Excuses, excuses…

Hello world,

It’s me, Trisha.  The one who used to blog here daily and then it slowed down to a few times a week.  And, it seems that I haven’t posted a thing in something like 3 months.  That is a long time for me.

Confession…  In the time I haven’t been blogging, I also haven’t been reading many blogs, at least not ones that I regularly follow.  Heck, I haven’t even read many books that weren’t intended to teach me things about cancer or radiation.

I’m still alive.  Promise.

Are you ready for the giant list of excuses?  I have them.  And I think they are relatively legitimate.  But really, I know *most* people aren’t looking for excuses.  It’s not like this is my job or main life commitment. 

That being said, I really like blogging.  And really missed it (I know, then why did I stop doing it for so long?).  I have ton of things I would like to write about. 

My main excuse is the fact that I am very pregnant.  As in the Creature could make an appearance any day now.  And in the past few months, much of my energy has been put into growing this little creature or figuring out how to make our home/life hospitable.

Next up, I’m a resident.  Yes, I know lots of people are.  But, the combination of pregnant and resident is a whole lot to deal with.  Especially when you have issues with being a chronic overachiever who bites off more than they can chew, doesn’t want to say no to anything and has to do well on every single rotation.

Lastly, I have a life with other commitments.  I like my family and my friends and my church.  They all require time from me. 

So, by the time I got split into those three things, making sure I was clean, fed and got some semblence of sleep, there was little time left for blogging.  Sure, I had time I could have used for blogging or fun reading, but mostly, I wasted it mindlessly staring at the TV or What To Expect forums (more on those some other time).

Excuses, excuses. 

In summary (as if this is some sort of essay or proposal), I wish I wrote more, but I didn’t.  Now, I am going to try again.  Let’s see how this goes…

 

Alternative

This article “What Do Doctors Say To ‘Alternative Therapists’ When a Patient Dies?” by Ranjana Srivastava appeared on my Facebook newsfeed yesterday.  I couldn’t resist reading it.  I think you should read it too.

First of all, it is clear I am a big nerd when this is the most eye catching thing I saw on Facebook.

But, the big reason it is eye catching is because I was curious what it would say.  And it said what I thought it would.  We say nothing.  We don’t talk about it with others.  We talk about it amongst ourselves.

It also echoed a lot of feelings I would describe having around alternative therapies.

I am probably one of the more “loosey-goosey” of the people in my department when it comes to alternative therapies.  I am touchy feely, I inherently trust people and I do believe that there is value in a lot of things we can’t or haven’t necessarily studied.  I’m that kid who did a presentation on medical marijuana in research rounds and concluded that it isn’t all bad and we really need to look into the stuff more because people are using it whether or not we think they are or should.

I ask people what they take over the counter or with supplements.  I explain why I ask.  You see, some products, although “natural” act in ways that counteract the actions of chemotherapies or radiation or other drugs.  Sometimes in terribly harmful ways.  Ways that make cancers not respond to treatments.  Or ways that make side effects worse.  I ask because I care.  Not because I want to judge you or make you feel foolish.

Actually, some of the drugs that we give people are “natural.”  Some chemotherapies are plant derived.  They are natural and very toxic, but when used appropriately can treat cancers.

I see nothing wrong with trying something different when nothing is working.  I see nothing wrong with adding things that have low risks of harms that may help.  I see nothing wrong with doing things that are healthy for you.

I do see something wrong with people who are encouraged to spend their life savings on a “miracle drug.”  When people risk their lives to procure enough cannabis to make the oil they were told online was a “cure.”  When people entrust their health to internet “doctors” and people who make a profit from preying on the sick and the scared.

Many of the “miracle” agents on the internet are anecdotes.  Sure, everything starts as an anecdote.  But, that is why things are tested, because we are often wrong and they are one-off events.

There is some laboratory in anecdotal data about cannabinoids.  I’m not refuting it.  I’ve read it.  But, there is no cold hard evidence for it as a cure for cancer in humans beyond the odd case.  Could it be coming?  Maybe… But that day isn’t today.  And there is cold hard evidence for other treatments in some cancers.

It scares me that some people believe the person that will make a fortune off of them buying their concoctions is more trustworthy than the person who makes the same amount of money whether or not they take the treatment.   It upsets me that people think I am the one brainwashed because I am offering medicine with evidence behind it, with the experience of time, the monitoring of governing bodies and the backup of provincial funding.

It terrifies me to know that supplements and some complementary therapies (not all) are not regulated at all.  In fact, often they aren’t even containing what they claim or have contaminants that can be harmful.    And people die from complications from these therapies.  Just like conventional medicine.  But in a lot of cases we don’t even know some of the risks.

When something claims to work almost all of the time or have no side effects… It probably isn’t for real.  Too good to be true is something I see a lot.  But people want it to be true.  And why not?  Some people have nothing left to lose.  But really, everyone has something to lose.

It also makes me sad that some of my colleagues think all complementary or alternative therapies are bad or dangerous.  It is scary to see people doing things we don’t understand, so I get it.  And it is hard to trust when people you cared for and gave your all for die, sometimes because they gave it all up for the wrong choice.

Miracles happen.  There are things we don’t understand how they work, but they do.  There are things we know do work and they scare some people because of misinformation or lies spread through all kinds of media.

When people forgo conventional treatments or risk counteracting treatments for something advertised on the internet or sold by an alternative provider, it makes me uncomfortable.  I’ll be honest.  When people die doing this, it makes me sad.

Complimentary and alternative therapies can be many things… I send people for massages, acupuncture, reiki and I think chiropractors do good work. I encourage spirituality and  and exercise.  I preach good diets and appropriate vitamin supplementation depending on need.   I think cannabis can be an option for some people for symptom control.  I am okay with you doing something else so long as it isn’t putting you or your treatment at risk.  I can’t stop you from doing something I don’t agree with or trust because you are your own person.  But, I can be honest and tell you why it is concerning.  I can review the evidence.  I can help you interpret it because I have a background in reading that kind of stuff when many people don’t.   I’d rather know than not know in any case because your health is important to me.  And I make no gains or losses by having someone take “my treatments.”

I just want people to be healthy and safe.

Conventional medicine can’t save everyone.  Neither can alternative medicine.

It is scary, but things go wrong.  Alternative therapies (namely the various supplements and drugs and cleanses) can cause a lot of problems.  But, we don’t talk about it when things go right.  We also don’t talk about it when things go wrong.

Talking would be a good start. Regulations would be wonderful.

There will always be people out there trying to make money and preying on the sick and vulnerable. Sadly, these people give everyone a bad reputation and are the source of my distrust and skepticism.  I know there are practitioners out there who think they are doing good and maybe are not.  That is where better regulations and research could make a change.  And I know there are practitioners out there doing amazing work with the best interest of the patient at heart.

An open mind is good.  Educated professionals are better.  But, I think that opening up the lines of communication between professionals but also with patients could make a movement towards making a difference.  At least in some cases.

My new favourite vaccine mock PSA

Anyone who has followed this blog has had to put up with my intermittent vaccine rants.

Here we go again.

Jimmy Kimmel had a little rant on his show this week about vaccines complete with “real doctors” saying why vaccines are important.  I don’t often like Jimmy Kimmel’s humour.  He is sometimes a bit too much for me.  But, this was perfection.

Perfection.

Check it out.  Show your friends.

A Haunting Encounter

Today, I had a class on incorporating the humanities in medical education.  We were asked to write a short piece of prose or poetry on a patient encounter that haunts us.  Hearing what others wrote was way to much for my hormonal psyche.  I didn’t share mine because I was too busy trying not to let anyone see me cry about the ones that were shared.

I am not a poet, but it kind of has a poetic feel, I think… Here it is…

You did your best.  You knew something was wrong.  You were low risk, they said.  But, now, you are sit in clinic and don’t know how bad it really is.

You are angry and scared.  You cry when I review what is happening within your body.  I am gentle, but I am up front.  Medicine is so advanced, but so limited.  

Together, we bring you down off that ledge.  We have a plan.  You know what is likely to happen.  Then, I point out you need to meet my staff.  To keep in mind that a chance for second opinion isn’t gone.  

Gruff and curt, he approaches.  The plan changes and you are confused.  There is no explanation.  Just a closed door.

I try to help you understand.  I feel a sense of loss.  Like I am free falling in a place outside of my control.  It can’t compare to what you feel.

You don’t want another opinion.  You trust him.  Because you trust me.

In that moment, I don’t trust me.

I go home and review the literature.  I think and think.  I talk to another staff person.  I am right.  There may be more.  But, how does that get approached?  Who is willing to speak up?  

Everybody talks, but nobody deals.  That seems to be the way sometimes.  The questions are brought up, but I wonder if they were truly dealt with.  They get swept under rugs that some of us can’t help but look under.

This time, someone did say something.  This time, something did change.  Somehow, the suggestions were accepted.

I was relieved.  I want the best for you.  I want the best for all of you.  But still, the whole thing is unsettling.

In the long run, will it be enough?  Will you continue to get the care you deserve? 

If I hadn’t been there, if you didn’t trust me, would it be different?  Would you have made a different choice?

Maybe it is enough.  But, I wonder if we could do better.  I wonder if it is my fault.  That my being nice, that we “clicked” made you not question, not request that second opinion.

I won’t know.  I can’t help but wonder it is my fault.  And I’m not even sure what “it” is.

Teacher, teacher

I’m doing an education elective this month.

I have almost always wanted to be a teacher (and an author).  Well, after I got over the wanting to be a vet (my parents quashed that dream when I was about 4 when they informed me that if I was a vet, I would have to take a bath every day) and work at KFC (I was a chubby kid who really liked the way it smelled, despite the fact that I was informed I would no longer like KFC if I smelled it every day… I didn’t even have to smell it everyday to develop a dislike for KFC as an adult).  Honestly, medicine came much, much later in life.

I realized as a teenager that I hate kids in mass, so perhaps teaching elementary or middle school was out of the question.  I also realized science was very fun.

Once I hit medicine, though, I came to this crazy realization that maybe, just maybe I could “have it all.”  Who knew doctors teach?

Probably most people.

But, the fact that it could be my reality blew my mind a little.

So, I have always thought teaching was important.  I tutored in med school, mentored new students, all that stuff.  And now, I am doing an education elective and launching some new education related stuff in my department.  It has confirmed that I want to teach more.  I think I might even start working on my masters in the next year or two (depending on how this whole juggling residency and baby thing goes).

The funny thing is about the elective is that, for the first time in a long while, it is like being a student again.  Sure, there is no call and my hours are a bit more set, but I have assigned readings and projects and assignments.  Plus, the studying/prep for my usual program academics.  I forgot a bit what it was like to be a “real” student.  I have a love-hate relationship with being like a “real” student.

My focus is suboptimal.  Lectures from 8-12 and 1-4:30  That is a lot now.  Friday afternoon half-day is like torture and that is just 1-5 one day a week.  Plus, the degree of interaction is much more than I’m used to.  Group work?  Heck, usually my whole program is the size of a group they have me working with.  Non-clinical assigned readings are novelties.  Doing assignments and writing papers are things I do much more rarely now, but they are becoming regular occurrences.  Presentations and teaching practice prep is similar, but different.  And then there is switching focus completely to study for my usual departmental half-day stuff and exams.

That being said, it is neat to learn more about being a better teacher.  And knowing that it is something I can do.  And will do.

Seeing the enthusiasm of the Med 1s in tutorial and how everything is challenging and exciting is super cool.  Learning about what always seemed to be the top secret world of designing OSCE stations and training standardized patients makes me realize how much goes in to our learning.  Finding ways to make things better for newer trainees is encouraging.  Even figuring out how and why I learn the way I do and how to make that work for me is useful.

Most of my friends are teachers.  Heck, I’m married to a teacher.  And I am realizing that in more ways than I originally thought, I am a teacher too.

I know, I’m a huge geek.  But, I’m okay with that.  Just humour me.

My Study Buddy

I’m studying.  Again.

You see, I have another sporadically scheduled treatment planning exam this Tuesday.  I had one last Tuesday (which got cancelled… And has yet to be rescheduled… UGH).  It seems that I have a “get me to do something” sign taped to my face.  This week’s topic is Rectal Cancer.  Last week’s was Small Cell Lung Cancer.  We can’t get much further apart.

I spent my morning picking up a few things at the grocery store and cleaning (ah, I do love a clean house (just don’t look in the guest/to-be-baby room or our room)).  I have mac and cheese in the slow cooker and the oven preheating to make some veggie crisps (looked like a good idea on the internet).  Patrick is playing Wii with his little brother with Big Brothers Big Sisters (great organization, by the way).

I decided to hole up finally and get some studying done.

I can’t study on my own anymore.  I have these two study buddies.  One goes everywhere with me, thanks to a little thing I call the placenta.  The other is the feline that can only travel as far as the confines of the apartment (hypothetically).

Jeter has a strange obsession with sticking nearby.  Today, he passed out on my textbooks.  Including the one I wanted to read. 10325749_10153286555099316_5885870976480320603_n

Silly cat.

Plus, the placenta attached study buddy is having a small dance party in my uterus.

Clearly these folks are not the best study partners.  They did not get the memo.

So, I’m updating my phone and my laptop and writing a blog post.  With a textbook open in front of me.  If it is open, it at least half counts, right?

Positives in the Tunnel

I wish I could say there is a light at the end of my tunnel of insanity.

But alas, there isn’t one.

Sometimes being a resident and a wife and having a life is discouraging.  Sometimes because it is so hard to do it all.

But, on a bright side to my frustrations, I do have a supportive program.  I may have a million expectations and things to do.  But, it is also a place where the staff person I worked with on call this weekend offered (insisted, really) to take my pager overnight for a few hours so baby and I can get some sleep.  And where I get encouraged to go to appointments and eat.

And I have a supportive husband.  Who picks me up late and is okay with a haphazard supper (again).  Who puts up with my hours of studying and pauses the TV when the pager beeps and who lets me take the car when I have a chance to go to a church ladies’ movie night.

Plus, I have outside friends who try to get it.

And a kind of cuddly and entertaining cat (with a bald spot that is finally growing in (that is a story for another time)).

And of course, I have a great Saviour who is the reason I can do and be all of these things and get through the day.

There are lots of things to be thankful for amidst the crazy.

Weekend library

This weekend, I hit up the big-university-that-my-residency-is-based-out-of’s library.  I love libraries and this one is no exception.  It was also surprisingly empty.  I blamed first week back to school.  The next day, Patrick and I checked out our city’s newest big fancy library and I figured out where all the students were (and half the city, I swear)… In the library.

My university library adventure was brought about due to a need for massive productivity.  Lots of presentations, studying and prep for interviews on the go these days.  My project of the day (really, this past week) has been a presentation on cannabis in cancer care.  Yes, medical marijuana.  Patrick keeps making note of how crazy that is.

It was too bad my presentation got postponed due to a scheduling blip.

The other odd part about university library is hot.  I have never been in a university library that was warm.  They are always cold.  I think they were compensating for the cold snap earlier in the week and had failed to return the heat to the usual “cool” level.  Big city library was hot too, but it was due to the droves of people (that I kept complaining “probably didn’t even really like books”).

Since coffee has finally stopped inducing vomiting, I got a hot beverage before going in to the library (I should have picked a cold beverage).  I tried a Flat White for the first time.

Life lesson… If you have been off caffeine for awhile and your fetus is not used to caffeine, a flat white is an interesting place to start (don’t judge me, “no caffeine during pregnancy puritans”).  The kid bounced around for a good hour or two after that.  It took me a while to figure out why.  I must say, it was pretty good, but to be honest, not something I would hunt down again (especially not during pregnancy).

Big city library has a cafe in it too.  It is a dream to me.  Library with built in cafe.  I just need to get rid of the droves of people.

While at university library, I was peacefully reading crazy details about the intricacies of taking marijuana when a piece of ceiling fell beside me.  It happens at my house and now at the library too.  It was a  small pice.  More a large paint chip.  I considered moving, but I opted to stay.  Classy, big university library.  Charge people thousands and thousands of dollars and have a ceiling losing bits (not much unlike my apartment, come to think of it).

I love libraries of all kinds.  Although crowded ones are my least favourite kinds. At least the city is full of cafes I can work at too (especially now that the coffee smell doesn’t kill me softly).  But, maybe the university library will stay on the empty side a bit longer thanks to the draw of fancy library, so I can hide out there a bit more.  Maybe. But probably not.

A long New Years themed questionnaire

It is a few days after 2015 has started, but I have never been one to celebrate festivities conventionally (Okay, actually I did stay up until after midnight, saw fireworks as the clock struck twelve, toasted the new year (with sparkling apple juice) and kissed my husband… That is pretty darn stereotypical, I must say). I saw this 2014 in review questionnaire (one of many) done by a few of the lovely bloggers I follow and I decided to play along. Warning: it is long-winded and reflective.

YOUR 2014

What one event, big or small, are you going to tell your grandchildren about?

Tough one… Seeing Wicked on Broadway. Getting to see/hear “The Creature” for the first times.

If you had to describe your 2014 in 3 words, what would they be?

Emotional, blessed and nauseated.

What new things did you discover about yourself?

I learned that I am capable of depths of emotion on both ends of the spectrum (joy and sorrow) at levels that I previously was unsure were possible. I also learned that taking time to do the things I enjoy or spend time with the people I love is something that I too often put off, so I am gratefuly that I am now starting to do that more.

What single achievement are you most proud of?

Does being in the middle of growing a human count? I’m mostly serious. But, if we are going with tangible obvious things, it would be having completed my research project and presenting it at a national conference (although we are still editing it for publication… Ugh.).

What was the best news you received?

That “The Creature” continues to be growing and healthy. After a long wait for a baby and especially after losing Elim and knowing how many others wait and pray for well little ones, I can’t help but be so grateful.

What was your favourite place that you visited in 2014?

New York. Hands down. Best early 5th anniversary and partly free trip ever! I got to see musicals, Body World and eat a lot.

Which of your personal qualities turned out to be the most helpful this year?

My high-baseline optimism.

Who was your number one go-to person that you could always rely on?

Patrick, obviously.

Which new skills did you learn?

I apparently got pretty good at microscopy according to my Pathology evaluation.

My countouring skills are getting better. Bring on the head and neck cases!

I am getting better at transrectal ultrasound (I know, valuable life skills here, boys and girls) and inserting needles for prostate brachytherapy. Cervical brachytherapy seems to be a bit of a slower go for me, but it seems like whenever I’m on, the cases wind up being super complicated, so I get stuck not doing much.

Today, I have realized I have also become pretty stealthy at putting on Jeter’s harness.

What, or who, are you most thankful for?

I am most thankful for the many friends and family, particularly our extended church family God has stuck in our lives. They have loved us through a lot this year and keep putting my focus back on what really matters (sometimes with some laughs and healthy distraction on the way).

If someone wrote a book about your life in 2014, what kind of genre would it be? A comedy, love story, drama, film noir or something else?

A dramedy? I think that might be a genre.

What was the most important lesson you learnt in 2014?

It is not my story, it is God’s story.

Which mental block(s) did you overcome?

The perception or belief that I’m not “good enough.” Its an ongoing struggle, but grace is the gift that keeps on giving.

14.What 5 people did you most enjoy spending time with?

This is challenging, there are many people with whom I enjoy spending time. I’m going to say C&C, A&P, K and M from our old small group (I know, that is 6). We got to have some special quality time with them for the first time in a few years and it was really enjoyable, meaningful quality time, even if it was brief. That doesn’t downplay the time we spent with many other very important people in our lives, it was just some of the most special time.

What was your biggest break-through moment career-wise?

When I started realizing that I could answer questions intelligently in teaching sessions and during my treatment planning exams and that I totally couldn’t have done that last year. I didn’t notice at first, but looking back, I can see how much I am learning.

How did your relationship to your family evolve?

I find myself more attached and concerned for my family and extended family as I get older. Probably because I keep learning how fragile life is and how important those people are.

What book or movie affected your life in a profound way?

The End of Your Life Book Club by Will Schwalbe. I don’t know if profound is the exact word I would use, but it made me think about my relationships with family, with patients and how I share my love of reading with certain people. It made me want to check out more books and to actually discuss them (instead of reading being a solitary activity).

What was your favourite compliment that you received this year?

It wasn’t a compliment. It was the most heartfelt hug and simply “thank you” from a patient’s husband.

What little things did you most enjoy during your day-to-day life?

I love coming home to Jeter who immediately “flops” and expects me to give him a good rub as soon as I walk in the door. I also love the time Patrick and I have when we do our individual Bible reading, pray and just cuddle and talk about our days before I go to sleep at night.

What cool things did you create this year?

I’m not that creative. Probably a knitted mug cozie (and then I lost the mug it fit on).

What was your most common mental state this year (e.g. excited, curious, stressed)?

I’m a resident, so stressed.

Was there anything you did for the very first time in your life this year?

I ran for 20 minutes straight. Brachytherapy insertions. I played Munchkin, Gloom, Love Letter, and several other games. I saw Wicked.

What was your favourite moment spent with your friends?

I’m torn between kayaking with L, C, Child and D in the summer or playing games and having a BBQ with C&C, A&P and K this summer.

What major goal did you lay the foundations for?

I’m continuing to be a resident, so a suppose that is working towards my major goal of one day having a real job as a staff physician.

I would one day like to run 5k straight. I know for many people that does not seem like a big deal, but I am NOT an athlete by any means. Before I got pregnant and super sick, I was up to somewhere between 1.5 and 2km without a walk break and didn’t need too crazy long for a break. But now, I went for my first run again last week and I can barely run for 3 minutes without starting to get hot and out of breath (it has been about 12 weeks). I know that I can’t push myself excessively now, but I want to at least maintain (or improve) my fitness, so that after baby gets here, I can keep moving in that direction.

Which worries turned out to be completely unnecessary?

Patrick always tells me worrying won’t make me taller. And he is always right. So, all of them.

What experience would you love to do all over again?

New York. The time we spent with our old small group friends. Our cabin adventure with most of the BIFFs.

What was the best gift you received?

I’m going materialistic on this one. Mr. Holland’s Opus, which was a surprise from Patrick who remembered me mentioning it was one of my all-time favourite movies, so when he stumbled upon it, he bought it and watched it with me.

How did your overall outlook on life evolve?

That is a deep question. I think I’m getting better at seeing how grace really plays out in our world and in our lives in all kinds of ways that are sometimes more challenging to see.

What was the biggest problem you solved?

I fixed our broken drawer. I know it sounds trivial, but Jeter broke that bloody drawer trying to get to the treats a couple years ago and I finally fixed it! Maybe not the biggest “problem” but definitely the best fix.

What was the funniest moment of your year, one that still makes it hard not to burst out laughing when you think about it?

When we were in New York, there was a voice on one of the subway trains that said “Please stand clear of the closing doors” who just sounded so happy while saying it (and also like a CBC sports personality). Patrick thought it was hilarious and would mock it and get even more excited if it was the voice on the train we were on. After getting back, we would still periodically announce “please stand clear of the closing doors” in that voice and crack up. Then, we noticed the elevator they are replacing in our building has a small automated sign that says that exact phrase. We lost our minds laughing at that.

What idea turned out to be the best decision ever?

Choosing to work Christmas Eve, so that we would have Christmas day to ourselves and more time to spend with family/friends at home over the New Years half of the break. We got to rest and relax, enjoy our alone time and our time with people (and even saw almost everyone we wanted to) and it was the best break we’ve had in some time.

What one thing would you do differently and why?

I would have accepted more help from people. I’m often reluctant to admit that I need help, but there were points this year where I was so sad or so sick that I probably should have taken people up on offers of breaks or a hand with things around the house or at work than I should have. I realize now that the past few months would have been a bit better had I maybe taken another couple of sick days or evenings to myself.

What do you deserve a pat on the back for?

I finished my off-service rotations in one piece and made it through the first difficult 6 months of core Rad Onc in one piece (half of which I spent drowsy and barfy) with people somehow thinking I am keen and have a good attitude.

What activities made you lose track of time?

Board games with our lovely gamey friends. I can lose hours playing good games with good people. Also, as always, reading. And I will admit, because I am a big dork, clinic prep and contouring are huge time sucks for me and often lead to me losing track of time.

What did you think about more than anything else?

Having children and not having children. I know it is so cliché for someone in my age and stage, but this was a seriously consuming issue for me this year in both the good and bad.

What topics did you most enjoy learning about?

I love my job and my field, so I enjoy learning most about oncology and everything that goes with it from how people (on both sides of the desk) cope with cancer and live with it, to how it works to the technical side of treatments. I have also been really excited to be learning more about God this past year.

What new habits did you cultivate?

I was doing decently at going to the gym before the morning sickness took me out. Hopefully, I can get back to that. Patrick and I have been doing better with prayer together. I have also been trying to be more intentional with being “social.” I’m not saying I am a social butterfly, but I am trying to have meaningful (or at least some) conversation with people more often in situations where I would otherwise have tried to hide out.

What advice would you give your early-2014 self if you could)?

I don’t know. I’m not always a good advice heeder. I would probably remind myself to be patient and know that tough stuff is good for growing and learning and that worry isn’t going to make me taller (even though Patrick did tell me that).

Did any parts of your self or your life do a complete 180 this year?

Not especially. My caffeine intake is probably a quarter of what it was previously, but that is the fault of mind-numbing nausea.

What or who had the biggest positive impact on your life this year?

Getting back to some important things. Like playing music again. Seeing and staying in touch with people who have been important in my life. Most importantly, seeing the thread of grace that God has woven in our lives.

YOUR 2015

What do you want the overarching theme for your 2015 to be?

Growing.

What do you want to see, discover, explore?

I’m excited to do my Med Ed elective and improve/develop my teaching skills. I can’t wait to meet “The Creature” and figure out all that good stuff that comes with parenting. I am always happy to go on adventures anywhere, even if it is just close to home for the next while.

Who do you want to spend more time with in 2015?

Our families/extended family. We see them more now than we did our first few years of marriage, and I want to keep that up. Plus, their presence is going to be super important as “the Creature” grows up.

What skills do you want to learn, improve or master?

I need to learn how to be a parent at some point. As I said before, I want to work on my teaching and I just plain want to keep working on my clinical knowledge and skills. I always can improve on how well I love my husband and others. Plus, I want to be more fit, you know, the whole running thing, as I mentioned. If I could finally learn to play guitar, that would be great, but probably kind of a lofty goal given everything else.

Which personal quality do you want to develop or strengthen?

I’m not sure exactly how to word it, but I want to continue to work on my time spent with others. I want to be more open to people and more loving towards them and less afraid of interactions.

What do you want your everyday life to be like?

I just want to find joy in the mundane. Because that is what life is made up of, those ordinary moments that add together to make up our days.

Which habits do you want to change, cultivate or get rid of?

I want to keep working on our prayer time and devotions as a couple. I also want to get back to/get better at being more active.

What do you want to achieve career-wise?

I really want to pass physics and radiobiology this year (lofty dreams), so that I can just sit in on them when I come back from mat leave without feeling the pressure to have to write the exams and pass them with a toddler in the house. Doing adequately well on my other in-training exams would be great too. I also want to finish all of my rotations up to the start of maternity leave, so that I only have one 4 week block left of third year when I get back.

How do you want to remember the year 2015 when you look back on it 10/20/50 years from now?

I hope I remember it as a good year, but really, it is just a drop in the bucket.

What is your number one goal for 2015?

Read 67 books. Just kidding. That is a goal, though. I guess it is just to love and serve well.

25 Faces (reblog)

I stumbled upon this awesome piece on Buzzfeed by Aemun Reza called “25 Faces Everyone Who Went To Medical School Will Remember.”

Check it out.  It is worth the click and the laughs.

My favourites (and most common expressions) are number 9, 15, 22 and 25.  But seriously, I think I have made all of these faces at one point or another.