snreaves

And then it was over: reflections on medical school

May 29, 2019May 29, 2019by snreavesLeave a Comment

Third year and fourth year of medical school truly flew by. Here I am, a few days after graduating from medical school, still in disbelief that I am now a medical doctor. (!!!)

fullsizeoutput_8de2

It’s been a long time coming.

Medical school was quite literally the best of times and the worst of times. In four short years, I took (and passed!) three board exams, saw my first patients, learned how to suture, tie surgical knots and delivered a baby. I realized I love the operating room. I traveled the world. I cried more than ever before, and I grieved–over the deaths of close family members and of patients I cared for.

Some of the people I met during the first week of school are now my closest friends. I chose a specialty (obstetrics and gynecology) and matched into a fantastic residency program. I proudly wore a thick black robe and sat under a sweltering sun on graduation day (sweating profusely, but still proud).

fullsizeoutput_8f86

So now here we are, at the end of one chapter and ready to begin the next. Without a doubt, the upcoming years will be trying and I will be working harder than I ever have in my whole life. But I am also looking forward to training in a specialty I love and growing as a physician and as a woman. It’s officially time to retire the short white coat (which I actually haven’t worn in months lol) and start mentally preparing myself to wear the long one and the responsibility that comes with it.

047AF6CF-2C5A-46F3-BFAC-9B91043C8454

Wish me luck!

-Simone

Medicine

What’s in my white coat? – Internal Medicine clerkship edition

February 25, 2018May 29, 2019by snreavesLeave a Comment

I remember when I first got my white coat as a first year medical student two years ago–it was pristinely white, not wrinkle or stain in sight. It was the symbolic representation of a clean slate, a fresh start, the blank first page of a journal, the start of a career.

Fast forward to the end of my third year of medical school. This white coat has collected ink stains, coffee stains, and stains of unknown origin. It has served as a fill-in for an umbrella on walks home from the hospital. Its pockets have held snacks to fuel me through 24 hour overnight call shifts. It has been my blanket for naps in the library.

Sure the white coat looks nice (I suppose), but its main benefit (in my opinion at least) is its functionality. I can carry an absurd amount of things in these pockets (there are inside pockets too!). Here’s what I kept in my white coat during my Internal Medicine clerkship and why:

Pens – an absolute must have. Honestly, you would probably be OK if you carry absolutely nothing else in your white coat besides a pen. (Seriously, even a spare stethoscope can be found but extra pens are always hard to come by.) And I always try to keep multiple pens in my coat (and several more in my bag) because somehow pens always go missing….. I also keep a highlighter in case I have journal articles to read or outside records to review.
Stethoscope – because, you know, it’s probs important to listen to your patients’ hearts, lungs, bellies, etc. (Read: it’s definitely important to listen to your patients’ hearts, lungs, bellies, etc. And it’s embarrassing to get caught without your stethoscope.)
Maxwell’s – this is a super helpful little guide for pretty much any clinical setting. It has helped me when I needed to calculate a Glasgow Coma Score, or describe which dermatome a shingles rash was affecting, and on countless occasion.
White Coat clipboard – I love this thing. When on rounds, or in patient rooms, it’s the perfect writing surface to take notes on. The clipboard folds in half, so I keep my patient lists inside and they stay nice and neatly folded, and HIPPA protected! And once it’s folded up, the outside of the clipboard has great reference material. 10/10 recommend.
iPad mini 4 – I find it helpful to carry this with me because I can pull up UptoDate or PubMed to look up any information relevant to my patients, or research questions that come up during rounds. Even though I also keep my phone in my pocket I think it’s more professional-looking to use a tablet and I avoid my residents/attendings assuming that I am texting friends or browsing Insta. I also use my iPad to access the electronic medical record if I don’t have my own computer to use. And of course I can use it to study/do UWorld practice questions if there is any downtime.
Journal – I personally find it easier to take handwritten notes than to type on my iPad, so I carry my Moleskine journal to be jot down helpful tips from residents and attendings or take notes in lectures.
Chapstick/lip balm – last but certainly not least, I keep some type of lip moisturizer on hand. Right now I’m loving the Chapstick Ultimate Hydration, or Burt’s Bees Tinted Lip Balm in Red Dahlia if I want a subtle pop of color.

Of course from time to time I’ll have a bag of trail mix or a granola bar because ya girl gets hungry lol. But the above items are my usual white coat necessities. Without them, I truly feel naked (and about 5 pounds lighter).

I hope you enjoyed a peek into what is hidden in those mysterious white coat pockets! In the future, I’ll give you the details of what bag I use and what I carry in it, so stay tuned!

-S

Uncategorized

The importance of self-care

December 31, 2017December 31, 2017by snreaves3 Comments

Merry Christmas and Happy (almost) New Year!

fullsizeoutput_453c

Thankfully, during M3, we get a 2 week winter break that encompasses Christmas and New Year’s Day. That means for the past two weeks, I have been chilling. No clerkship obligations, no required readings, no nothing. It’s been a beautiful change from the hustle and bustle of being on the wards.

First off, I’ve had a chance to catch up on some sleep. And oh did I sleep. I’m talking sleep in until noon, take an afternoon nap, and then go to bed early lol. (I was exhausted! Third year will snatch all of your energy.)

I spent my waking hours binge watching great TV (Game of Thrones, Grey’s Anatomy, and Law & Order) and my guilty pleasure shows (90 Day Fiancé and Toddlers and Tiaras). I browsed Pinterest for recipes and room decor. I indulged in mani/pedis, at-home facials, and delicious food. I also did some retail therapy, a little bit of painting and some reading that didn’t include textbooks/UptoDate articles. (Current read: Rupi Kaur’s The Sun and Her Flowers).

fullsizeoutput_453a

fullsizeoutput_4527

But best of all, I spent most of my break surrounded by my parents and my younger sister. We ate, drank, and were merry all break. We laughed, had family movie nights and visited extended family as well. My little sister almost convinced me that I could become a vegan (mmmm maybe not quite lol). It was so nice to be at home and in their company.

While I certainly could’ve taken advantage of this extra free time and studied for my upcoming shelf exam, I purposefully did a minimal amount of studying during break. And I mean minimal. We don’t get many breaks in medical school, so I really wanted to enjoy this one without feeling obligated to study. After all, I spent the majority of my winter break last year studying for Step 1, so I wanted to fully enjoy the holidays with my family and friends without worrying about studying or falling behind on schoolwork.

When you’re in medical school, not studying can be a lot easier said than done. It’s easy to feel guilty about not studying because in medicine, there is always something to learn! But, spending time away from the books is important to give yourself a chance to relax and to keep yourself from feeling burned out. Taking time to lounge around and enjoy my break was important to me to make sure I can go back to the wards rejuvenated and ready to work!

I haven’t made a list of New Year’s Resolutions for 2018, but this year I hope to make sure I’ve got plenty of self-care in my routine. I hope you find ways to do the same, whether it’s through exercise, art, or Netflix!

Happy Holidays!

-S

Buenos Aires, Travel

The Best of Buenos Aires (and some of Uruguay)

June 7, 2017April 15, 2018by snreavesLeave a Comment

Hi again! In my last post I promised I’d devote a separate post to my post-Step 1 vacation to Buenos Aires. Months later, I’m finally getting around to it (lol sorry, clerkships have kept me busy!). I’ll spare you the day-by-day itinerary of our trip and just give you some of my favorite things about Buenos Aires and Uruguay.

El Caminito, La Boca. This colorful area (“El Caminito”) in the neighborhood of La Boca was definitely a highlight of the trip. We walked through a large indoor market, bought art from street vendors, and ate lunch at a restaurant that we literally stumbled upon down a quiet alleyway.

Recoleta Cemetery. I was truly amazed by how grandiose and beautiful the mausoleums were at this cemetery. By following the crowds we were able to find Eva Perón’s grave.

El Ateneo Grand Splendid. Hands down the most beautiful bookstore I have ever been in. It was previously a theater.

Tango show. We naively thought we would dance tango while we were in Buenos Aires, but after seeing how intense the dance was we decided not to embarrass ourselves lol.

One of our best decisions was to take a side trip to Uruguay. We hopped on a ferry boat and about 2 hours later we were in the quaint waterfront town of Colonia del Sacramento. Colonia was calm, sleepy village–a big change from bustling Buenos Aires.

Montevideo. We rode a bus from Colonia to Montevideo, and stayed with the sweetest AirBnB host. He even took us out to dinner the night we arrived in Montevideo, and we chatted for hours about life and politics over wine and pasta. Montevideo, despite being a big city, had a much more relaxed vibe than Buenos Aires, and the people were extremely friendly. We even had a chance to relax by the small beach on the edge of the city.

Last but certainly not least: the food. I think it’s safe to say that we pretty much ate our way through Buenos Aires and Uruguay. We ate delicious hand-made pastas, soft and flaky medialunas (croissants), creamy gelato, and the most amazing sushi I’ve ever had. And of course, we ate the most tender, flavorful steaks and drank fantastic red wines. To make things even better–everything was ridiculously affordable thanks to the exchange rate being in our favor. God Bless Buenos Aires.

This vacation was a much-needed getaway after studying long and hard for Step 1 and was also a birthday treat to myself. I’m super happy I was able to make this trip, and despite spending a full day in travel time (each way), I’d gladly go back.

-S

Life, Medicine

What’s new?

March 14, 2017December 22, 2017by snreaves1 Comment

Short answer: almost everything.

It’s been a while since I’ve blogged, and I’ve been through a lot in the meantime.

For starters, I took (and passed!) Step 1! I went into hiding for 6 weeks to study for this exam, hence the absence from nearly all social media.

Then, after my Step 1 exam, I took a trip to South America–a much needed getaway. (I’ll devote a separate blog post to this trip, which will include the highlights from my stay in Buenos Aires and a side trip to Uruguay.) But for now I’ll just say I ate my fair share of steaks and drank plenty of Malbec.

And so now–finally–I have started my third year of medical school! Clerkships! I’m three weeks into my first rotation, and so far I’m still trying to figure this whole thing out. My first two weeks I was on the inpatient neurology stroke service, which was an amazing experience to jump into, albeit pretty fast-paced. Now I’m starting my two weeks of outpatient neurology, which so far has been much more laid back but still quite interesting.

Every day I just try to become more comfortable talking to patients, hone my physical exam skills, and learn more about clinical practice. Even though it’s a huge adjustment transitioning from classwork to clerkships, so far I’ve enjoyed it so so so much more. After all, this is why I came to medical school–to see patients!

I’ll continue to keep you all updated as I progress through third year, and (as always) I’ll be sure to share all the fun times along the way!

-S

Life

November 2016 Favorites!

December 13, 2016April 15, 2018by snreavesLeave a Comment

Yes, I realize December is almost halfway over and I am just now writing about my favorite moments from November. But things happen. This week marks the last week of my pre-clerkship classes, and I’ve also been transitioning into studying for my board exam coming up in January (the infamous USMLE Step 1 Exam), so school stuff has been a lot lately. Oh, and my laptop decided to go crazy on me so I had to replace my hard drive. Yay.

But, better late than never, so here goes a list of my favorite things from November 2016. Or, in the spirit of Thanksgiving, things I was thankful for this past month:

Thanksgiving. Duh. This is the highlight of November. What’s not to love about Thanksgiving? This year I was extra lucky and had two Thanksgiving dinners–one with my relatives in South Carolina (the annual Thanksgiving family reunion), and another one the Saturday after Thanksgiving Day. The second Thanksgiving was just with my parents and sister because mom worked Thanksgiving and couldn’t join us in South Carolina. My sister and I prepared the whole meal, and we didn’t hold back even though it was going to just be the four of us. I mean, if you’re going to do Thanksgiving, you’ve gotta go all out.
Election day. No, the election didn’t turn out the way I had hoped. But I greatly appreciate living in a country where I can exercise my right to vote and make my voice heard.
Wilderness workshop. The Emergency Medicine Interest Group and Wilderness Medicine Interest Group at my medical school put together a workshop designed to teach people important survival skills and tips for enjoying time in the great outdoors. Now, the closest thing I have ever done to camping was when I was in Girl Scouts and my Brownie troop camped in our troop leader’s backyard. But, I’d really like to go ~real~ camping one day, so getting advice from some of my classmates who are avid outdoorsmen/women was great. And I learned how to start a fire out of twigs and leaves and stuff which was pretty cool.
Falling leaves. In my October Favorites post I wrote about how much I love fall. Part of the reason I love it so much is because I loveeee when the leaves change colors. Campus looked so so so beautiful this past month with the orange, yellow and red leaves all over the ground.
Therapy Dogs. A student group organized an event in our library the week before we left for Thanksgiving break that included therapy dogs–perfect timing seeing as we were in the midst of studying for an exam! The dogs usually visit patients in the Children’s Hospital, and they even have their own trading cards. Too cute.

And those are the highlights! Thanks for reading!

-S

Life

October Favorites!

October 31, 2016December 22, 2017by snreavesLeave a Comment

Fall is hands down my favorite season. There are so many things to love about fall: the weather, the clothes, the beauty of the leaves changing colors… (oh and pumpkin spice everything lolz).

October is usually the month where it actually starts to look and feel like fall. So it’s a happy month for me. But there are a few MVPs from this past month worth mentioning:

1. Apple cider, hard cider, and apple cider donuts from Carter Mountain Orchard.

2. Getting to do a “liver transplant” in anatomy lab with cadavers. Did some suturing and everything!

3. Halloween. My second favorite holiday only to Christmas.

Hold up, they don’t love you like I love you….

*We gone slayyyyy.* Thanks Queen Bey for the inspiration.

4. My ever-faithful Neutrogena Rapid Clear acne spot treatment. Saved my entire face when I was having stress breakouts from studying renal.

5. Football. Especially under beautiful blue skies.

6. These adorable rain booties!

And those were the faves! So sad to see October end but at least I have another month of fall left.

-S

Life, Medicine

On being a patient as a medical student

October 4, 2016April 15, 2018by snreavesLeave a Comment

During my fall break last week, I (finally) got my torn meniscus repaired. Having surgery on my knee gave me an interesting opportunity that I haven’t had in a while–a chance to be a surgery patient.

I’ve had surgery before, but this time, as a medical student, it felt a little different. I understood a lot more of what was going on with my procedure and who was involved in my care. And of course I thought about everything that could possibly go wrong during surgery. Even though the meniscus repair was a pretty minor procedure and not very invasive, with any medical procedure there is always potential for something to go wrong. So naturally I found myself feeling a little anxious about all the possibilities for a bad outcome.

Getting surgery was a reminder of how overwhelming, stressful, and anxiety-provoking being a patient can be. As I sat basically naked under a hospital gown and blankets, doctors and nurses came in and out of my room to talk to me, started an IV, asked me questions, marked the site of surgery…. I verified my name and birthdate I don’t know how many times, and explained over and over to various people my idea of what was going on (arthroscopy of the right knee and repair of the lateral meniscus) to make sure everyone was on the same page.

It was a lot.

Post-op phone call with my sister (pretty sure I was half asleep)

I felt lucky to have my parents there with me pre-op, which helped me feel a little more relaxed (even though they may have been more nervous than I was). I also felt lucky that I had a general awareness of what role all the various nurses and doctors played in my care and a good understanding of the procedure itself.

But I realize not everyone has these comforts going into surgery. Some people may show up for their surgery completely alone (especially if it’s an emergency situation), and many may not have a solid understanding of the procedure. I can only imagine that in either or both of those cases a patient’s anxiety would markedly increase.

Being a patient while in medical school was particularly interesting because one day, pretty soon, I will be on the other side of things and be a doctor taking care of my own patients. I’m thankful I was able to have some moments of introspection and reflection about what it feels like to be a patient because I think it can be easy for physicians to just view patients as a constellation of disease processes, injuries, or symptoms instead of as a whole person with feelings and fears. In the future I want to always keep in mind how I felt as a patient: vulnerable, nervous, restless, unsure. I don’t want to lose sight of what that felt like, because I’m sure my future patients will have those very same emotions–and many more.

I thank God that my surgery went well. The care and attention I received before and after my surgery was absolutely wonderful. (And I’m sure I received great care during the surgery as well because I’m recovering fabulously.) I couldn’t be more proud to be a student at an institution that really values patient care. (Sounds cliche but I really mean it.)

Recovery= rest, ice, compression, elevation, and Law & Order marathons

Now time to get back in the gym!

Life, Virginia

Kehinde Wiley, you made my Labor Day

September 6, 2016December 22, 2017by snreavesLeave a Comment

Labor Day Weekend 2016 has (sadly) come to an end. (But I refuse to say goodbye to summer because the temperature is still in the 90s.)

This year turned out to be a pretty relaxing LDW (after the part where I endured a pretty grueling final exam for cardio, of course). I mainly hung out around the house, tidying up/organizing/decorating. But everything changed when I came across an email about an upcoming discussion about artist Kehinde Wiley! I’ve admired his work for a while, because I love how he creates incredible, colorful portraits of people of color that are inspired by historical works of art. (If you want a better summary of his life and his work (trust me, you do), check this out.)

So naturally, when I realized that his exhibit, “A New Republic” was on display at the Virginia Museum of Fine Art in Richmond, I had to go. I recruited my best friend Michaela (also a huge Wiley fan) to come with me, and we spent our day off from class flourishing away in Richmond.

I was super excited for this exhibit and I can say that I was not disappointed. Wiley’s work is infinitely more beautiful in person, when you can really appreciate how detailed and (how massive) every painting truly is. I really was in awe of all of his work. I couldn’t even pick a favorite painting.

“A New Republic” also included some of Wiley’s sculptures and stained glass pieces, which were new to me because I had only heard of his paintings. But these works, especially the stained glass, were just as awe-inspiring as the large-scale portraits. Clearly, this man is talented.

Painting is about the world we live in. Black people live in the world. My choice is to include them. This is my way of saying yes to us.

-Kehinde Wiley

Bottom line: If any of you ever have the chance to see Kehinde Wiley’s work in person, please please please go! You won’t regret it.

-S

Medicine

Helloooooo, M2!

August 24, 2016December 22, 2017by snreaves2 Comments

I know, it’s been a while, but the first few weeks of school were pretty hectic. Between moving into a new apartment unit, and taking an anatomy practical and an exam within the first two and a half weeks of class, I’ve been a busy lady these past couple of weeks.

This year is my second year of medical school, and I’ve set a few goals for myself. I’ll share them with y’all so hopefully you keep me accountable.

Keep studying hard. I (thankfully) managed to make it through my first year of medical school, so I just have to stay focused and make it through one more semester of pre-clinical work! (And then study for boards but I don’t wanna talk about it…)
1. Cook more. I’m trying to save up some money to take a nice, much-needed vacation after I take Step 1 in January, and I know I can save a ton if I eat out less and cook more. I’ve been stocking up on cookbooks and recipes so I’m pretty excited to try out some new dishes—and depending on how they turn out I’ll share them on the blog!
Exercise more. Exercise is good for the mind, body, and soul and it really helps me feel better when school gets stressful. A knee injury has been holding me back but hopefully after that gets sorted out I’ll be up in the gym just workin’ on my fitness a little more regularly.
Call friends/family more. Sorry guys I know I’m bad at this. But just because I don’t call/text doesn’t mean I don’t think about you! I’ll try to do a better job of showing it though.
Take time for myself. Medical school gets pretty stressful, so it’s important to find time to wind down and relax. For me this will probably mean the occasional Netflix and chill (by myself) or treating myself to a mani/pedi every now and then. Also, I recently discovered a local massage school that only charges $25 for an hour massage, so best believe I’ll be checking that out.
Keep on flourishing. The good thing about only having class Mon-Fri from 8am-12pm and podcasted lectures is that I have a lot of flexibility in my schedule. But that will change once I get on the wards in February. I want to make sure I take advantage of the free time I have now and get out and explore wineries, try new restaurants, dance at salsa nights, go on some weekend trips, maybe go on a hike or two… You know, just flourish.