall been a great rotation and I’ve learned a lot but am regularly reminded of my knowledge gaps. I love having “my patients” and taking care of them. I’ve had a couple of really sick patients and being their point of contact and getting them better and out of the hospital is a really gratifying feeling.

I miss all of you and would love to hear what a break down of your days is like and how residency is going for everyone. 🙂

Dr. Nari, a tired Intern.

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Japan & Taiwan: An Asian in Asia

Greetings EDC,

As you all know, I went on a splendid trip recently that required some time travel: past the international date line and into East Asia. I have not been before, aside from being born in Taiwan, and had been looking forward to this trip for basically my entire life. It was as strange and wonderful as I always imagined. Robert, the friend that I married, adventured with me and we both appreciated the fact that he was finally a racial minority. We began our trip in Tokyo, then stayed in the outskirts of Kyoto in Kurama before flying out to Taiwan and touring the entire island essentially. Our trip was only 2 weeks long, but we packed a lot (maybe too much) into it. Here are some of the highlights!

Tokyo: A feast for your eyes, ears, and tummy!

Tokyo delights the senses with overwhelming sounds and visual stimulation while bustling with orderly activity. Some favorite districts of ours were Akihabara, Harajuku, Shinjuku, Shibuya, and Ginza. Each offered their own distinct personality and flare keeping us pretty much in awe the entire time. The metro system is very precise and organized making it easy for any traveler to use, but there is a very specific etiquette for these trains. Before boarding you must stand in line, race each other to open seats and then sit noiselessly. Speaking at full volume is frowned upon on these train cars.

A cold, drizzly day in Akihabara.

 

 

 

 

 

 

 

View of Tokyo skyline from Observation deck at the Mori Art Museum.

 

 

 

Conveyor belt sushi in Harajuku. You submit your meal requests on the electronic device, and the conveyor belt zips it out directly to your counter station!

 

 

 

Takeshita street in Harajuku – known for all things cute and sweet: cat-petting cafes, cotton candy stands, creperies (on every corner), fashionable shopping, and many food items to select!

 

 

 

 

 

Owl-petting cafe: my personal favorite. While the owls were being fed live mice, we drank tea. Best to satiate their appetites prior to being petted by strangers. 

 

 

 

 

 

 

 

Pictured here is the extremely popular and often photographed Shibuya crossing. It’s maybe the busiest crosswalk in Tokyo but as all things Japanese, superbly organized. The second the light changes to red, there is a complete absence of pedestrians in the street. Amazing.

 

 

 

 

 

UNIQLO in Ginza. Happy happy me!

 

 

 

 

 

 

 

Onsen in Kurama: Bathing naked outside and eating traditional Japanese food

The bathhouse that we stayed at was up the street from the Kurama Mountain, a hike boasting stunning Buddhist Temples and a steep train-car to the top. Two days of wearing yukatas at every meal, sleeping on tatami mats, and bathing outside in the wilderness was very refreshing.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TAIWAN: The Best Part

After enjoying eclectic and energetic Tokyo paired with quiet, drizzly Kurama, we made our way to the homeland. We flew from Tokyo to Taipei and made the most of our first day in Taiwan by doing laundry. Positioned right next to the street market and Dr. Sun Yat-Sen museum, we were able to wander around while the clothes spun.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Following a single evening in Taipei, we set off for the streets in which I was born – Taichung. A gritty, scooter-dominated city, Taichung represented a lot of what I imagine Taipei used to be. The skyline was dimly polluted, the night market was noisy and crowded, streets were narrow and without sidewalks, and nobody spoke English. The night market was probably the best part; imagine 3+ miles of food stalls, backpack and phone cases stores, and being packed in with a crowd of people while stinky tofu harasses your nostrils. I loved so much about this city, it really felt like home.

 

 

 

 

 

 

 

 

 

The courtyard of the orphanage in which I spent the first couple years of life. It no longer houses orphans, but instead is dedicated to caring for physically and mentally handicapped children. A wonderful place.

 

 

The rooftop garden of the orphanage.

 

 

 

 

 

After the emotional and wonderful time spent in Taichung, we ventured forth to Kaohsiung, a port city in the southwest region of Taiwan. This was a really fun city to visit and we were able to rent bikes, take a ferry to a local island, visit the British Consulate for Tea & Biscuits, and just wander around. We even got sunburns.

above: view from British Consulate

 

We took a river Gondola ride and were serenaded by the Gondola driver in Taiwanese songs. Very unexpected, a little cheesy, but much fun.

 

 

 

 

 

 

next: Lotus Lake temples and temples

 

 

 

 

 

 

 

 

The best cold noodles I’ve ever eaten.

 

 

 

 

 

 

To round out the trip, we returned to Taipei and enjoyed some Din Tai Fung (very busy), night markets (Raohe >>> Shilin), visited the Taipei 101 Starbucks, and spent our final day at the National Palace Museum. I loved visiting Taiwan and Japan, but as they say, there really is no place like home.



Thanks for reading. 🙂

The place so nice, they named it twice

Welcome to Walla Walla, Washington!

For all those travel bugs and foodies out there, just wanted to give a shout out to Walla Walla, the town I did my third year clinical rotations at!

If you ever get the chance, here are some great things (mostly food) to check out in town:

Food

  1. Graze
    • I LOVED the Vegetarian Torta – my absolute favorite!! I must have gone here every week for this sandwich. It is mind blowing – great bread with chipotle, avocado, black beans, pickled daikon and carrot, sprouts, tomatoes… my mouth is watering just thinking about it
    • They are a sandwich and salad place – pear salad is really good too!
    • http://www.grazeevents.com/
  2. Grandma’s Kitchen
    • Fresh, non-greasy, super tasty Mexican food – you can get nopales! You pick a filling (nopales, black beans, varieties of meats) and pick what you put it into: burrito, sopa, taco, etc!! Yum!!
    • http://wwgrandmaskitchen.com/
  3. Maple Counter
  4. Bacon and Eggs
  5. Fine-ly Made
  6. Walla Walla Bread Company
  7. Sweet Basil Pizzeria
  8. Olive
    • My roomies loved this place. A place to sit and study as well. Lots of baked goods, salads. I think after 8 or 9 pm, some of the baked goods are reduced price!
    • http://olivemarketplaceandcafe.com/
  9. The Marc
  10. Dora’s Deli
    • This is a hole in the wall place. So good – their food is authentic and tasty!!
  11. Whitehouse Crawford
  12. Sipid Bites by Sarah

Events

  1. Gesa Power House Theater
    • Loved this theater – I think we went to a Shakespeare production here. It was fantastic!!
    • https://phtww.com/
  2. Little Theatre of Walla Walla  
    • Went to see a Christmas play here with my adoptive parents from Walla Walla! It was awesome!!
    • https://www.ltww.org
  3. Symphony / Chamber Music 
  4. Corn maze
    • This was super fun! Go with friends!

As you can tell, I did a lot of eating…. 🙂 There are also beautiful places you can explore, hike, and enjoy! Walla Walla is a great town – lots of vegetarian options, family friendly, safe, and happy. And for those of you who love wine, it’s got a lot of it! The downtown is especially nice to explore. I really enjoyed my third year here and am grateful for the experience I had!!

Happy exploring!!

-P

New York Travel VLOG

Traveling – it leaves us speechless, then turns you into a storyteller. – Ibn Battuta

So every med student I know has been stacking their vacation time for the end of the school year so they can do one big vacation trip … except for me. A lot of people think that your life is over once you’ve entered into medical school. I do my best to find the balance between school, career, family, friends, food and FUN!! (Lots of F’s) I love medicine but it is not the only thing I love.

Enjoy the VLOG – live vicariously through me … until you get your month long vacation 🙂

California Eating

Hi All!

Hope everyone is doing well!!

I just completed my second audition rotation and had a great experience in Southern California. I stayed with a family friend from my spiritual group, whom I call Akka (big sister) and had a blast with her. I got YUMMY food everyday (she’s an amazing cook and knew the best places for a vegetarian girl to check out!), got to see LA (went to South Bay, Mother’s Beach in Long Beach, Cerritos, got lost and drove past Griffith Park, explored Sunset Blvd, and many more!), and met some amazing people along the way! In true EDC spirit, here are some photos and food recommendations from the month:

Akka’s peanut Thai noodles with veggies, avocado, and tofu

Akka’s aloo poha (flat rice and potato) with homemade lemon pickle

Akka’s Mac + Cheese with avocado salad

Trader Joe’s masala veggie burger with sweet potato fries, grilled veggies, and salad

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Eating pizza at Green Peas Casual Dining in LA (got the Green Peas pizza – it had pumpkin seeds, avocado, and other veggies with the perfect crust!)

Eating at Soup Plantation with a new friend from Australia

Eating Indian food with new friends
Boba!!!
Enjoying Jeni’s ice cream with new med student friends! If you’re ever in LA, check it out! Unique flavors like “Wildberry Lavender” and “Brown Butter Almond Brittle” were SO GOOD!

Also got to visit branches of my spiritual group in Southern California, work with kids and teach them some music, and visit the beach!!

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Got to make SOME time for studying….

I also got to eat at:

-Poquito Mas (awesome Mexican food!)

-Messhall (got a tasty veg stew with pea fritters – tasted really good!)

-Churro Borough (another great ice cream place)

-Rockwell (tasty fries and grilled cheese, bar foods)

-Tree House Thai (super good soup – Tom Kha Gai)

So much AMAZING food!!!! Happy eating!!!

EDC love!

-Priya