May 15, 2006 was the best day of my life so far. It's the day I found out that I got into medical school.
In a few months, or years, perhaps someone will stumble upon the latest post in this blog and come here wanting to know why this blog exists. Here's the story.
If a life of medicine is a journey, getting in to med school would clearly be considered passing through the gate. But getting to the gate is a hugely significant portion of the journey itself, almost as important as was deciding to start on the journey ten years ago. Since that day, every major thing I've done has been influenced by my journey towards medicine. The most obvious items on this list include gaining experience in medicine, taking the MCAT and applying for med school. However, there are countless other aspects of my life, both major and minor, that have been irreversibly affected (for better, worse, or neither) because, for the last ten years, nearly every decision I have made has been influenced, in one way or another, by my choice to chase my dream of medicine: choosing my high school courses, deciding what summer jobs to pursue, planning my free time, listing the things I look for in a serious relationship.
The last ten years have been years of hard work, uncertainty, and a lot of questioning. Do I really want to become a doctor? Will I ever make it? Will I have to apply in other countries? Are my marks good enough? Should I become a nurse instead? Should I give up and become something entirely different?
May 15 changed all that. All my work had finally paid off. The biggest dream I had ever pursued had finally become a reality. And best of all, the feelings of joy and elation that washed over me drowned all the voices in my head telling me I might not be good enough.
Since that day, I have been standing in awe in a place where few people are lucky enough to end up: face to face with my lifelong dream. The door to my future has been opened wide. And as I run towards it, I am looking beyond as much and as far ahead as I can, trying to learn anything and everything I can about the remainder of my journey, with nothing to hold me back. You see, it was different when I was pre-med – back then, any reading, book, article, or television show about medicine would simply be a reminder of the competitiveness of the admissions process or my discouraging odds or my application’s drawbacks, and it would take over my thoughts and cut down my dreams at the knees. I wanted it so bad. And now I’m here, and I can’t read enough about it.
That's why this blog is here. While reading anything about medical school that I could get my hands on, I was drawn to online med student forums, then later to medical blogs, where I scaled the virtual mountains of electronic discussions and blog posts that exist on the world wide web. As I did this, I was so deeply stricken by some of the writings of the medical students and brand-new doctors on their blogs. They drew me far in to their experiences of endless hours, thankless shifts, incredible joys, inspirational mentors, and the indescribable rewards of medicine. I loved every word of it. I was so engaged by the writing, blown away by the honesty that anonymity affords, and how none of it was sugar-coated or censored or dumbed-down, and it soon became apparent that I had to record these feelings for myself.
Now that I’m finally beginning this dream that I’ve chased for so long, I want to savour it, harness it, and package every exciting moment and bitter disappointment so that whenever I want to go back and re-live the highs and lows, I can. And I want it to be online so that whenever anyone else – perhaps a friend, a fellow student or physician, a dreaming pre-med – wants to experience or understand the highs and lows of one more medical student, they can too.
So now it really begins, this journey that I’ve been walking for the last decade. I’m at the start line, and I’m ready to sprint full ahead with everything I’ve got.
Friday, June 16, 2006
The start of A Life of Medicine
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2:15 AM
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103 comments:
Hello and congrats!!
You enjoy yourself and bask in the glow of it and don't let anyone rain on your parade. When I was in your shoes, I had way too many doctors tell me that I was stupid for wanting to be a doctor and that the lifestyle was horrible, patients were horrible, blah blah blah. I thought it was really rude of them to go on and on like that, though I'm sure they thought they were being terribly helpful and wise.
Avoid those naysayers and have fun "living the dream." ;)
Vitum - I'm looking forward to hearing a fresh perspective on medical school. (And if that sounds the least bit cynical, I can't help it. :) I've linked to your blog; please keep writing.
A very belated congratulations! I am currently awaiting my own fate in the medicine dream. I can identify so much of myself in your musings... I will continue to read, and continue to wait...
i am glad you realised your dream early and planned your life dedicated to your dream. Congrats. Well i reaslised my dream a bit late and still debating with myself whether its' my dream or created by someone for me.
Well done!
Any advice welcome...
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I think that we have to really feel the voaction before majoring ! I admire those people who have passion for Medicine because it is extremely important and difficult and not everyone was born to be a doctor. Thanks for sharing
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Això és realment emocionant, que ets una persona molt intel ligent i espero que buscar més del seu meravellós missatge.
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Good for you to study and immerse in the world of medical profession. My childhood dream was to become a doctor but somehow it didn't materialize. I'm now relying for my two daughters to fulfill my dream. But if it's not, it will be just fine, as long as they acquire knowledge and expertise they need to help and solve other people's problems.
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David Summers, a 37 year old MS patient from Murfreesboro, Tennessee was a score of 8.0 on the Expanded Disability Status Scale (EDSS) when he had the Combination Liberation Therapy and Stem Cell Transplantation at CCSVI Clinic in March of 2012. Having been diagnosed in 1996 he had been in a wheelchair for the past decade without any sensation below the waist or use of his legs.
“It was late 2011 and I didn’t have much future to look forward to” says David. “My MS was getting more progressive and ravaging my body. I was diagnosed as an 8.0 on the EDSS scale; 1 being mild symptoms, 10 being death. There were many new lesions on my optic nerves, in my brain and on my spinal cord. My neurologist just told me: ‘be prepared to deteriorate’. I knew that he was telling me I didn’t have much time left, or at least not much with any quality.” David had previously sought out the liberation therapy in 2010 and had it done in a clinic in Duluth Georgia. “The Interventional Radiologist who did it told me that 50% of all MS patients who have the jugular vein-clearing therapy eventually restenose. I didn’t believe that would happen to me if I could get it done. But I have had MS for 16 years and apparently my veins were pretty twisted up”. Within 90 days, David’s veins had narrowed again, and worse, they were now blocked in even more places than before his procedure.
“I was so happy after my original procedure in 2010. I immediately lost all of the typical symptoms of MS. The cog fog disappeared, my speech came back, the vision in my right eye improved, I was able to regulate my body temperature again, and some of the sensation in my hands came back. But as much as I wanted to believe I felt something, there was nothing below the waist. I kind of knew that I wouldn’t get anything back in my legs. There was just way too much nerve damage now”. But any improvements felt by David lasted for just a few months.
After his relapse, David and his family were frustrated but undaunted. They had seen what opening the jugular veins could do to improve him. Because the veins had closed so quickly after his liberation procedure, they considered another clinic that advocated stent implants to keep the veins open, but upon doing their due diligence, they decided it was just too risky. They kept on searching the many CCSVI information sites that were cropping up on the Internet for something that offered more hope. Finding a suitable treatment, especially where there was no known cure for the disease was also a race against time. David was still suffering new attacks and was definitely deteriorating. Then David’s mother Janice began reading some patient blogs about a Clinic that was offering both the liberation therapy and adult autologous stem cell injections in a series of procedures during a hospital stay. “These patients were reporting a ‘full recovery’ of their neurodegenerative deficits” says Janice, “I hadn’t seen anything like that anywhere else”. She contacted CCSVI Clinic in late 2011 and after a succession of calls with the researchers and surgeons they decided in favor of the combination therapies.For more information please visit http://www.ccsviclinic.ca/?p=904
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Chronic cerebrospinal venous insufficiency (CCSVI), or the pathological restriction of venous vessel discharge from the CNS has been proposed by Zamboni, et al, as having a correlative relationship to Multiple Sclerosis. From a clinical perspective, it has been demonstrated that the narrowed jugular veins in an MS patient, once widened, do affect the presenting symptoms of MS and the overall health of the patient. It has also been noted that these same veins once treated, restenose after a time in the majority of cases. Why the veins restenose is speculative. One insight, developed through practical observation, suggests that there are gaps in the therapy protocol as it is currently practiced. In general, CCSVI therapy has focused on directly treating the venous system and the stenosed veins. Several other factors that would naturally affect vein recovery have received much less consideration. As to treatment for CCSVI, it should be noted that no meaningful aftercare protocol based on evidence has been considered by the main proponents of the ‘liberation’ therapy (neck venoplasty). In fact, in all of the clinics or hospitals examined for this study, patients weren’t required to stay in the clinical setting any longer than a few hours post-procedure in most cases. Even though it has been observed to be therapeutically useful by some of the main early practitioners of the ‘liberation’ therapy, follow-up, supportive care for recovering patients post-operatively has not seriously been considered to be part of the treatment protocol. To date, follow-up care has primarily centered on when vein re-imaging should be done post-venoplasty. The fact is, by that time, most patients have restenosed (or partially restenosed) and the follow-up Doppler testing is simply detecting restenosis and retrograde flow in veins that are very much deteriorated due to scarring left by the initial procedure. This article discusses a variable approach as to a combination of safe and effective interventional therapies that have been observed to result in enduring venous drainage of the CNS to offset the destructive effects of inflammation and neurodegeneration, and to regenerate disease damaged tissue.
As stated, it has been observed that a number of presenting symptoms of MS almost completely vanish as soon as the jugulars are widened and the flows equalize in most MS patients. Where a small number of MS patients have received no immediate benefit from the ‘liberation’ procedure, flows in subject samples have been shown not to have equalized post-procedure in these patients and therefore even a very small retrograde blood flow back to the CNS can offset the therapeutic benefits. Furthermore once the obstructed veins are further examined for hemodynamic obstruction and widened at the point of occlusion in those patients to allow full drainage, the presenting symptoms of MS retreat. This noted observation along with the large number of MS patients who have CCSVI establish a clear association of vein disease with MS, although it is clearly not the disease ‘trigger’.For more information please visit http://www.ccsviclinic.ca/?p=978
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