For those who care to track my every movement

16 Dec

(a.k.a. the requisite vacation productivity post… so that on January 2nd, when I’m moaning about how much I still have to do and how I really really really don’t want to go back to clinic yet, I’ll have something to look back on and recall that, oh yes, I actually did knock a few things off the list, didn’t I?)  

This is my class’s first break since July 18th, and good grief, have we needed it. (This was supposed to be the ‘easy’ semester, with the outpatient rotations and predictable hours–what does it say about me if I’m this burned out by the end of just those rotations?!) Aside from the fact that we’re exhausted, we’re also more broke than we’ve ever been in our lives (can someone please explain to me why we receive the same amount of aid to cover a nearly-six-month fall semester as we do for the four-month spring and three-month summer?!). The time off has been fantastic in terms of getting things done, though–when you’re in clinic every weekday from 8a-5p, it’s hard to get anything done in your own life. I call it ‘life maintenance’, and I’ve been pretty efficient at it so far:

Saturday — absolutely lovely Starbucks-fueled walk through the Duke Gardens with a classmate, followed by an absolutely lovely Christmas party at Liz’s, capped off by absolutely lovely drinks at Six Plates with another great friend. Magical first day of break.

Sunday – ran treadmill intervals, got a celebratory end-of-semester massage (quote from the therapist regarding my recently painful knees: “I could have spent SO much longer working on you…”), had coffee and brunch at Scratch with a classmate and her beautiful baby, and hung out with one of my awesome c/o 2013 mentees in the evening.

Monday — insanely productive! Canceled my cable, did my grocery shopping, got my yearly physical and Tanzania travel consult (four shots, three prescriptions), got my car’s oil changed and tires rotated, cashed in an about-to-expire LivingSocial to get the car washed and vacuumed, then went to Wine Down Monday (half off all bottles…) at Firebirds with a good friend.

Tuesday — went to the girly doctor (hush; this was a long time coming; there may even be a post about it later, though I promise I won’t go into gory detail), had frozen yogurt with a classmate, then came home, did laundry, and spent entirely too much time finagling my apartment’s electronic setup.

Wednesday — wasted most of the day on this blog migration :-) but also did some pretty serious cleaning and Goodwill-ing. Went to my instructor’s last BodyTone class (*sob*), then went out with some friends.

Thursday — coffee date followed by LivingSocial dinner at Tallula’s with my second awesome 2013 mentee. Not entirely sure where the rest of the day went, which I think is a mark of a successful vacation day…

So far, today has consisted of me sleeping until past noon (!), then being awakened by the phone when the friend I’d promised to meet for lunch called to inquire whether I had perhaps died in my sleep. Anyway, we had a lovely lunch at Vita and now I’m back home. Going to go work out shortly, and then tomorrow I’m having brunch with my third awesome 2013 mentee (yeah, I sort of collect them) and going to dinner and a comedy show with a few Raleigh friends. Sunday I’m helping some good friends move into their recently-purchased first home (!!!). Monday and Tuesday are still mostly open (noteworthy for the Duke-UNCG basketball game on Monday night), and then I’m headed down to Florida on Wednesday to spend some time with my family. I still have a few things to get done before then — some big, some small — but it’s amazing how much ‘cleaner’ my brain feels without all those extraneous small personal-life concerns nibbling around the edges, never able to really make their way in and compete with the things like, oh, a two-hour pediatrics exam or a 45-minute presentation on Tanzania.

17 vacation days left, and I plan to soak up every one of them…

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Professional Update

14 Dec

So far in the clinical year, I’ve written my research paper on pediatric food allergies (those of you playing the home game may recall that there was a last-minute scheduling explosion about nine days before I was supposed to go to Wilmington for primary care, meaning the paper ended up being my first rotation) and have also finished my rotations in OBGYN (one month), primary care (two months), and pediatrics (one month). There have been some really good days, some wonderful compliments, and some fantastically memorable moments. There have also been some terrible days and quite a few extremely uncomfortable moments. Occasionally, just how far I’ve come and how much knowledge I’ve gained becomes dazzlingly, unbelievably clear to me. Then there are other times when I don’t feel like I’m learning anything at all, like I’m just faking it. The overwhelming majority of the time, I feel like the dumbest person in the room; this is helped only slightly by hearing from every single one of my classmates that they feel exactly the same way. And yet we keep getting up in the morning, keep putting ourselves through it, because we are trying so so hard to ‘trust the system’ and believe that we’re going to come out on the other side knowing what we need to know. It’s still the best thing I’ve ever done, but it’s also still the very very hardest.

Anyway, I’ll get into the emotional side of this a little more in another post, but in terms of a ‘professional update’, the idea of having a job no longer seems quite so far away. I’m still not sure exactly what form that’s going to take, but one way or another, on August 3, 2012, I will theoretically be eligible to take my board exam and begin the rest of my life.

A few options that clatter and bang around in my head at times:

Staying here. At this point, this is still at the top of my list. I absolutely love this area, and I definitely think this is where I want to be on a long-term basis. I have a huge network here and, knock on wood, don’t think I’ll have too much trouble finding a job once I figure out exactly what type of setting I want to be in. At this point, I also don’t think it’s any secret that I’d really like to be on faculty at DPAP someday–maybe not doing a boatload of lecturing, but things like small-group sessions, academic advising, writing exams, doing interviews/admissions, the occasional lecture on something I’m passionate about–those are all things that are really exciting for me to consider.

Going somewhere else. By the same token, precisely because I do have such a large network in the Triangle, it seems as though it could potentially be easy to get ‘stuck’ here if I were to find a job here straight out of school. If I ever want to live anywhere else–if the travel bug isn’t fully satisfied, if I ever want to experience life in a big city, etc.–then this seems like the logical time to do so, with the goal of returning to the Triangle after a couple of years.

The PA residency in OBGYN at Montefiore Medical Center in NYC. Until hearing about this, I hadn’t put a lot of serious thought (okay, any serious thought) into the idea of a residency, because the majority of them are for critical care or surgery or emergency med–not things I’m particularly interested in. But, depending on how my interests evolve over the next few months, I would consider this one. Besides pediatrics, my next-favorite field is OB… and regarding the above line of thinking about living somewhere else for a while, NYC would definitely be my top choice. We shall see.

International work—clinical or otherwise. Yeah, there’s Africa, South America, and so forth–but also, the Netherlands uses PAs now, and they might welcome an American-trained PA (who speaks Dutch) to get involved on the educational side of their university programs.

Something else that I haven’t experienced yet. My next rotation is pediatric hematology/oncology, so I’ll get to experience the inpatient side of pediatrics for the first time. Also still to come are surgery, psychiatry, emergency med, internal med, and of course Tanzania. I’ll be curious to see whether these next 7-8 months just feel like ‘marking time’, or whether something else will actually jump out at me as a potential future career interest. We’ll see what develops.

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My continuing Applification

13 Dec

Also competing in the category of ‘why didn’t I just do this in the first place?!’, we have Apple TV.

For those who aren’t familiar, Apple TV is basically a streaming device to allow one to play web- and iTunes-based content via the TV. It costs $99, so for years I’d been doing ‘everything but’—I’ve been paying for cable in this new apartment, I’ve been getting the Netflix discs rather than the streaming, and I even bought a $25 cable last week to try to use my MacBook Pro itself as a makeshift Apple TV. None of this was really working all that well—I watched cable maybe once a week (Glee!), the computer-to-TV adapter I bought couldn’t carry audio from my (older) MacBook Pro, and the Netflix discs of course arrived several days apart (and I rarely had time to watch more than two or three a month, anyway)—but dammit, I was saving money. Somehow.

Then my Apple AirPort wireless router died, so I went without for a couple of weeks, using an Ethernet cable (which of course didn’t work with my &*@^% school-issued PC) and scavenging free wireless connections where I could. After a little research, I realized that the AirPort I had (which I’d bought used) was actually approaching its tenth year of existence. Thus, I forgave it the extreme faux pas of giving up the ghost whilst bearing an Apple logo (blasphemy!), and decided that, assuming the cost was going to be spread over another decade, the investment in a new one was, in fact, probably worth it.

Apple TV

Somewhere in this confusing analysis of electronic devices and cost-benefit ratios, I ended up investigating the AirPlay feature of the Apple AirPort (and the awesome free Remote app for iPhone), which led me back to the option of Apple TV. After crunching a few numbers, talking to my sister (who owns one), and taking a good look at what I pay for versus what I actually watch, I realized that my current setup was both practically and financially ridiculous. I canceled my cable (keeping my Internet, but still saving me $54 per month), switched Netflix to streaming (no additional cost), and… drumroll… bought an Apple TV.

Verdict? So far, it is absolutely amazing. (See above comment re: why why whyyyy didn’t I just do this from the start?!) I’m currently working my way through all six seasons of The Wonder Years (don’t judge) and my lovely sister has agreed to share with me her vast collection of digitized movies and TV shows when I go home next week, so I will soon have even more content at my disposal. Also, an unforeseen perk is that, when I play music through Apple TV, if I do it with the Remote app (which, again, is super cool, and FREE), I can stream music simultaneously through the TV and my MacBook Pro. In other words, the laptop functions like a separate wireless speaker that I can place anywhere I want. Not that I throw a whole lot of parties in this 500sf apartment, but hey, who needs a party to appreciate a well-balanced audio system? Not this girl.

In other words, good decision (that is significantly contributing to my enjoyment of this lovely winter break!), and I wish I hadn’t waited so long.

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The times, they are a-changin’…

12 Dec

It’s time for a change. I’ve had essentially the same Blogger website and personalized template since I started blogging almost nine years ago, and my tastes are no longer quite so, um, pastel. I do wish I could have just changed my template and stayed with Blogger, and thus kept the address that everyone already knows, but there just wasn’t a design that spoke to me… and furthermore, I am no longer in possession of the scads of free time and endless persistence that are most definitely required in order to successfully tweak one’s own personal template into a format that is simultaneously clean, organized, practical, appealing, and maintenance-free. In other words, while there will always be a soft spot in my heart for Blogger and its ease of use, I do think WordPress has officially won me over.

Having said that, I’m going to try to be better about posting on a more regular and frequent basis. School has successfully (and rightfully) put the fear of god into us about HIPPA violations and patient privacy, so there will obviously be huge chunks of my life that I won’t be able to post… but you know, I am more than just a PA education, dammit, and I truly miss blogging. The silver lining is that my emails to friends have definitely gotten longer (someone said the other day, ‘oh, good, an email from Jess; let me go get another cup of coffee!’), but rather than put the onus on any one person in terms of replies, why not just put it all out there into the world?

Anyway, so I’m in the process of trying to migrate nine years’ worth of old content from Blogger to WP. This is not proving to be as easy or seamless as perhaps it should be (story of my life), and this page is looking quite interesting at the moment (posts from 2004 are showing up next to posts from 2011); however, I’m not quite ready to give up yet. We’ll see what happens. Either way, this is my new home, so stay tuned.

P.S. My real-life stethoscope is actually not purple. But ‘burgundy’ just didn’t have quite the same ring to it… :-)

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Summer

14 Jul

So I spent the majority of my vacation in Florida with my family, and overall I had a really great time. I ended up going down a bit earlier than I planned because of the timing of my grandmother’s funeral, but I’m glad that things worked out to where I was able to be there. I drove down on the first of the month, and services were on the second. We had a small family remembrance in her backyard, and although I hadn’t managed to write down anything to say, I was able to speak pretty well ‘off the cuff’ despite everyone’s emotions running high. After that, there was a Catholic mass (the priest was very amusing and did a great job with the eulogy) followed by a delicious lunch. Sad setting aside, it was really nice to have such a big chunk of my family together; my dad has 4 sisters, and they were all there, with most of the members of their families. That’s how it used to be on big holidays, when all of us cousins were little, but I haven’t seen everyone in one place like that in years.

The rest of break was pretty low-key. I did some clothes shopping with Mom, went to the Bookmine (twice), did a lot of early-morning runs, took my parents to Three Layers Cafe, and swam three practices with my old masters’ swim team. The first one hurt (both my body and my ego!), but the second and third ones weren’t bad. I also checked out the new downtown library, and, yeah — there are pretty much no words for how amazing it is. Five stories tall, with everything you could possibly dream of and more: a teen room, a genealogy research center, a theater, a Grand Reading Room on the top floor, a forest-themed children’s area, a map room, a cafe, and so on. I would have lived there as a kid.

I got to see some of my old friends, too — met an old middle-school friend for coffee, an old swim team friend for brunch, and a high school friend for dinner (complete with peanut butter pie as big as my head!). I also got to spend a whole day with my best friend from high school, who is an RN, married and living in Orlando. I sat beside her on the first day of Spanish II class, in ninth grade, when we were both 14; she had braces and long reddish-purple hair (which is now back to brown, and as short as my own). Anyway, I drove down to O-town for the day, and we hit up IKEA, the mall, the outlets, and an amazing restaurant called The Elephant Bar (which unfortunately does not exist in my part of the country, so we may have to make that a regular destination when I visit home!). Our mouths never stopped moving all the while. I am so grateful that she and I have been able to stay friends for all these years — I’ve known her for literally half my life, and every time I see her, we manage to pick up right where we left off. It’s just so ‘easy’ to be with her, which is such a rare gift.

The next day, I drove down to Gainesville to watch my cousins (18 and 15) swim at their sectional meet. I’m particularly close to my 18-year-old cousin M; she just got a full college scholarship to a top-five swimming school, and is also competing at the FINA World Championships in Shanghai at the end of this month, so this was my last chance to see her swim before she hits the big time. I am so freakin’ proud of her, both as an athlete and as the young adult she’s becoming, and it was great to spend some quality time with her, sitting in the bleachers chatting about life in between her events.

Let’s see, what else? Well, my dad scrubbed three years’ worth mold off my car (he’s amazing), fixed my folding bike (see? amazing), and sweet-talked the salesgirl at the Apple Store into replacing my drowned iPod for free (told you he’s amazing). And I guess I did a little bit of work myself, too — reviewed some PACKRAT (end-of-year exam) questions, worked on my speech for the scholarship lunch (more on that in a minute), and wrote a blog entry for the ‘Day in the Life’ series of essays that are posted on the PA website (link to come). Oh, and I busted out my medical ‘toys’ to look at my sister’s infected ear (she managed to perforate her eardrum less than 4 hours before I got to FL), which evolved into an impromptu medical clinic in the dining room, with everybody looking at everybody else’s ears, eyes, and throats. Catie’s perforated TM was the star of the show, but it turns out my dad and brother-in-law have great (read: easily visualizable) optic discs, and my mom has perfect ‘textbook’ pearly gray eardrums. I freaked out for a second upon seeing a black splotch in my dad’s right eye, and tried to ask him casually whether he’d ever had any other eye issues apart from his nearsightedness; he replied, “No, but whenever I get those pictures taken of the back of my eye, they tell me I have a ‘freckle’ back there in the shape of a T-bone steak. It never changes; it’s just there.” Cue the sigh of relief that it was a normal finding… but I also felt like a stud for seeing it! :)

Oh, and, of course, we drove down to the Canaveral National Seashore to watch the final space shuttle launch. That was a big part of why I’d wanted to go home for this break. Although we were several miles away from Kennedy, it was still an awesome sight, and an unforgettable experience. Waking up at six o’clock to a seventy percent chance that the launch would be scrubbed, but still taking the risk and driving down. Walking a mile down the beach, hanging on the radio announcer’s every word for weather updates, anxiously watching the skies begin to clear. Standing on the sand in the middle of a stock-still crowd, everyone facing the same direction, silently waiting. Listening to the countdown via portable TVs and radios, holding our collective breath as it stopped at T-minus 31 seconds for a quick double-check of a retraction arm, exhaling in relief as it started back up. Watching the famous old digital countdown clock tick down to zero for the final time, then exploding in cheers and applause when the bright streak of light lit up the horizon for the last time, arcing its way upward ever faster. Just fantastic. Hard to believe that such a huge part of my childhood is over, though. I went to Space Camp at age 12 and loved every minute of it. A newscaster that I’ve been watching for my whole life got so choked up over the end of the shuttle program the night before the launch that he almost couldn’t finish his piece. His point was that those of us who grew up in Florida feel a sense of ownership of the space program; it means something different to us than those in the rest of the country. We were the kids who stood on our driveways and rooftops on launch days and pointed to the faraway streaks of light, watched the solid rocket boosters fall, listened for the sonic booms from the reentries, heard the stories of the Challenger told and retold. An era has ended, but beautifully so. I hope that whatever comes next can compare.

Anyway… then yesterday was the aforementioned scholarship lunch; the organization that sponsored my elementary school’s safety patrol brigade gave me an award last year that they were kind enough to renew for 2011. I had let slip that I was going to be in town, so I ended up being invited to attend one of their weekly meetings, and was asked to give a brief speech on what I’d been up to over the past year and what was on tap for me for next year. I was nervous about it, but I think it went well; I saw lots of smiles and nodding heads throughout, and got a couple of big laughs — even some spontaneous applause when I talked about St. Baldrick’s. I talked briefly about what a PA is (“We’re not ‘Personal Assistants’; we’re not ‘Public Attorneys’; we’re not the state of Pennsylvania…”), what I’d been up to over the past year (“You may notice that I’m sporting a pretty short haircut…”), what was coming up for next year, and how lucky I felt to be at Duke (“I’m learning something new every hour of every day, I’m surrounded by the most brilliant, caring, amazing people I’ve ever been privileged to meet, and I feel so humbled that someone, somewhere thought that I deserved to be among them. And I have people like you to thank for that, because it’s organizations like this one, and people like all of you, that allow me to get up in the morning and do what I love every day.”). I felt pretty good afterwards; one of the things I’ve been working on this year is trying to become a better public speaker, and this was one of the rare occasions when I’ve been asked to speak, not about a random school assignment, but about something I’m passionate about and truly know backwards and forwards. Anyway, I was pleased with how it went, and I drove back to Durham last night with a check in my purse, so my Duke bursar account is going to be pleased, as well. :)

Today, so far, has been amazing. I got caught up on bills and various other tasks, then went for a massage at 11am. I haven’t had a massage since I was 21 and living with a girl who was in massage school, but I still haven’t fully recovered from that finger-breaking tumble I took a few weeks ago — I pretty much wrenched the entire left side of my body from neck to thigh, and a certain muscle in my left hip/glute area, in particular, is still pretty stiff, especially after long periods of sitting. I thought a massage might help, so I’d been watching GroupOn and LivingSocial for deals, and finally snagged one. I swear I could feel my muscles crunching as the knots were worked out! It wasn’t exactly pleasant, but my body felt a lot better afterwards (and, knock on wood, my hip doesn’t hurt anymore, either!). My shoulders were actually sore afterward from all the work she did on them (after yesterday’s seven-hour drive, I’m not surprised they were so tense), but it was the good kind of sore. I’m glad I did it. It’s not something I can afford to do on a regular basis for full price, but I’ll definitely keep watching for deals.

After the massage, I went to lunch with my friend R, her baby girl, and her sister M; she had scored yet another LivingSocial deal (it was just that kind of day). We caught up over a delicious shrimp and artichoke risotto, and then I went a few blocks down Main Street to get my hair cut by the amazing C (whom I discovered during the St. Baldrick’s event a few months back and to whom I was an immediate convert!). We agreed that I had reached ‘critical mass’ in terms of hair and that it drastically needed thinning out, as well as some shortening. It’s amazing how fast it grows; C was telling the other stylists behind the counter that she couldn’t believe how fast it had come back; it’s been less than three months since I shaved it! Oh, and she and her hair posse officially challenged the DPAP crew to a cornhole tournament next week… this should be interesting… :)

Anyway, I just called and left a message for my very first preceptor, which was only slightly nerve-wracking; I assume he’s in clinic all afternoon, so I doubt he’ll call back until after 5. I’m headed to my BodyTone class now (the second-to-last one I’ll get to do for a while… *sniff*), then back home to clean up, then a couple of errands, then to Tutti Frutti with some DPAPers, and then… drumroll… the very last Harry Potter midnight show of all time! (Yes, I will be wearing my graduation gown — I’m just that big of a dork! :))

Three and a half more days of freedom… and it’s been an awesome break… but I gotta say, I’m actually feeling a lot more confident than I was before the vacation. I’ve wrapped my head around the transition and my changing role, for the most part, and I’m ready to jump back in.

Just don’t tell my classmates I said that. :)

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What happens in Vegas…

13 Jun

There have been three major developments in my life recently that I haven’t yet posted about, so I’m going to try to write a brief update that encompasses all three. Caveat: I managed to trip while running last weekend (caught the toe of one sneaker in the loop of the shoelace on the other) and fell in the exact wrong way to break one of my fingers, so this may not be as detailed of a post as you guys are used to (typing isn’t the easiest thing in the world right now), but I’ll do what I can.

(1) Global Health
Our Global Health electives were announced last week, and I got my first choice — Tanzania!!! I’ll be spending most of the month of March at Machame Lutheran Hospital in Machame, Tanzania, which is on the lower slopes of Mt. Kilamanjaro, right on the Kenya border. I’ll be going with a classmate of mine who is also a good friend, and we’re both incredibly excited. Word on the street is that, because of the language barrier, this rotation is more observational than most of the ones we’ll do here in NC, but we’ve also been told that you can ‘mold’ the experience into whatever you like best — i.e. if you’re a surgical type, you can spend lots of time in the OR, or if you’re like me and more interested in pediatrics, infectious disease, that type of thing, then you can spend more time in the HIV clinic. I also discovered today that this hospital has a palliative care program, so that might be rewarding to be involved with, as well. I’ve wanted to do medical work in Africa for as long as I can remember, and I absolutely cannot wait! I’ve already borrowed a couple of Swahili books from a classmate who’s been to Tanzania before, and I’m planning to study up during the fall and winter. (Foreign language #7! Woohoo!)

The only minor down side is that we’re going in March rather than in January, meaning we won’t have that nice long winter break preceding the international experience (on the contrary, it’s going to be sandwiched between two of the rotations I’m most dreading — surgery and psych!) This is a bummer, partly because there are a ton of cool extracurricular things to do in Africa — safari, the Jane Goodall Institute, etc. — and also because most of the flights to Tanzania go through Amsterdam, which means I could potentially stop and visit friends (and shadow a couple of Dutch PAs at their hospital, as I was recently invited to do, but I’ll get to that in a minute). I was also hoping to spend some time in South Africa with a friend I haven’t seen in nearly a decade. I might still be able to do most of those things, but the timing will be a lot more of an issue than it would be if this were my January rotation. We’ll see. Anyway, I’m still so unbelievably stoked to have gotten this rotation and to be fulfilling a lifelong dream. Can. not. WAIT.

(2) New Apartment
We had a travel snafu on the way home from Vegas last week that resulted in a miserable 24 hours (but netted us a free airfare, so it’s all good), and I really just wanted to come home and crash. However, upon walking in to my apartment office the day I got home, it turned out that my new, permanent apartment was ready two days earlier than I thought it would be. Suddenly, I was no longer tired — I’d been waiting nearly six months for this day! :) I borrowed a hand truck from the office and got busy. Within 24 hours, I had everything moved (and didn’t fall and break my finger until, oh, two or three hours after I was done, so I suppose my timing was decent?!), and I’ve spent this past week slowly getting organized. I bought a TV stand and bookshelf on the cheap from a classmate, finally ordered my IKEA sleeper sofa, which should be here next week, and after lots of looking, finally found and ordered a dining set that I really like. Then I went to IKEA in person this weekend and bought a rug, a paper lamp, a couple of pieces of art, and some other accessories. The place is shaping up to be absolutely beautiful and completely ‘me’, and I’m so excited. I’ve never lived completely on my own before, and I’ve waited a long time for this, so it’s awesome to watch everything coming together. It’s a quirky little apartment — my books are in the highest kitchen cabinets, my pantry food ended up in the linen closet, my silverware is in a lower cabinet — and yet somehow none of this is annoying to me in the least. It’s all part of the charm of the place.

Photos to come, once the sofa and dining set arrive. I really want to have people over for a big brunch once things are completely finished (bought two kinds of scone mix at World Market last week in anticipation of that)… hopefully we can make that happen before the end of the school year on June 30th.

(3) Vegas
What happens in Vegas stays in Vegas… unless you happen to have a website. :) I recently attended my first annual AAPA conference, which was held in Las Vegas. Oddly, this was actually my first time ever traveling west of the Mississippi. I can’t say much good about the city itself — it was like sensory overload 24 hours a day, with the music and lights and cigarette smoke and noise and general level of public inebriation… like a theme park for adults — but the conference itself was utterly AMAZING. Our faculty gave us the week off in hopes that we would use it to attend the conference, and even though I know that was something of a calculated move on their part (X + Y = Z, or “let’s get them to go to this conference so that they’ll get really excited about our profession and hopefully continue to be involved at a high level throughout their careers”), it still worked; I had an incredible time and will definitely continue to attend every year that I can reasonably do so.

Even though I wasn’t eligible to earn credit for them (yet), I still attended a bunch of CMEs, and learned a ton. (CMEs = Continuing Medical Education sessions… I’ll have to complete 100 hours of CME every two years throughout my career once I’m licensed, and this conference is a great opportunity for licensed PAs to earn a big chunk of those hours.) Since I wasn’t shooting for a certain number of credits, I was able to just attend whatever sessions interested me most, and it was amazing. I listened to talks on pediatric palliative care, the hygiene hypothesis, pediatric immunology, maternal/fetal trauma, and pediatric seizure, among others, and scribbled notes the whole time. I was both amused and pleased to see that every CME presentation began with a statement of the learning objectives — that’s something that our every lecture and unit and course is built upon, and it was interesting to see that what we do in the classroom is directly modeled from what happens out in the ‘real’ PA world. One of my faculty members presented a lecture (aimed at preceptors) titled ‘The Unprofessional Student’ — so, of course, a dozen or so of us showed up to be living, breathing examples. :) I knew Duke didn’t employ slackers, but still, I was impressed that this faculty member was enough of a ‘big shot’ to present at a national conference, and told her so; she blew it off and said, “One day this’ll be you up here.” (We’ll see about that, but the comment made me feel good. :))

There was a lot more to the conference besides CMEs, though. There was a huge exposition hall with more free samples than I could count, and we spent a good amount of time in there, which was a great way to meet people and make connections. I met two middle-aged Dutch PA students from Rotterdam, who told me all about their program and even invited me to come shadow them at their hospital. It was great to speak Dutch again and really enlightening to hear details of how other programs are structured. There was a 5k Fun Run one morning, which a few of us ran, and a Duke alumni reception one night, where we got to meet graduates from years past. Also, one of my Challenge Bowl teammates won tickets to the fancy-schmancy conference awards dinner (basically, to honor PAs from across the country who have done amazing things), so we got to sit at a table with the AAPA press, meet all the honorees, eat a delicious free dinner, and basically rub elbows with all the bigwigs in the PA profession. And everybody was so nice! I was amazed at how willing people were to help us, and how enthusiastic they were to hear that we were students. We had business cards shoved into our hands every few minutes, and were repeatedly told, “If you ever need anything, get in touch.” One of the dinner speakers quoted one of his students as having said, “It’s amazing that such a large, fast-growing profession can have such a small-town, family feel to it,” and I found that quote to be right on the money.

The National Medical Challenge Bowl (a.k.a. “Quiz Bowl”), took place at the conference, too, and was an incredibly intense experience that I am so glad to have been able to participate in. I can’t even explain how it felt to see all 30+ of our attending classmates decked out in Duke blue on behalf of the three of us! We ended up coming in second to Yale in the first round, which was something of a letdown — it was hard to have five months of preparation and anticipation be over in five minutes, and I’d be lying if I said there were no tears — but the sadness stemmed more from the fact that something that was such a highlight of the first year for me was suddenly over. I’ve never thought of myself as someone who thinks well on my feet, and as a result, I truly never expected to actually be good at Quiz Bowl — I was just going to the practices for fun, to see if I could learn something — but I surprised myself and turned out to have a real talent for it. I’ll never forget hearing the moderator read our tenth and final question, having that ‘light-bulb’ moment after the first few words, buzzing in before the question was complete, nailing the answer, and hearing my class scream their approval. It’s not likely that I’ll ever be able to use that skill again in that type of setting, which makes me sadder than it probably should. But I’m trying to remind myself that, someday, whether it’s in six months or six years, a patient will benefit because of something I learned through Challenge Bowl. I suppose that’s enough of a reason to be glad about having done it.

Honestly, the predominant emotion throughout the entire conference was, I can’t believe how lucky I am to get to be a part of this! I can remember, before PA school, having some lingering doubts. Despite how much I liked my pediatric job, and how well I’d done in my science classes, I was still really shaken by my 2007 experience of having realized that I both wanted and needed to quit linguistics. On a fundamental level, I’m just not someone who quits things, and so that experience was both unusual and scary for me on a lot of levels. As I went through the PA application and acceptance process and started preparations to come to Duke, a tiny voice inside my head would occasionally whisper, “What if you go through all of this, and devote all this money and time and energy… and then this isn’t it, either?” Thankfully, it became clear almost immediately upon starting school that those fears were unfounded, and the thought of this not being where I belong honestly hasn’t even entered my head once — but it was still wonderful to stand in the middle of a bustling conference center or awards dinner, look around at all the activity, and feel such high levels of interest and motivation and happiness surging through me. It confirmed for me yet again that I am in exactly the right place, in exactly the right profession, with exactly the right people. As nervous as I am about the end of the first year (18 days!) and the start of rotations, I’m excited to see what comes next, and thrilled to be inching ever closer to my life as a licensed professional.

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It’s kind of growing on me. Pun intended.

24 Apr

I should preface this post by saying that my class has been working for months on a fundraiser for pediatric cancer research, raising money by pledging to shave our heads. When we first started talking about it, I immediately wondered whether perhaps I should volunteer to be a ‘shavee’ – seeing as it’s one of those things that I’ve secretly always wanted to do on some level – but then talked myself out of it. As a result of that ‘go big or go home’ mentality, I ended up doing absolutely zero work toward the fundraiser whatsoever. As the big day drew closer, I mentioned to a few people that I’d temporarily considered the idea of shaving, but the conversation never went further than that. The online shavee list stayed constant, as it had been from the beginning: every DPAP 2012 boy (save one), but no girls.

Until Thursday – approximately 24 hours before the shave-a-thon – when I walked past a couple of my faculty members (both female with very short hair) and heard, “Hey, what’s this we hear about you wimping out on shaving your head?!”

Um. Well.

I laughed, then launched into my litany of reasons: “Oh, you know, I have clinicals coming up in three months…”

“Come on, just take an extra multivitamin! It’ll totally grow out in time!”

Coming from a couple of PAs, that cracked me up. “But, I mean, I didn’t even raise any money for the foundation, so there wouldn’t really be a point to my shaving…”

“Well, I donated to your class as a whole,” one of them pointed out, “so you can kinda count that as money that ‘you’ raised…!”

They kept saying yes, I kept saying no, and after some more good-natured back-and-forth, I continued on my way and forgot (mostly) about the conversation.

After the school day ended, I was feeling rather melancholy and went for a run. The second-years had been in the building with us all day and it had been a weird, ‘transition’-feeling type of day for me – clinical year suddenly felt incredibly close, and the idea of losing my comfortable first-year routine was looming particularly large. I didn’t have any plans, but didn’t feel like going home to an empty apartment, so I texted a few classmates to see what they were up to. One friend responded that she had a bunch of girls from our class at her house making homemade sushi, and that I should come, which I eagerly did.

Sitting around the table with full bellies a little while later, someone mentioned the fundraiser, and I made the mistake of mentioning the conversation I’d had a few hours earlier. Everyone at the table was two or three glasses in by this point, so naturally the mass response was, “Oh, you should TOTALLY shave your head!”

I smiled, shook my head, and started reciting my excuses again. “Nah… clinical year starts soon… and I’ve had short spiky hair before, which looked awful… and I didn’t raise any money for St. Baldrick’s anyway…”

…at which point one of the girls across the table cut me off short, smacking her hand on the table and saying, “I’ll give you fifty bucks right now if you shave your head.”

I blinked.

After a beat of silence, the girl next to her nodded and said, “I’ll match that.”

The next girl raised her eyebrows and said, “Well, I’ll pledge a HUNDRED bucks if you shave your head!”

And so on and so forth, until the girl at the end of the table stood up and said, “Okay, Jess – I will match the donation of every single person at this table, if you will shave your head.”

Silence. Everybody looked at me expectantly.

Oddly enough, it felt right. I couldn’t help but grin. “I’m trying to figure out if I’ve had too much to drink, or if I’m actually considering this,” I said, “…and, you know, I think I’m actually considering this!”

“Okay! So. We need a computer,” someone said, very businesslike. The hostess ran to fetch her school laptop, and ten minutes later, there was a new team page on the St. Baldrick’s website. “How do you spell ‘booyah’?” the typist inquired, and suddenly we had a team name: “Jess Is Shaving Her Head, BooYah!”

Credit cards were whipped out, promises were kept, and I was approaching four-digit territory within minutes. I was starting to get excited by this point, thinking about my rockstar cousin Anna and her recent victory over lymphoma, little Vinny from Kernersville whose heroic saga I’ve followed online for years, the (thankfully) few pediatric patients I dealt with firsthand who were diagnosed with various forms of cancer, and my own misdiagnosis of osteosarcoma as a thirteen-year-old. Here was something that I could do – actually do, not just talk about – that would make a difference. Not to mention that part of me had sort of always wanted to shave my head anyway, but had just never had the right opportunity. I started to feel ridiculous for having waited so long to get on board. I grabbed the laptop and wrote a short message on the team page, stating that I would shave my head IF, and only IF, I reached my fundraising goal by the start of the shave-a-thon at 5:30pm. It was nearly midnight by this point, which left us just eighteen hours to work with. Deep down, I knew that I’d take the leap regardless of how much more money I managed to pull in, but wanted people to work for it.

Within minutes, I started getting text messages from others in the class, wanting to know if one of the guys had signed me up as a joke. When I assured them it was for real, Facebook started lighting up with people enthusiastically reposting my team page, with variations on “the ONLY girl in our class brave enough to shave!” The donation total crept steadily upward. We’d set the goal at $4,000, knowing that if others in our class joined my ‘team’, that their already-accrued donations would transfer towards my total, but there were a sizable number of new pledges coming in, too. My class is roughly 80% female, and I think it was exciting to suddenly have a lone representative from Team Estrogen at the eleventh hour.

My class had yesterday off, but the 2011ers were watching the numbers from the lecture hall, and my class was keeping track from home. I don’t think I’ve ever received that many texts in a single day. “OMG, you’re halfway there!” “Wow, look how much you’ve raised!” “Only $1000 to go!” Faculty members were emailing me, “I’ll donate in your honor!” and “I’ll try to make it over there to watch!” I got donations from old high school classmates that I haven’t spoken to in years, as well as from second-year DPAP students and even a couple of 2013ers, who will be entering in August; I also got a large donation from the amazing doctor that I worked for prior to entering school, and a couple of lovely, touching personal messages from other donors. I made a special trip to Target to buy a few headbands and scarves, and posted on Anna’s Facebook wall “Um. So. My class got me into this thing, and it kinda snowballed, and… well… I think I may need some hair advice!” (Chica was brave enough to rock her bald head in all its glory the whole time, but I wasn’t sure that I would be.)

By the time I left the house for the event, I had raised $1,271 in ‘new’ money, putting me in the lead for individual fundraising. After factoring in all the classmates who had pledged their totals to me, I was at $3,806 – and in an unbelievable show of goodwill, the girl in our class who, until the day before, had raised the most money, who was supposed to be a shoo-in to win the jacket for number-one individual fundraiser, transferred her entire four-digit total to me at the last minute.

And there I was, over goal. By a lot.

The event was held outdoors, under part of the covered brick pavilion at Tyler’s Taproom; the philanthropy committee did an amazing job of setting up tables, hand-painted signs, band equipment, raffle tickets, shaving stations, and so forth. Stylists from Posh had come to do the dirty work; after the preliminary niceties, we got down to business. Our class president went first, followed by a group of four guys from our class, who held hands the whole time in a show of solidarity. (So friggin’ cute.) A second round of guys went next, and then I joined in the third round. (And I’m not sure whether I personally shamed him into it, whether the other guys did, or whether it was just the excitement of the atmosphere – but the lone male holdout from our class plopped down into the chair next to me, completing the baldness picture for the testosterone contingent of DPAP 2012! :))

Before I sat down, one of my friends grabbed me by the shoulders and said, “You are my HERO. And if my mother would not LITERALLY throw me into the Atlantic Ocean, I would be right there with you!” Truth or not, it made me giggle.

I sat down in the chair, the young blond stylist introduced herself, we talked for a second… and then she walked away. Everyone was whooping and hollering and taking pictures of me, and I wasn’t really paying attention to the goings-on behind us, but then a slightly older woman with a kind face came and crouched down next to my chair. “You get the old stylist,” she said with a smile, gesturing to herself, “because the young ones are all scared.”

Oh. So that’s how it is. Okay then.

“What exactly… were you thinking of doing?” she asked a bit tentatively, gesturing to my head.

Wasn’t it obvious? “Uh, if I’m doing this, I’m gonna go big or go home. Take it off!” I said.

She laughed, and we talked for another minute about exactly how short to go, finally settling on a ‘three’. I’m still not clear on exactly what the numbers mean, but she seemed to know what she was talking about, so I let her do as she pleased. I’d been expecting that all of us were going to be shaved completely bald, and was both slightly disappointed and slightly relieved that that was not the case; I didn’t see anybody who went down to a full ‘zero’.

And then… the clippers touched my head. My class was clustered around me, taking photos and video, screaming “You look great!” and “Ohmigod, Jess!” The clippers felt so strange, vibrating closer to my scalp than any hair implement ever had, moving in broad strokes, tickling and yet not. She started from the bottom, leaving the bulk of the fluffy hair on the top for last. At one point, at the back of my head, she stopped short, then leaned down and asked me, “Uh, did you have surgery back here, or something?”

“Oh! Yeah, I had a hemangioma when I was a baby,” I said, realizing I’d completely forgotten about that bald spot.

“Well, we just found it!” she said with a shrug.

Not much to do about it by that point, so we both just laughed, and she continued cutting. “Jess, you have a good-shaped head!” someone called out. (Oh, the things you never expect to be complimented on…:))

After three or four minutes, the stylist finally started cutting off the top sections of hair, and that was when the noise level really increased. The guys were hollering “Yeah, J-Money!” and one of them exclaimed, “Damn, Demi Moore!” which made me smile internally. The same girl who had mentioned getting thrown into the Atlantic blurted out, “Oh my – Jess, you look incredible! You really do. …You’re the only one who could pull this off!” I kept hearing various compliments from different parts of the ‘audience’, which, not gonna lie, felt pretty good.

After some final ‘cleanup’ around the edges, I finally stood up from the chair, and the stylist said, “I think I get a hug for this one!” I said, “You definitely do!” and we hugged, to cheers all around. She talked to me for a second about maintenance, telling me that she’d cut my hair for free during the ‘transition’ phase if I decided I wanted to grow it out again, “but I think you’re going to want to keep it this way; it looks really good on you!”

I ducked into the crowd to make room for the next round of shavees. Everybody wanted to hug me, rub my head, and take pictures with me. “It’s very G.I. Jane,” someone said. Another comment was, “It looks so good! Because you don’t have, like, an abnormal head.” (What?!) One of my good friends said, “You know what? I’ll admit it: I think I actually like it better this way!” (Um, thanks, I think?!)

I made my way toward the four faculty who had shown up to watch, and they started rubbing my head, taking pictures, and telling me how good it looked. “My mother is going to kill me,” I said at one point, to which one faculty member replied, “I’ve met your mother! She’s not going to kill you. I actually think she’s going to like it!”

(Update: she definitely does not. However, I am at least still alive to tell about it. :))

The evening wore on. Students from 2011 and 2012 who are particularly musical had formed a band for the occasion, “The PA System,” and they were rocking out the whole time. A few more people got their heads shaved, including one more girl, a nursing student – coincidentally, also named Jess, and even more coincidentally, whom I had actually met during one of my Patient Assessment experiences over at the hospital last semester. I got presented with a DPAP jacket for being the number-one fundraiser in our class (which I actually felt a little guilty about, seeing as I’d swooped in at the eleventh hour, but I suppose it was still $1,271 that St. Baldrick’s otherwise wouldn’t have gotten), and then a few of us went to Tobacco Road for a late dinner before heading home. The total amount of money we raised as a class, including cash donations at the event itself, came to over $15,000, which we’re told is several times more than anything ever raised by any previous PA class. I can unequivocally (and totally impartially…) state that we rock. :)

My first hairless day involved a six-mile run, brunch at Guglhupf with a classmate before going to see Water for Elephants (which was quite good; I was far more impressed with Robert Pattinson than I’d expected to be), a bunch of computer business at home, and then a late-night Local Yogurt run with another classmate. I had wondered whether people would look at me funny or treat me differently, but that doesn’t seem to be happening so far; to be honest, when I’m out and about, I forget about my hair (or lack thereof).

However, things I’ve learned so far:

1. Wind and rain feel REALLY WEIRD on a shaved head… like something’s crawling up there! Such basic things as opening the refrigerator door have become an adventure.

2. I can actually drive with the windows down and not mess up my hair! This is a respite from about a dozen years of frustration.

3. I have to un-learn the habits of all the little unconscious motions I make in the shower – things we all do without even paying attention, like exactly which way to flick your hair to keep water from running into your eyes. Completely unnecessary.

4. Also, it dries in about thirty seconds, so no more worrying about the repercussions of falling asleep on wet hair! This, too, is a respite from a degree of frustration that can be measured in decades.

5. Big earrings are going to be pretty essential, I think. However, the cut actually looks really good on its own, with no head accessories – might not need those Target headbands after all.

6. Breezes aside, it’s really nice to not have hair flopping around while running… and I sweat a lot less, too!

Anyway, even though I was afraid to look at myself at first (one of my friends pulled out a pocket mirror to show me as I exited the chair, and I made her put it away after one glimpse), after 24 hours, I can honestly say that the new ‘do is really growing on me (pun intended!) and that I’m really glad I did it. I raised a considerable amount of money (in eighteen hours!!!) for a cause that I really care about, and I got a new haircut out of the deal, which I needed anyway. :) I feel like it’s a distinctive look as well as being a good potential conversation piece (“Yeah, I shaved my head for pediatric cancer research.”). I’m a tad nervous as to how it might be received in peds, since I have a four-hour pediatric outpatient assignment in four weeks, but honestly, I’ve already been asked several times by little kids whether I was a boy or a girl, even with my regular haircut (not kidding), so what’s the worst that can happen? And if my faculty aren’t worried (which they’re clearly not; they were some of my biggest supporters!), then I don’t really think I need to be, either.

Anyway, for those who like to live vicariously (and who had the patience to read all the way to the end of this post), here’s your reward: a link to a few of the photos and a one-minute video clip of the action:

http://www.facebook.com/v/10100972320084571

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