Neuro Block 1

Hey guys!

I’ve had a lot of really exciting things happen in my life recently. But also some very stressful ones. Today’s post is going to be similar to my GI and endo/repro posts. Neuro is technically 5 weeks long, but it is spanned over 6 weeks as we have spring break woven in there.

I’m definitely feeling the buildup of stress and burnout this semester. I was able to do okay for most of the first semester except when it came to renal. Ya’ll already know how I feel about that renal course. If not, you can check that post out. But coming back this semester has been much harder to deal with that.

My current pitfalls:

Medical school is great at breaking down all of those protective barriers you’ve built for yourself. Those insecurities that you could somewhat deal with before? Those walls have been smashed down. That insecurity will find a way to bubble back up and hit you at some point. And it doesn’t matter what that insecurity is.

Like take mine: apparently mine is feeling inadequate or not good enough. This is something I’ve struggled with for a very long time. According to our on-campus counselor, I probably developed this back when I was a preschooler. So like, it’s not going anywhere. (Not like ya’ll really cared to know that.)

I was really good at not letting this get to me. I learned to build up my walls last year and learned so many different ways to cope and realistically look at life’s problems without it completely deteriorating how far I had come. But the stress from medical school (for me at least) has slowly started chipping away each layer of that wall. Brick by brick. They each chipped, cracked, and slowly crumbled.

Until the next thing I know, this insecurity is bubbling up into almost every aspect of my life and affecting every thing I do. Now, I’m not saying that my fortress is completely torn down. But, it’s pretty sad looking right now. Not very impressive.

God damn insecurities. I don’t have time for you.

But they don’t care. They do what they want.

So currently, life’s been a bit rough in that aspect for me. My grades feel like they have been slipping and I’m back at not being happy with most of my performances. I try to tell myself that passing is good, or doing close to the average or slightly above average is good; even if it isn’t what I personally want. But sometimes that can be difficult to accept within yourself.

And because of this, my brain isn’t interested in putting it in a box and shelving it away. It wants to think about it more frequently. And because of that, I personally am having a hard time getting motivated to do things. Or at least to make my study time productive.

Some positives:

I also know that my blog has been a bit on the negative side lately. I would apologize, but this is a real emotion that people deal with and then try to hide. Everyone pretends that everything is okay and picture perfect.

It’s not.

But! I have had some good news on my end. In case ya’ll didn’t know, I was lucky enough to become a Student Ambassador at my school earlier in the year. As a first year, most of the spots to tour and do lunch panels and help the school with their public face went to the second years. They had the experience. But now, with the second years getting ready to study for boards and going off to do other things for third year, this means more opportunities for me and my classmates!

If you have ever interviewed at KCU, you will have run into one of our many SA’s. We help give tours, do lunch panels, and answer all your burning questions. We are also the face of the school to our community. This entails more things, but overall the biggest time you see us is when we represent the school to new and incoming students.

I absolutely adored both of my SA’s when I interviewed. I also knew that if I went to KCU this was something I wanted to do. Not to mention, it reminds me of how far I’ve come (but just how actually recently it was) that I was in your shoes interviewing.

I also recently became our school’s MAOPS president. WOO!!!!! Cue the confetti and champagne! This club is the biggest student club on campus, and it is also tied to the MAOPS organization that represents all Missouri DO physicians at the state level. I’m pretty pumped to take over this year. Apparently I even get recognized at Capitol Hill? Will let you know how that goes.

Lastly, I’m looking to do a medical mission trip this summer. I’m terrified but excited all at the same time. I’m looking at either going though KCU or another program. So my two options currently are to Kenya or India. Not sure yet where I’m going or if it will come to fruition, but that is the hopes! I’m so nervous, but also excited to start using and working on my skills that I’ve learned in first year. Not to mention, I know the programs I might be participating in need the extra hands. Let’s see if this hope turns into a reality for this summer.

Pre-Neuro Test 1:

Okay ya’ll. They really like to mess with our schedule. Given how they took the concerns of last year’s students into play, they rearranged our first year schedules to give us more of a summer and try to cut back on some of the “free days” they had. However, it definitely isn’t working out they way they initially wanted. At least not from a student’s perspective. I do know that given how things went this year, they are changing things for next year again. It may not completely make sense to the incoming first years, but knowing where my class brought up our concerns, they are trying to make it more manageable. Especially since we’ve had more than one unit now that time was taken away and it did not work out to our benefit.

I do not however understand why they are re-arranging when some of the classes are. Ya’ll better get ready for a tough first semester next year. Well, who knows. Maybe with them rearranging things it’ll make it easier in the end.

And if you read my last post on endo/repro, you know they snuck in an OS CPA and midterm exam that took away from our studying for that block. This time, we have a PCM exam snuck into our schedule for tomorrow. We have our first neuro exam and practical this coming Friday. And I’m only bitching about that because our schedule so far has been pretty packed.

We had 14 neuro lectures in our first week (this past week), and had 3 days of packed afternoons filled with anatomy labs, OS lab, and a PCM lab. I think we had a PCM lecture as well stuffed in there, but really, that was a lot of neuro. I’m definitely not all caught up yet and I’m having to take a hot minute to try to learn all the PCM I’ve ignored all semester…

Oops.

We then get slapped with another 6 lectures next week. And just like last week, our Monday-Wednesday afternoons are packed with labs. Not really sure when we are supposed to learn all this information, or sleep. Or both. Because we definitely don’t have time to actually learn anything.

Here’s to hoping they re-arrange the schedule to add more time to neuro next year for the incoming first years. I feel like I’m not really learning or at least learning it well right now.

Just know that KCU has a reputation for having a hard curriculum. You will get your ass kicked at times. And right now, this is one of those times for us!

Will check in later. Maybe. We will see.

Post-Neuro Exam 1:

Welp.

I mean, I kind of just accepted my fate the night before. The feeling I was getting while on campus was that most students were in the same boat as I was feeling. Overall, the content wasn’t necessarily hard. If we had some more time to actually learn it, I think it would have been doable. However, since we had an entire head/neck course (which is what constituted our first Neuro exam) in less than 2 weeks, it really wasn’t that doable.

In all honesty; I failed.

And no, I’m not ashamed to admit that here. Why? Because like I said, most of the classmates that I spoke to also failed. Or just barely passed.  We don’t have our averages back yet, but I’m pretty sure this average is going to be going down in the books.

And really I’m okay with that. I know I put everything into this test block that I could given the scheduling and hurdles that were thrown at me. At the end of the day, I was still gunna go home to a cat that mildly accepts me and gives me love, and a nice bottle of wine in my fridge.

The practical however I was hoping to do better. But just like with the written exam a few hours before, I didn’t have a good feeling about it. Who puts 10 some questions of embryo on an anatomy lab practical? Really?

Still a tad bit salty about that one. But ya know, I’m sure that average won’t be swimming either. So we will see.

Exam Breakdown:

So, out of 20 some lectures and 6 some anatomy labs, we ended up with 95 total written exam questions and 60 anatomy lab questions.

I’ll start with anatomy lab this time:

  • 2 histology questions (Yes I punted these hard).
  • 10 some embryo questions (I lost count honestly).
  • The rest were actual anatomy structures. Some were straight name this and some were slightly second order. The remainder of these were tagged either on bones, models, or the bodies.

The written exam this time around was mostly all anatomy. There was also embryo and histology on this exam.

  • 71 anatomy questions
  • 20 embryo questions
  • 4 histology questions

And yeah. That’s about it.

Tid-Bits for this section:
  1. You need to stay on top of the lecture material. Most people only had time for 1 pass. I chose to not actually look at all of the lectures (I think I didn’t look at 2 embryo and a histology lecture at all) so I could spend a bit more time learning all the dense anatomy on some of the other lectures. But just know, you won’t have time to get in 3 passes. You might get 2 at best on some  of the material. Try your best. Make use of your time.
  2. They will ask a lot of “if you get stabbed, puncture wound,” etc questions on this exam. There was also a fair amount of clinical questions, so make sure you look at your objectives to see what specific clinical diseases/scenarios they want you to know. They may put more in their slide set just because it’s “cool” or they really enjoy teaching it. But if it isn’t covered under an objective, it’s not fair game for a test question.
  3. You need to use your lab time wisely. Part of that is making sure you’ve at least watched one of the lectures from that morning. The likelihood of you looking for structures in the body based off of what you’ve learned earlier in the day while in lab is high. Quiz each other while you are dissecting. Go to other bodies and start seeing what those structures look like. Use that time. You have 2 hours where you have to be there, which means 2 hours out of your studying time.
  4. Blue link slides for testing your anatomy. Our professors did post several of this review links on blackboard for us. But, you also have access through KCU anyway I believe. If you have a different anatomy slide set that you’ve been using all year, use that. Stay on top of this anatomy.
  5. Man, don’t punt embryo on this exam. I was okay with not knowing all of it for the written. But I’m annoyed at how much showed up on the practical. A lot of it happened to be pharyngeal arch derivatives and grooves. But there was definitely information pulled for all 4 of those embryo lectures given showed up.
  6. The rest of the links that were recommended or sent to me involved some sort of anatomy resource off of the KCU intranet that we have access to. Acland’s, Thieme’s, and the Human Anatomy Resource link that KCU offers. I again didn’t have time for all of this, but if you have a chance to look at at least one resource to quiz yourself, do it.
  7. If you like making Anki cards and can stay on top of them, here is a tip from a girl in my anatomy group: When previewing the night before, make your cards. Edit them while you are in class going over the material to make sure they are correct. Review them that night. As Anki builds with time, this pile can get a little overwhelming though. But if this is how you enjoy learning the material, this apparently worked well for her.
  8. I used Teachmeanatomy.com for some high yield concepts at first. But honestly, I used a fair amount of youtube and Moore’s textbook itself to try to teach myself some of this material. A fair amount of content I didn’t quite get right away with just the slides and I personally needed to use our textbook to figure it out or look at a bigger version of a picture in the slides.

Lastly! 

Roll with the punches on this one. It’s going to be rough. At the end of the day, you just have to hope for the best when walking in to take this exam. There really wasn’t a good way to prepare for this beast. If you are getting the feeling that everyone else in your class is struggling, don’t be upset if you are as well.

Something our class has had to remind ourselves with this block: they can’t fail all of us. 

And in this case, it applies. It’s not that we wanted to do poorly, it is just how the cards seemed to land.

Update: Our class average for the written was 72% and a 73% for the practical. Which honestly, is better than I was expecting but not too far off from what E and I predicted.

Endocrine/Reproduction Block

Hello MedHatters!

And welcome back to another post detailing a medical school systems block. I quite liked how I set up my last block post in GI, where I had my thoughts throughout my course posted here and then dived into the nitty gritty details of the block itself. After a while me just blabbing about the course itself isn’t very interesting!

Strap on in. Like usual, I like to talk.

Giphy.com
PRe-Midterm thoughts:

Okay. I’m motivated right now from not doing as well as I would have liked in GI. I mean, I’m really upset about my GI performance, but I’m hoping I can use this as a motivator to propel me into this block. A girl can at least try to be positive! Especially since I’m a known pessimist.

Let me have my shot at attempting to be positive here people

I have my sights set on doing an honor’s track (peds specifically). But in order to be considered for this track next year I have to have at least a 3.4 GPA. I’m only a few tenths off, but I know it’ll be harder to get it up than to bring it down.

I know I don’t need the honors track: plenty of people who don’t do fantastic in their grades get awesome residencies. Especially since a lot of schools are deviating away from actual GPA points and operate off of pass/fail. But I really want to do the honors track. It would allow me more exposure to pediatric rotations in my 3rd and 4th year that would not only prepare me more for a residency in peds, but also help me determine if there is a different subspecialty I might be interested in.

Anywho, it’s a Sunday night and I have been dragging for the past few days. My burnout is very very real right now. I’m starting to short-circuit essentially. Forgetting peoples names. Can’t remember what I’m saying in the middle of my sentences anymore. That thought I just had? It flew out the other ear the second I thought I had latched onto it.

Honestly to the point that 2 people told me I look exhausted/need more coffee. And not coming from a friend. From strangersApparently it’s that obvious people.

I was hoping that by taking Friday night off I would be better Saturday. But then I ended up spending 6 hours at the hair dressers (was not anticipating that) and it turns out trying to get beautiful is more exhausting then I thought!

And well, earlier today E and I decided to buy a fancy schmancy espresso maker so ya know I spent my whole morning trying to figure that shit out instead of studying.

giphy.com

It was delicious BTW.

Oh yea, and I’m writing this instead of studying. But hey, the thyroid isn’t stimulating okay? (Insert really corny med school joke about TSH here).

Let’s see how much I can bust out in a few hours. Wish me luck. Imma need it.

[The next day]:

Okay. I tried going to class this morning. But turns out, at least for this block, I need to read before watching the lecture. There is just too much happening with complex concepts. Not to mention one of the physiology professors (love her sassiness), tends to fly through about halfway through her lecture in order to finish on time.

And I just.

It’s a lot.

So, Imma try to read a bit and finish catching up from Friday’s material and today.

It’s been a super hectic Monday so far. We had class for 4 hours today (ugh, feel like I didn’t retain anything). I had to split my lunch hour between my advisee lunch and making an appearance at a club table since I’m hoping to run for president in a few months! I had to start pulling more weight if I want that. I additionally had a meeting with the learning specialist to help me try to figure out where to improve. Turns out its not my study methods that are the problem: it’s my motivation and burnout that is getting in the way. Apparently no amount of self care is going to get me motivated enough to learn this?

Oh, and then had lab for an hour today.

I really hate it when we have afternoon things. I freak out that I won’t make it to my afternoon required labs on time or feel that I need to prep more in the time before I go. OR, I just decide to not do anything and then literally play on my phone until I have to go. So basically, I waste the valuable study time.

Anyways, hoping to get in a bit of studying here before I head back to campus. There is a talk about surgery rotation given by a physician tonight and I really would like the insight!

Wish me luck ya’ll. I got a final at the end of this week and lots to cram in my brain before then.

Post Midterm Thoughts, Pre-Final Thoughts:

Ah, well. I clearly need to change my study habits or find some motivation. It’s weird because I’ve developed this sort of weird sense of confidence in what I do know. So going into the test for both my GI final and my endo/repro midterm I was like on top of the world. Only to see my score be not great. Which sucked this time, because my class did fantastic. Yay classmates! But it also means I don’t get to ride a curve. Actually, there won’t be a curve unless people do poorly on the final and practical because the class scored so high.

Thank God I want to go into peds. Because, ya girl is def not at the top of her class. And I keep getting mad at myself for the grades I’m getting.

I’m more in the middle. And out of 450 some people that’s not bad. But it’s also not amazing. Let’s hope I shine in 3rd and 4th year.

I had my whole I feel sorry for myself and I’m down and pouty yesterday. E made sure to tell me that he hates it when I’m moping or sad because he doesn’t know how to handle me or what to say. So I got a very tough love type of conversation from him last night. Which I didn’t love. But then he bought me sushi so I guess I can’t be mad at him for it. Right? Isn’t that how relationships work? Lol.

Anyways. I can’t jump right into repro (the second half of this course) until I learn some OMM. We have a CPA (or skills check/exam) on Tuesday (so in like 3 full days) and I need to learn this shit.

Dear Lord please let me continue to do well with OMM

[Later that Week]

giphy.com

I wish I could say I was happier. Or content. But honestly right now I’m having a really hard time. And not just with school either. I mean, it sucks that I’m not grasping what I’m hoping for and feel like I’m spending so.much.time on topics only to get them wrong on exams. I’m currently trying to figure out how to fix that. The learning specialist thinks it’s a motivation problem.

I’m not sure what I think about that thought just yet.

I’m also having some issues in my personal life. I’m not really sure how to handle the conversations I need to have to improve my peace of mind. Or not miff the relationship. Ya know, things I wish I would have mastered by now but haven’t.

I’m still waiting on my OMM score. But honestly it’s only been 2 days since we’ve taken it. I’m pretty sure I passed. I highly doubt I got an A though. Pretty sure my diagnosis on one of my tasks was wrong… But we will see how nice the grader was.

[The Weekend Before The Shit Show]

So. Ya’ll.

Uhh this next week is going to be a bit rough schedule-wise. We have 2 (well technically 3?) exams next week, 7 lectures, and we have 3 labs also crammed into this week. Oh, and an SP encounter. So it’s… it’s definitely a lot. It kind of reminds me of the last like 2 weeks of fall semester honestly where everything just kind of got crammed in because we didn’t have time during the semester to do it.

I’ll post a rough schedule of things so you can see it. But basically there is going to be a lot going on. A little nervous to have 2 exams in one week again. The last time we had it we had one on Monday and one on Friday. So we at least had the weekend before to prep for the Monday one and the whole week basically in-between for the second one. This time around we have an exam on Tuesday and two on Friday. So less time in-between to figure our shit out.

Oh, and remember, E and I are in different lab groups and go at different times for our SP encounters and debriefs, which means I need to be on campus more to accommodate his schedule too. But his isn’t shown.

I know, it doesn’t look that bad because Thursday there isn’t much. But Imma need that whole entire day to cram reproduction material in my head. Anatomy lab will also be closed from noon-on on Thursday as well so they can set up the exam. So any lab time that I want I’ll have to squeeze in before then!

But anywho, I’m stuck at work for 6 hours today. Hopefully I can finish catching up on the repro stuff from this week and start looking at OS stuff so I’m not cramming it all in Monday night. Wish me luck!

Post-Final Thoughts:

That week was very very rough. I surprisingly did better on OS (both the CPA and exam) than I was expecting, but I also think I put too many eggs in that basket and not enough in the repro basket.

Just because we had so much to do this past week I’ve completely forgotten what I’ve already accomplished already. What happened on Tuesday felt like eons away come Thursday. Well, even come the following day really.

I set my bar really low for repro. Not even gunna lie. I was so burnt out and ready to just sleep that the only thing I wanted was to pass. Thankfully I passed with my raw score. My GPA will likely go down and there may not be a decent curve, (unless everyone also had the same goal) but honestly I’m just happy to be done with it.

giphy.com

Oh and that practical, man. I was either blissfully unaware of how bad I was failing during it OR I somehow did fine. Because I didn’t think it was that hard compared to what everyone else was saying… Guess when the scores return I’ll find out.

I think I’m finally at the point where I’ve hit my threshold for stress. I’ve noticed my mood is changing, my sleep is starting to be affected, and my brain to start blanking frequently. My irrational fears about nothing to do with the stressors in my life like to pop up. I get nit-picky about freaking out over small things in my home or in my relationship that I have no reason to get upset over.

I am most definitely having those certain signs (that I won’t dive into right meow) that are a little bit more tell-tale when I’m on the brink of hitting my anxiety and some depression just from stress overload. And I’m pretty sure the end of GI and most definitely this past week in repro is what put me there.

Welp. Time to pull my damn bootstraps back up. We’ve got 6 weeks of Neuro. And ya’ll the second years have told us it will be hell.

Breakdown:

Okay, so the midterm focused only on endocrine and the final was only on reproduction. For the midterm:

  • Biochemistry: 10 questions
  • Clinical Medicine: 7 questions
  • Histology: 10 questions
  • Immunology: 10 questions
  • Physiology: 58 questions

Total Midterm: 95 questions

I spent most of my time admittedly on physiology and histology. The clinical medicine really wasn’t that bad. Especially if you showed up for the class (which I did not; these are E’s words). But really I’m learning that most of the clinical medicine lectures take what you’ve just learned collectively from some of the physiology and anatomy lectures and then put them into case studies. Because during physiology, they tell you “oh, if you have a problem here it is primary hypo/hypgonadism” etc. Well clinical medicine lectures take this and just put more of a clinical twist on them. But at the end of the day, they are mostly just asking if you can identify the physiology problem that you learned already.

Final breakdown:

  • Anatomy: 30 questions
  • Clinical Medicine: 11 questions
  • Embryology: 11 questions
  • Histology: 11 questions
  • Physiology: 32 questions

Total Final: 95 questions

{We were supposed to have 100 total questions. But we had some weather issues and long story short they never actually gave us our last 2 hour physiology lecture. They were initially going to just release a video for us to watch (I won’t get into how that got all of our feathers ruffled) but we were ruffled enough that they just pulled it off the exam.}

For anatomy, they did have some blue box material. But honestly I think I’m learning what they like to focus on. Some of the particular professors have clues hidden throughout some of their material in their lectures and notes. For example, Dr. Olinger puts his “blue box” or other tidbit information in italics throughout his note packets. Others just put a slide (such as Dr. Brauer or the fellows). So even though they say to look at all of the blue boxes, in reality, they don’t tend to test on that wide of a range anymore!

For both of our anatomy practicals we had 60 questions again. So that means about 20 were off of a body and were mostly histology slides and models. We didn’t have an imaging lecture this time around so no CT’s/angiography’s/xray’s to test us on. Everything else was on a body like normal.

Additional Information:

I’m not really sure if I feel qualified anymore to give you a how I studied section or what I found helpful. You use the Costanzo book for some of the slides/lectures for physiology and you use the recommended book that is listed (I think it’s a Mosby series one) for the rest. You will always use your Moore’s book for blue boxes. Although honestly, I find it too text heavy to read. I used Dr. Olinger’s book for anatomy and for lab because he has additional drawings and pictures of cadavers in his book.

For questions, I used some BRS. Other’s I used the tutor’s questions. I tried using some of the Mosby questions but I didn’t find them that helpful.

For the repro physiology section I filled out objectives. It was hella time consuming but I wanted to see if I could recall/fill them out without using help. Some of the lectures I could, the rest I couldn’t. I did this because physio was a large chunk of stuff.

Sorry I wasn’t more helpful on this section guys. I’m a little burnt out and at the point of just wanting to pass. Maybe by MOD I’ll get my swing back.