Skip to main content

Drawing first blood, finding a purpose

It's the third week of class for me now (all those undergrads who started today have it way too easy), and the year is out of the gates and running. It's incredible that a half month has already flown by. Time is so short when you stop to think about it. Maybe it's no wonder why so many people these days get so busy; they've learned that there's only so much time they have on this earth to accomplish something, and they're working hard to get what it is they're trying to do, done. It seems though that the ability to stop and smell the roses is still eluding most of us. As the wise philosopher Bueller once said, "Life moves pretty fast. If you don't stop and look around once in a while, you could miss it." All too true. I missed a lot of the last six months because in trying so hard to get from A to Z, I missed B - Y. Worse yet, getting to point Z results in a new point A altogether. Now that I've lost everyone...

In the first two weeks of class we've been addressing endocrine pathology. I don't get especially excited about hormones, which is why lectures on procedures is so much more interesting. With third year rotations starting in only 6 months, I'm drooling to get my hands dirty. So, a recap of procedures learned in the last two weeks:

We've been getting a primer in how to draw blood. First week was venous access, and we drew blood into lab vials. The unsuspecting "patients" who got to be our first needle stick was our very own classmates. It's good to know that the Office of Medical Education likes to protect the hospital patients by making us first stick each other. The blood draw lab was no worries though, and I stuck the median antecubital vein of my partner's inside arm with no sweat. Just for practice, I stuck him again on the back of the hand with a butterfly needle. Even easier the second time. Practice really does make perfect.

Week two we had another blood draw lab, only we were going to be drawing arterial blood. Arterial blood is commonly drawn for arterial blood gas measurement (carbon dioxide, oxygen, pH, and bicarbonate). The artery that is stuck is the radial artery. It's the artery you take your pulse at on your wrist. One slight difference with arteries compared to veins is that they are deeper, and are higher pressure. For this lab, we used manequin arms. Also, to get deep enough to access the artery, the syringe is held like a dart and is taken almost straight down, as opposed to a low angle into a vein. It's a good thing we used manequins; I almost hemorrhaged the arm by leaving the needle in so long the stopper was almost pressed off the top. This week we're supposed to do pulmonary artery catheterization (read: thread a cathether to the heart....on a manequin).

Advanced Physical Diagnosis class could be renamed "Give your teacher a physical" class. I discovered I need some practice at giving physicals.

Following the inspiration of a talk given at church before New Years, I wrote up a personal purpose and mission statement. It was the result of a whole day's work on January 1st. I thought I'd share it for the opportunity to get feedback if anyone wanted to.

Personal Mission Statement

Purpose

I exist to glorify God and love Him with all my heart, all my soul, and all my mind by:

  • Living out the character of Christ at home, at school, in my church, in my community, and across the world
  • Pursuing professional excellence through committed ongoing learning, wise management of my time, and empathic relationship building with peers and patients
  • Influencing my family, friends, peers, patients, and others I may meet towards a right relationship with Jesus Christ
  • Championing Biblical principles in bioethics and health care provision

To accomplish my purpose, I intend to:

  • Pursue a right relationship with Jesus Christ through regular and frequent prayer, confession, silence, and solitude
  • Consistently spend time studying the Bible according to a pre-determined plan of study
  • Set aside time at the beginning of each week for introspection and assessment
  • Set aside time daily and weekly to assess my time management and plan ahead for the next day/week
  • Create an organized approach to studying and learning the medical knowledge necessary to achieve my mission
  • Commit to investing in people and scheduling time to do so

Mission

My mission is to love, serve, and heal others as an empathic physician exemplifying the character of Christ with my life; to commit my life to providing morally sound health care to others regardless of age, race, creed, or status; to be devoted to lifelong learning and understanding; to be committed to advancing the kingdom of Christ in my community and internationally; and to be a loving and loyal son, brother, and friend.

Popular posts from this blog

The $2000 monkey on my back, deferred

It’s been more than a week, and I think an update is due. Plus, I can give updates on my own status with my heart murmur, having seen the doctor this past Friday. The only thing that has kept me from updating until now is simply laziness (in other words, I was far too busy studying/eating/cleaning/sleeping to actually relax and write). This past Friday I went to the Student Health Center to see my doctor about the previously mentioned murmur recently discovered. My doctor presumed it was most likely an innocent flow murmur, which occurs if a heart valve doesn’t close all the way or in time when the heart beats, allowing blood to flow back the opposite way, and the blood causes turbulence heard as noise. If you’ve ever heard turbulent water flowing over and through rocks and back upstream in eddies in a river, you should get the idea of what a murmur is. It was recommended that I have an echocardiography done, or an ultrasound picture of my heart. This would allow us to see exactly how ...

The world on foot

Recently I've run into some serious problems with my brakes on my Jeep, that forced me into taking it to a garage last Saturday to be inspected. I was expecting a minor problem; my friend Adam had helped me look at it and thought the problem was only a leaky rear wheel cylinder, letting air into the brake lines and lowering the braking pressure. When I got an estimate from the mechanic it was around $350, and consisted of replacing both rear wheel cylinders, both rear wheel brakes, and new wheel drums. After talking with my father and then calling Adam again I decided to get a second opinion and new estimate. In between patient visits I called around a few recommended mechanics and found a second one I felt comfortable going to. After taking my Jeep to them yesterday, though, they found that all breaks needed to be replaced, and the front rotors and rear cylinders, but the drums could be spared. It would actually cost me almost $500 to repair. Since Saturday I have had to rely on t...

Life on a cancer ward

Last month I was on the hematology service at the University Hospital. It is a service primarily composed of patients with leukemias, lymphomas, or a disease called multiple myeloma (a rather unique cancer of the blood). Very busy service, routinely with 18-20 patients to see each day and manage outside of new admissions and coordination of discharges. It's easy to let yourself get automated in such an environment: are the labs normal? Ok. Any fevers? Yes? Draw blood cultures and start antibiotics, lets move to the next patient. Medicine is perhaps easiest when you know the problem and know the solution, and you see that the solution works. A great example would be a patient with an ear infection; I simply prescribe antibiotics in the clinic and they go home, 5 days later their ear is better. Medicine is far more difficult when death comes into play, or you have a therapy that doesn't work. Such is life on a cancer ward. I have seen a number of my or my colleages' patie...