Long Call, Long Haul (part 3)

May 29, 2012

A three-part series describing the demands of life on the wards … and what you can do about it!

 

Part 3:  Make health work for you

For Jim, an accessible place to start staying healthy on the wards is food—for you, it might be food, yoga, social time with friends, staying away from alcohol or something else. Here’s the breakdown of what I find works for life on the wards, easily customizable to where you’re starting out.

For those of you just thinking about getting healthier, or for whom health goes out the window on tough rotations, I’ll steal from Weight Watchers and use a point system, of sorts. Think of it this way: each nutritious home-cooked meal, with veggies and whole grains and maybe some fish, counts as one point. Bringing a healthy lunch, making it to a yoga class or the gym, sticking to one beer (even on your days off!), seeing a friend outside of medicine and laughing about your job, getting a massage… each one of these counts as a point.  Can you get to three points a week? Maybe five? I consider three points a week victory over the battle with time that is month of floors or two weeks of night float. Five points a week is winning the war. Just take it one point at a time. Continue reading “Long Call, Long Haul (part 3)”

Long Call, Long Haul (part 2)

May 22, 2012

A three-part series profiling life on the wards… and what you can do about it!


Part 2:  What’s your health-type?

I am labeled, fairly I guess, by many in my intern class as a “health nut.” I bring breakfast – whole grain cereal with almonds in a little plastic bag – and lunch – an avocado sandwich, yoghurt, and a nibble of dark chocolate – from home every day. I won’t touch the cafeteria food or the greasy Chinese served at mid-day report. I live far from the hospital and close to my yoga studio, a deliberate choice, which means a 25-30 minute subway ride downtown rather than a walk across the street to my apartment. I’m vegetarian. I hosted a talk on Ayurvedic medicine for the housestaff. I’m going into integrative medicine. If I am a health nut, it’s not accidental. Continue reading “Long Call, Long Haul (part 2)”

living anatome for Better Living & Learning

February 21, 2012

As a first year medical student, I made a promise to try to do yoga at least once a week. Not only did I fail to keep that promise, I think I only did yoga three times that entire year! As I progressed through medical school, I could not help thinking about this ever present question; don’t I deserve to treat my body with the same respect as I would recommend to my patients? Seems like a simple concept, yet surprisingly medical schools around the country do not seem to regard this as important. It’s not necessarily that medical schools lacks the resources or that medical students are unwilling to participate in self-care. Self-care just always seems to end up at the bottom of the to-do list. Continue reading “living anatome for Better Living & Learning”

3 Conscious Breaths: The 20-Second Meditation

August 30, 2011

As a medical student, you may currently be in one of the most demanding phases of your life.  Meeting academic challenges, taking care of patients’ needs, dealing with hectic schedules, and trying to have a personal life, could easily exhaust you.  Achieving all of this requires a calm, focused mind and a strong sense of center.  In order to expend your energy in so many different directions successfully, you have to operate from the deep, calm core of who you are.  This way, everything you do will be much more effective and seemingly effortless.

Meditation increases your ability to stay calm and focused.   It’s not as mysterious as some may think.   Continue reading “3 Conscious Breaths: The 20-Second Meditation”

Bring your anatome to life!

June 20, 2011

Spinalis, longissimus, iliocostalis.  Months after the end of Gross Anatomy, these terms (names of the muscles essential for back extension) had trickled from the center of my consciousness to its edges—barely held onto by my sieve-of-a-memory that was already sifting through new material.  Yet on April 1st, I attended a living anatome class: a yoga-Pilates hybrid emphasizing the functional movements of muscles and bones.  Through movement, the class made true to its promise, emphasizing the living aspect of muscles and bones that Grey’s Anatomy just doesn’t quite capture with its diagrams on a page.  Not only did the class bring these muscles back into consciousness (even adding some new ones—the multifidus muscles were judged unimportant by my professor) but it solidified my understanding of my spinalis, longissimus, and iliocostalis.  Even now, when these terms should have surely fled my mind, I still think of stretching my back as extending my erector spinae. I would highly recommend the classes to any medical student interested in understanding not only anatomy—but their own bodies—better.


About the author

Steven A. McDonald is currently finishing his first year of medical school at Columbia University College of Physicians & Surgeons, where he is a wellness representative for his class.

To bagel or not to bagel, that is the question…

May 3, 2011

(This entry is a three-part series, detailing Jenny’s  tips on how to maintain a sound Body, Mind, and Spirit through clinical rotations)

As the alarm blares for my 4:35am wake-up, I think back to leisurely days of 9am lectures, wondering why I had been so excited to start clinical rotations. Sure, actually seeing patients, performing procedures, and discussing real cases was the reason I came to medical school, but life on the wards can be incredibly challenging, and not just due to the medical expertise required. Without much control over long, unpredictable days, even a health-conscious MS4 such as myself finds it difficult to stick with good habits previously cultivated, like 90-minute yoga classes, the occasional (antioxidant-filled!) glass of red wine, or a full 7 hours’ sleep. In addition, it sometimes feels superfluous to focus on myself amidst the demands of the wards, from writing admission notes to re-reading Surgical Recall. But throughout the past two years on the wards, I have realized that I am able to function as a more competent, caring clinician– and actually enjoy the experience– when I practice habits that keep me energized. Here’s what has worked for me during the last two years of med school:

Continue reading “To bagel or not to bagel, that is the question…”

Discover your body to better heal others

March 21, 2011

About three weeks after I began medical school in the fall of 2006, I was already beginning to feel jaded and uninspired.  I entered school with an exciting (and pretty naïve) vision of what was to come: I would learn the hard science of western medicine while integrating and incorporating all the complementary and alternative (CAM) health topics that truly inspired me – nutrition, yoga, and meditation to name a few. I was hopeful that some of this integration would be part of the core medical curriculum at Mount Sinai, and I was certain that I would find like-minded students with whom I could share this exciting journey.

Well, by October, I realized that there definitely would not be any courses on CAM included the formal curriculum, and with the intense course load, I was struggling to maintain my own sense of integration and balance in my daily life. Continue reading “Discover your body to better heal others”

Counteract white-coat kyphosis

January 22, 2011

What is white-coat kyphosis?

You wear a white coat with big pockets full of pocket guides, pens, and patient lists, a stethoscope hangs around your neck… and your shoulders are perpetually slouched, head jutting forward. Friends jokingly call you “Grandma.” You’re suffering from a clear case of White-Coat Kyphosis.

How does white-coat kyphosis affect my anatomy?

Due to the body’s chronic misalignment (e.g. rounded shoulders, increased flexion of the thoracic spine, forward head), the muscles of your anterior chest wall (e.g. pectoralis major) become chronically short and contracted, while the muscles of your upper back (e.g. erector spinae) become elongated and weak. Continue reading “Counteract white-coat kyphosis”