I made it!

I made it. I actually survived 3rd year. I've passed all my assessments, and all my end of year exams (including the OSCE where I was continually attacked by a wasp!) and I've survived. I'm finally a 4th year.

This year has been horrific, looking back. My grandfather died, my grandmother has been in and out of hospital very ill too, I've had surgery for a very stupid injury, and suffered a lot of ill health as a consequence; and I've had a bit of a decline in my mobility. Of all of that, losing my grandad just before my 21st birthday was definitely the worst part of the year. And although passing the year is a great achievement, it makes it all the more real that my grandad will never see me graduate. He was immensely proud of me, and what I do, and I wish he was here to see my finally happy and truly loving my degree and chosen career.

Having an entirely free summer is giving me time to reflect on the year and how it went. I think the best description has to be rocky. A bit like being on a boat in a storm, that's only just passed. But even with all the difficulties, I've done well in all my exams, I've become a lot more settled, and I've become more confident and happy. I've also made some truly fantastic friends this year. One of whom is a junior doctor, without whom I probably wouldn't have passed the year, or stayed sane. So, a BIG thank you for being an amazing friend this year goes to Natalie, a very lovely person and a fantastic F2 Doctor.

This year has definitely made me a stronger person, and I think things can only get better from this point. I'm much more open to the possibility of several careers in medicine, including paediatrics, anaesthetics, intensive care, as well as my still very strong love of A&E and Pre-Hospital medicine. I'm completely at home in the hospital now, and really loving my placements. I've realised even more this year how much of a privilege it is to see patients, and to all of you who let medical students see you, thank you, it really is SO valuable.

Next year I have much to look forward to. Rotations in Obstetrics and Gynaecology, Paediatrics, and my elective, a new PBL group and a chance to meet new people, and I honestly can't wait to get back. But, for now, I'm going to kick back and enjoy my summer. I won't get many more holidays like this, so I'm going to do my best to make the most of it!!

Truffle

x

Invisible

In the last week or so, I've had to face up to the reality of being told that I, a medical student, an intelligent, stubborn, arsey young woman, am disabled. I'm not disabled in a stereotypical way. I'm not in a wheelchair, or deaf or blind. I don't have a walking stick or a guide dog. I have a complex medical condition. It affects my mobility in a way that most people can't see. It affects my vision in an undetectable (to most people) way. I can't walk far, or do things that are seen as normal. I can't easily cook myself a meal from scratch any more. I can't often read my textbooks with much ease. I can't write my own name or get out of bed some days. But I look almost completely normal. I have an invisible disabilty. I'm treated the same as everyone else because they can't see what's wrong. Some days, I love this. On days like today when I'm in excruciating pain and quite frankly want to hide under my duvet and cry, all I want is a shoulder to cry on and an offer of small help, but because it's invisible, so am I.

Dear Father Christmas

Dear Father Christmas,

I've tried to be good this year. I've made some new friends, attempted to make peace with some I fell out with, and made an effort to keep in touch with old friends along the way. I've looked after my grandad when he's been ill, I carried out the promises I made to him and visited my grandma and passed my exams. I've tried to be nice to my sisters, even they've made me want to tear my hair out, and I've helped my mother when she's asked for it. I've worked hard and got the marks I've deserved, and I'm finally accepting my health problems.

So, in return, please may I have:

• Some extra spoons - they'll be needed in the New Year
• Some help with this awful Student Finance screw up
• A couple of friends at University - being alone is so hard sometimes
• Some extra space in my brain for all the stuff I need to know
• New ways of learning things that works for me and sticks - I'm struggling
• And some acceptance from friends, colleagues, the medical school and my family of my illness and of me as a person.

Thank you for reading this, whether you can fulfil it or not.

Truffle

xx

Still Here

I'm still alive, I have lost a chunk of my sight, and am being sent for all manner of investigations into my eyes, joints, skin and heart, including seeing a geneticist, so everything's a bit crazy. I'm also on a clinical placement at the moment so learning lots in a very short space of time with long days, all whilst trying to maintain a social life and enter dance competitions that I'm probably not well enough to do. Tough times but I'm still here and still keeping going. Normal blogging will resume soon! I'm still on twitter and still check my emails regularly - let me know if you have any ideas for things you want me to blog about, or if you just want to get to know me better

Back soon!

Truffle

xx

Future HEMS Doctor?

When I joined Twitter, I started out as MedStudentFaye. That's me, that's who I am and what I am. Plain and simple. I soon realised thought, that I wasn't happy just being me. I wanted to aim higher. I wasn't happy just being mediocre or average. So, I became FutureHEMSDoc, in order to give myself something to aim for. However, this year, I've been doubting myself. A LOT. I haven't been at all happy at UEA, that's no secret. The course isn't really right for me and I haven't made many real friends at all on my course, or even at UEA in general. I feel isolated and alone a lot of the time, despite having a wonderful boyfriend (NorfolkDocToBe) but he's usually up in Manchester, but at the moment he's the other side of the world. I love him to pieces but him being so far away is currently very unhelpful! I don't at all begrudge him the opportunity he has in Australia, and am really pleased he's enjoying himself and travelling and learning a bit more about himself and what he wants to do as he advances in his medical career. He's made for medicine. I'm not so sure that I am.

I've had several lengthy discussions with many of my good friends on twitter about all of this - mostly Mark Glencorse and his lovely wife Sandra, as well as iMedicFF (who has put up with me crying far too much!) who have been fantastic in helping me decide what is best for me, and what I should do. (Thank you guys! Really appreciate all the lengthy conversations - I know I'm a pain in the butt, but you've helped me out a hell of a lot). But in the end, no matter how much I discuss this with people, it is MY decision. I changed my twitter name so there was no pressure on myself to be FutureHEMSDoc, but at the end of the day, I wouldn't be me if I didn't push myself. For now, I'm going to work as hard as I can at this medical degree, because I'm not one for giving up. If I pass the year, I'll carry on and work until I get to where I want to be. I'm not particularly bright, and I'm not popular or happy on this degree, but once I'm qualified, I can do so much with it, and I just can't waste that opportunity. I've got this far, and I couldn't forgive myself if I threw that away. If I fail the year, at least I gave it a go and did my best, but I'll then go and be a paramedic. I'd be happy in that job, I know I would. I love every single aspect of it, even the paperwork and the picking up drunks on a Saturday night, but I think I'd always feel like I lost the opportunity to do more. I'm not at all putting down paramedics and what they do - the VAST majority of those that I've met have been fantastic people, highly skilled and far better than I would ever be at that job, but as a doctor, I could do many more different things, and maybe even change the way a few things work for the better.

As I said in my first post, I'm stubborn, opinionated and I care a hell of a lot. Because of that I'm going to do my best whatever I do. I'm going to keep going out observing with paramedics as much as possible (if you're a paramedic or tech who wants an observer, give me a shout!! I'd love to go out with as many different people as possible). I'm going to keep working as an HCA in my hospital, and I'm going to speak to ambulance services about student paramedic jobs, and look into paramedic science degrees, because I'm still a little unsure.

I'm crying as I write this, not because I think I'm making the wrong decision, but because I think, for now, I'm making the right one for me, even if the world seems to be passing me by because of it, and because I've put a lot of people through my crying and worrying and stressing over all of this.

To everyone who has helped me with this decision, including those who I haven't mentioned by name: Thank You. You don't know how much help and support you've been. Honestly, you don't.

To everyone who has put me down and told me I can't do this, and told me to quit and that I'm useless and  a waste of space, and that I'll be a rubbish doctor: I'm going to prove you wrong. You may put me down, and say awful things to me, but it's just making me stronger. I'm going to FIGHT until I have nothing left.And I'm going to do what's right for ME.

PBL - A Problem Best Left

She stands in the shower, the warm water dripping down her face. At least now, nobody can see that she's crying. She gets out of the shower, shivers as her feet hit the cold tiles. She wraps herself in her towel and sits on the edge of the bath. As she looks down at her scarred legs she feels that deep lonely ache in the pit of her stomach. She hastily pulls on her clothes and leaves the bathroom. She scrabbles around for her books and pens and throws them in a bag. She turns on her hairdryer to drown out the noise of the students talking noisily and happily in the street. She picks up her bag, pulls on her boots and walks out of the door. Today is just going to be the same. She gets to her seminar group 5 minutes early. She gets out her notes and takes her seat, saying nothing but a polite hello. There's no point saying anything else any more. She feels unappreciated and disliked by the group. As the discussion begins, she is frequently talked over and ignored, and even put down by other members of the group. This isn't what this should be like. This should be enjoyable, and sociable, but instead, she gives in and sits in silence. She sits, and just hopes that soon it will end. She leaves, only to go to her lecture, and sit and cry silent tears, hoping that nobody can see.

This is my attempt at trying to express what PBL days are like for me this year. It's a constant struggled with my group and I dread the days. My tutor has been fantastic, and a great help and support, but I just don't feel valued, and I don't feel like my presence is even noticed. I guess, this is just the way it's going to be.

Guest Post - How To Deal With Meeting A Person With Depression

This guest post was written by madsadgirl originally. It's another fantastic piece of writing, about those like me living with depression. You can read her blog here:

http://madsadgirl.blogspot.com/

How To Deal With Meeting A Person With Depression

It is a sad fact of life but the majority of people in this country feel very uncomfortable about the subject of mental illness. What makes it worse is that a significant proportion of the population are likely to suffer from the most common form of mental illness, depression, at some point in their lives, yet that particular illness still carries a serious stigma with it.

The problem for the sufferer of depression is that it can be a very debilitating illness, but to the majority of non-sufferers that you meet you show no signs of having anything wrong with you. There are no tell-tale spots or rash, you have no stitches, bandages or plaster cast, and you don't require sticks, crutches, or a walking frame to get around. You can be, however, very seriously ill indeed and yet there are no outward signs that would be obvious to those that you meet. So short of carrying a bell or clapper like the lepers of long ago, or wearing a notice around your neck proclaiming "I have depression; treat me carefully" most people would not realise that there is anything wrong with your health.

I don't know how depression manifests itself in other people, I can only describe what I feel, but my depression is not only something that affects the way that I feel about things, it also has some very definite symptoms that I feel physically. When it is at its worst, depression makes me feel as though my head and body are not connected to each other. My body feels numb, like the numbness that you feel in your lip after having an injection at the dentist's, and my head has a woolly feeling with a tendency to feel very light-headed as though I have drunk alcohol on an empty stomach. All of this is combined with an overwhelming desire to cry, though I have no idea what I am crying about, it is just something that I have to do.

So these are the physical symptoms that I feel, which in themselves may not seem like much, but are nonetheless capable of lowering my mental state to a level even lower than it is already. I find it impossible to concentrate; reading becomes something that is unbelievably difficult. I have always loved reading, and half an hour with a good book before I lay down to sleep was the perfect end to the day. Now I find that I have to read the same page repeatedly to stand any chance of understanding what I have read. I have always been shy, but depression makes it incredibly difficult to interact with people that I do not know. Social functions become trials that can cause anxiety to build up days in advance, and small talk something to be avoided because you are likely to become tongue-tied while attempting to have the simplest conversation.

When somebody asks you "How are you?" you answer automatically "Fine" although you aren't really. You answer like this because you know that they really don't want to know that it took a monumental effort to get out of bed, that getting yourself to this stage in the day has been a war against irrational feelings, and that if they ask you anything else you are likely to burst into tears. You hate it when they say "Smile, things could be worse" when you know that there is nothing that could make you feel worse than you do at that particular moment and and smiling is the last thing on your mind because you are finding it almost impossible to just exist. If you were to answer the "How are you?" question truthfully, the questioner would become embarrassed and not know how to further the conversation because they would find it difficult to deal with someone with a mental illness.

Mental illness is something that happens to people. They don't ask for it, and they most certainly would prefer not to have it. Unfortunately, while the medical profession has made incredible advances in the treatment of many of the diseases and injuries that affect us physically, diseases of the brain are not so easy to treat. While we are very similar physically, we are all unique mentally; that is what makes it so difficult to 'cure' mental illnesses.

The next time that you meet someone who suffers from depression, please remember that they are a human being just like you, they don't want to feel the way that they do, and that you can't catch what they have got through contact with them. But most of all, remember that they don't like being stigmatized because they have a mental illness. Remember that; because at some time in the future the person with depression could be you. 

Thank You

I wanted to say thank you for all your thoughts, comments and prayers, and kind messages that you have sent me. They are all playing a part in my decision making, and I'd be grateful if you'd keep them coming and spread the word for me. I really appreciate your kind words, and they're all helping me on my way to reaching a decision. I think I'm nearly there, but I just need those last few bits of help and reassurance to keep me on the right track for me.


Thank you, all you kind people, and thank you social media.

Faye
xxx

Hardest Decision

So, I'm a week on, and nothing much has changed. I'm home for Easter and hating it. Family life is difficult and I don't fit back in anymore. To top it off, the boyfriend is in Australia so I can't even talk to him all that much because of the time difference (Time zones suck!!). I'm quite lonely here and all I want to do is sleep.


I'm having a real rethink about my life at the moment. I'm not really happy in medical school and I really don't know if it's the right thing for me. I always wanted to be a paramedic, but my school refused to send off the UCAS form with Paramedic Science on it, or write me a reference for a student paramedic position. My parents refused to support me in that career, and I knew that nursing and midwifery weren't for me, so I decided to just go for it and apply for medicine. I didn't think I'd get offers, let alone get the grades, but I did, even if it was by the skin of my teeth. 


Since then I've been struggling with everything at medical school, aside from the practical things. The science is way beyond what I can cope with without doing stupid amounts of work. I no longer have a social life and the stress is having an impact on my health. I love the practical stuff, and fast paced patient turnaround, but other than that, there is very little keeping me here. I haven't made many friends, I don't go out or even dance anymore (I used to be a dancer on the university Dancesport team) and I just don't see a reason why to carry on. I keep scraping through exams other than the practical ones and I'm just not enjoying much of it at all.


I'm thinking about leaving it all and going to be a paramedic. It's what I wanted to do in the first place and I think it's really where my heart's at but I just don't know. My parents would hate me for it, I don't think my boyfriend would really be all too happy about it and I just don't know. I can't decide. I've agonised over it, shed plenty of tears and lost a lot of sleep over it. It's a very difficult decision but one I will have to make soon enough.

It's A Strange World

Those of you who follow me on Twitter will know that I've recently spent 9 days in hospital. It was an interesting experience to say the least. It was very up and down and incredibly emotional. I cried a lot, I got angry a lot, and I learned who my friends are really and truly. Being ill enough to be in hospital teaches you a lot.


It's a very strange experience being a patient in your own hospital. On the first two wards I was on, I knew the majority of the staff, and even managed to have a catch up with a few of them, but suffice to say, it was very odd not being in control of anything. Even through the pain, I wanted to answer ringing call bells.  I wanted to help the other patients who  looked more ill than me. I wanted to help everyone, and be the one to answer the call bells instead of being the one pressing my buzzer. I got a real taste of how horrible and scary and disorientating and confusing and just how strange it is being a patient. This is something I'm going to remember in future. I don't think I could ever fully appreciate what it was like in the hospital as a patient before now.


Throughout the whole time, my best friend and my boyfriend (The Manchester Medic) were both very supportive. They even made my birthday fun, despite me being in hospital and in pain, and feeling generally terrible. I felt like a fraud to begin with, because everyone else just looked so much more ill than I thought I did. It was only on the second night did I realise how ill I actually was. I'd fought this illness for a month before admitting defeat and letting myself be admitted to hospital. Medical Students are well known for the phenomenon that is "Medstudentitis". We all think we have every disease we study. Something that comes from having too much knowledge I guess. Except, I'd refused to admit that I really was ill. I kept saying I was fine until the point where I just had to give in.


I learned a lot from being a patient, and this is something I'm going to share over the next few days and weeks.


And for those of you wondering about my health - I'm still in pain, I'm still exhausted and I'm still ill. Nobody knows what's wrong but it's definitely not an infection or anything urological. If you want to play guess the diagnosis, email me and I'll give you a run down of my history and symptoms. Would be interesting to know what differentials people come up with!! Let me know by leaving your differential diagnoses in the comments of this post.

Disappearing Act

Apologies for disappearances of posts and of myself from the blogosphere for the last two weeks. I've had a few problems with a few things. Mostly it's been friends, ex-friends, moving house, sick housemates, sick pussacat, placement and my own ill health causing problems. Just about everything really.


In the mean time, I've been sleeping, hunting for houses/flats for next year, in and out of A&E, Doctors surgeries and hospitals (Probable kidney stones. Joy.). I've been working stupidly hard on my project on cardiac physiology. I'm writing a report, and planning and creating a presentation (for the record, I really really really hate MS PowerPoint. I hate looking at them, I hate making them, I hate them full stop.) and it's taking up a lot of my time right now.


On top of all that I've been coping with horrible renal colic, resulting in me being given lots of painkillers and a referral to the urology clinic. I've also been dealing with my mental health. I have an appointment for CBT booked, I've had my antidepressant dose upped and some of my regular medications changed. Just now it seems my brain runs at 100 miles an hour and my body can't cope. I am hyper for a couple of days and then I crash out and get more depressed and sleep loads and cry and have a bit of a crisis over whether I want to be at Medical School still or not. Quite frankly, right now, I don't know what I want.


I'm really struggling academically this term and I don't know why. I absolutely love cardiology, and I find it fascinating and highly interesting but I'm finding it really hard to get my head around the science. I guess I'm just not up to this right now with everything that I've got going on. I need to know how best to make me learn this and I can't work out how. 


And to top it all off, on top of me feeling stupidly thick all the time at medical school, my housemate has just come in and made me feel about a centimetre tall. I want to help, really I do but I can't do anything. Right now, I feel completely useless no matter where I am or who I'm with.

Ill. Again.

For those of you who know me, I have the world's worst immune system. Not a quality you want in a possible future doctor, and in an auxiliary nurse I know. I've been ill on and off for the last week, until tonight when I felt absolutely horrific and was in huge amounts of pain. I'm not brilliant at looking after myself when I'm stressed and this time I'm no different, but this time, I've had a lot more to think about, and there are people I've needed and wanted to look out for, so in order to do that, I ignored my illness.


Turns out, I'm bloody unlucky anyway. I have a chest infection and a kidney infection. Double whammy. What joy!! Anywho..... bedtime. I feel like crap.