Careers

Now I've made it to my 4th year of study, there's a lot of talk about career pathways. I've always been dead set on prehospital/critical care, and love anaesthetics as a speciality. However, I've just finished a rotation on Obstetrics and Gynaecology - a speciality I had convinced myself I'd hate - and loved EVERY minute of it. The SHOs (junior doctors) were incredibly enthusiastic, willing to teach, and happy to have me involved with clinical skills. They've made me a lot more comfortable in my abilities as a medical student (for example, I am MUCH less nervous taking bloods from patients now), and this is the first placement I've felt truly happy on. I was treated like part of the team by everyone, midwives and doctors alike, and was comfortable in my role. I was given a lot more responsibility on this placement (still with supervision) and really enjoyed the experience. I actually felt like I was benefitting patient care. This has reminded why I went into medicine, and reminded just how close I am to finishing Medical School.

I think I could honestly see myself as an obstetrician in the future. The career has everything - a mix of surgery and medicine, it's hands on from an early stage, has good job prospects, has emergencies to deal with on a regular basis and the uncertainty of not knowing what you'll see next. Seeing myself in a career I thought I'd hate is bonkers, but this is what you get for staying open minded! It's a good job I am open minded about specialities, I think, because otherwise I could end up in a career I truly hate.

To the wonderful SHOs: Thank you. Thank you for making me confident in my skills and for helping me find my feet. I can't repay you for that.

To the consultants: Thank you so much for being enthusiastic about your speciality and willing to take the time to speak to and teach students. It was noticed and very much appreciated.

To the midwives: Thank you for not conforming to the stereotype, and being truly lovely to everybody - and thank you for the opportunity to deliver a baby. This was truly special and something I shall never forget.

To the patients: Thank you for letting me be involved in your care, and helping me learn and become a better medical student. I truly enjoyed getting to know you and your families, and helping you welcome your new babies to the world. Thank you particularly to the lady who let me deliver her baby. It was a wonderful experience to be involved in, and I won't forget you and your family. Congratulations on the birth your beautiful baby.

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

Exams

First of this year's exams starts on Wednesday. I'm stressed out of my mind and fed up of not leaving my room, have tons of revision to do and it would have to be beautiful weather outside. Determined to do really well this year and do my Grandad proud.

Sorry!

Yes, I'm alive. I've neglected blogging for a while for several reasons. I'm totally swamped with work, we had a death in the family and I also landed myself in hospital. Again. Thankfully this time it was only for 4 days, but it did involve some fairly big surgery as it was for a nasty fracture with some complications. Yes, I'm an idiot for fracturing a bone. We have finally hit Easter holidays now though, so I'm catching up on rest, my social life and some work that I missed due to recuperation time for the broken bone. Safe to say due to impending doom (exams) I won't be blogging much now until August, but I do promise to stay around on the blog a bit more, and currently am welcoming suggestions for things you want me to blog about, so leave a suggestion in the comments box or email me and let me know!

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

To Do List

1. Learn to do 2 new clinical skills according to university procedures (2 days before we're assessed on them in an OSCE)
2. Write up 14 patient case studies with background to the disease and reflection on the case
3. Read, understand and evaluate 12-20 research papers
4. Write a research protocol with references for above papers
5. Read, understand and perform a meta-analysis of 3 more (different) research papers
6. Write a presentation on said meta-anlysis
7. Pass my OSCE on Wednesday
8. Write a 2-4 page piece of work on medical treatments and therapy for Multiple Sclerosis including the mechanism of action of any drugs I mention and write about supportive therapy, and current research into treatments for multiple sclerosis
9. Have a social life
10. Make some friends
11. Go to 7 hours of dance lessons and rehearsals a week (minimum)
12. Not dislocate too many joints
13. Keep on top of my medication
14. Email my personal advisor again
15. Email the Disability Coordinator at the Dean of Student's office
16. Meet with my personal advisor
17. Meet with the Disability Coordinator again
18. Photocopy all my hospital appointment letters for the medical school
19. Check the post at least twice a week (it's delivered to the post room/medical school)
20. Go to my hospital appointments
21. Go to my GP appointment
22. Go to lectures
23. Learn some medicine
24. Not burn out and fall to pieces
25. Maybe have a Christmas holiday
26. Earn some money
27. Keep on top of all my medications so I don't have to have any time off
28. Keep in contact with home to find out how my grandad is
29. Ring the hospital and try and speak to my grandad