Tuesday, December 15, 2015

Residency Interview Trails...Match 2016

It has been a very exciting Match 2016 interview season...I am so grateful for the opportunity to visit so many
amazing programs. Although we have 45 more days until most programs complete their interviews, I am looking so forward to Match 2016 results in March...
The excitement I'm feeling is so AWESOME. I am at the door of crossing over into my life long dream full of purpose and fulfillment. I am just 135 days away from completing medical school...CAN YOU BELIEVE THAT! I am interviewing for my first job as a practicing physician...How cool is that?

Although this season seems so long, it has gone by so fast...All the early morning flights, rental cars, hotel stays, interview dinners, luncheons, etc have been incredible. If I had this to do all over again, I wouldn't change a thing...Well, maybe some things...but, they are all now water under the bridge. I have to take my end results and make it all work for my good. I have to now be confident in the fact that I did something that most thought would have been impossible at my age, through all the tedious and trying circumstances I overcame. AND I am here. Glory to GOD in the Highest. I found my strength from God Almighty in my weakest times. I found solace in my family and friends. I found refuge in my peers, a bond that can not be broken. Now I'm embarking on the next level of becoming the physician I've dreamed of being..

At this next level, Residency, the unfamiliar is filled with new expectations and greater responsibility, excitement coupled with anxiety, but, most of all ACCOMPLISHMENT and SUCCESS! I did it! AND with all of that I will conquer, I will achieve, I will perform, I will grow into the BEST DOCTOR I was DESTINED to be!

So, as you continue on your journey towards fulfilling your dreams...NOW, that if you continue on that road you will accomplish your goals...
Now, go live your dreams!

Saturday, November 7, 2015

Soaring above the CLOUDS...

As my plane prepared to leave the gate, it started raining. But, we pushed back from the gate and proceeded to taxi to the runway. It began to rain heavier...soon we were on our way....all I could hear was the plane's engine getting louder and louder...the force of the speed building up...then we were off..we ascended...there were some turbulence and the rain continued to fall...We were now in the fog of the clouds...The turbulence increased......it seemed as though we were in the clouds longer than usual...


I wondered how could the pilots see?....how could they navigate? I had to relax and trust that they were trained for these kinds of situations...then soon enough, we broke through the clouds...on the other side of the darkness, rain, turbulence was pure ECSTASY...The Sun was shining bright, the rain had stopped, no more turbulence...just smooth sailing above the clouds...


When life seems dark, rocky or even unbearable, force yourself to relax in knowing that GOD is in control. HE knew your days before there were none. HE KNEW your ending before your beginning...and He promised your latter days shall be GREATER...


SOAR WITH ME ABOVE THE CLOUDS...
Now go live your dreams!















Tuesday, October 6, 2015

Doctors are Educators

Today I started my elective in Hematology Oncology, which I have a personal interest.  I think this field of medicine is extra delicate.  When most patients go see their primary care physician, it's considered preventative care or managing chronic illnesses.  However, if you have an appointment with a Heme/Onc it's  may be because a diagnostic test was abnormal and further investigation is needed. 


What's really concerning me about the doctor patient interaction is the lack of successful communication.  Communication is successful when the message intended is received and understood by the receiver.  I noticed in some cases of the underserved communities, some patients have no idea why they were referred to a specialist.  The were just told that their labs were abnormal and they need to see a specialist.  Just imagine the anxiety that could build from this form of communication.  The patient has very limited information. 


Today, I was interviewing a 62 year old Caribbean Afro male patient and he was under the impression that he was referred to this office because of the lingering pain from a object falling on his foot.  I thought to myself, "hmmm, I did not know this was a pain management office, too."  However, the truth of his situation was he had an increase in platelets which is called thrombocytosis; also, his hemoglobin and hematocrit were significantly elevated.  After the doctor explained this to him, he said he had never heard this before.


I love the way the doctor handle this. He explained to him the results and reassured him that he will received treatment for it. But, first more specific test were needed.  You should have seen the look on the patient's face, a sigh of relief, but confusion as well.  He was told that a "bone marrow aspiration" was needed.  The doctor excused himself from the exam room for a minute.  Then I asked the patient did he understand what he was talking about.  He said, "I have no idea. I guess this is why I have the pain?"  The doctor returned to the room and began to wrap up the visit and asked if there were any questions.  The patient said, "no." 


I'm learning that I have to, not only listen to what the patient says but, I must look at their body language, facial expression, etc.  This is all part of effective communication.  It was obvious that he did not understand one word the doctor was saying.  So, I interjected and said, "Actually, doctor Mr. X expressed to me that he was not sure of what a bone marrow aspiration was or why he needed it."


Communication is a huge part of effective patient care.  I am learning that I cannot only diagnosis and treat; but, I have to make sure those under my care understand and agree with the treatment.  After all, it is affecting them.


As you go through your day, interacting with others, pay attention to the nonverbal signs.  A lot of misunderstandings can be avoided by slowing down and really making sure the message intended was received and understood.


At the completion of this patient encounter, Mr. X thanked me and said, "we need more doctors like you."  Now, that's what this is all about...making a difference one patient at a time! Doctors are Educators....


Now, go live your dreams!

Sunday, October 4, 2015

Will your DREAM BLOSSOM or will it die unfulfilled?

I received a message from one of my blog followers expressing her appreciation of this blog. 


"You are very inspiring and I know you will make a great doctor.  also want to deposit a small token because you have helped me restore confidence and faith in pursuing my vision of becoming a medical doctor. Thank you so much. I know God will finish what he started in you. Once you receive your medical degree and residency placement don't stop. This is just the beginning of the ministry and purpose God has planned for you. God bless and keep writing :) " I.U.


I really appreciate those kind words.  When I first began this journey, I came up against a lot of opposition from the so called "experts", that were suppose to be advising me on the possible path (s) I could take.  But, instead they tried to kill my dream.  So, out of angry and frustration, I began to write about my journey.  I knew if I could encourage, inspire and help people realize that the only walls left standing in your life are those that you chose not to tear down or break through.  


Yes, opposition will come, a lot of nay sayers will raise their head.  But, you as the carrier of the dream MUST know that the dream can either die unfilled or blossom with full manifestation.  I chose the later.  I chose to believe in me, my GOD, my support system and I did whatever needed to be done to make it happen.  During the early stages, my husband became terminally ill.  I chose to reorganize, restructure my plan verses giving up on my plan.  I switch to taking prerequisites at night so, that I was able to take him to every doctors appointment during the day.  While maintaining a loving and peaceful environment for my children at home.  I didn't have time to worry or even consider the walls that were before me.  I had to devise a plan to break through them and knock them down. 


We live in a big world with endless opportunities...I know the US is one of the most desired countries to live in...But, when I felt the doors were not opening up fast enough for me here...I branched out to see my options outside of US...and it was worth the venture.  Ross University School of Medicine on the Island of Dominica gave me my opportunity to manifest my dream.  After only 2 short years there, I returned to US to complete my clinical rotations.  Sometimes, you have to get outside your comfort zone.  Don't let the unknown hinder your pursuit.


My thoughts on this beautiful Sunday morning is, we as a people need each other.  We need to share our story, our triumphs, so those coming up behind us will know that they can make it, too.  No matter how big the dream, how far off it may seem...If you continue to go after that which is deeply rooted in your heart...a door...a way...a path WILL open up...if you do NOT give up!


I totally believe, "iron sharpens iron, as one man sharpens another."  Proverbs 27:17...


Now, Go live your dreams!

Thursday, September 17, 2015

My First Residency Interview...BOOKED....

OMG...WHAT A WONDERFUL FEELING...I got my first interview request just one day after submitting my applications.  I am overjoyed....I know this is just a small part in this long process, but it feels good knowing a residency program deemed me worthy enough to request an interview.


Stay Tune....more will unfold....
Thank you Father!

Monday, September 14, 2015

Match 2016 opens tomorrow....

Will I be able to sleep tonight?  Have I dotted my i's and crossed my t's?  Have I put together the  BEST residency package?  Is there anything else I need to do?


I have spent many hours on my residency application and researching each program that I am apply for.  I have selected 165 programs.  Those that I feel I will fit in perfectly...lol...the truth of the matter..I can fit in any where...The challenge is getting the committee to see that.  I can work with old, young, happy, or sad people...but, most importantly, I would like to be in a thriving environment that foster respect and team work.  So that I can gain the knowledge I need to be a successful practicing physician and contribute in a meaningful and productive way. 


So, wish me luck...think positive thoughts for me...pray that the right door opens and I am able to walk through and obtain a solid foundation which will allow me to grow deep roots and grow branches that will touch and change lives for the good.


Residency 2016...I'm ready to receive that email in March that says, "Congratulations, You've Matched."




After you have done all the necessary preparation, the only thing left is for you to do is BELIEVE.  Believe that it ALL is working in your favor...the right door (s) will open and you will live out/in your DESTINY!


Now, go live your dreams!

Saturday, September 12, 2015

I'm Here!

It's September 12, 2015...On Tuesday, Match 2016 opens...I am ready...I have perfected my application, revised my personal statement, I have 8 letters of recommendation, and NOW, I'm READY....


Match season (Residency application time) is the time that 4th year medical students apply for their first job as medical doctors.  Although this sounds very exciting and glamorous, it is far from the truth.  Well, it is definitely exciting, but not glamorous.  This is the time that you demonstrate to prospective employers that you are ready to learn even more and will be a contributing factor to their programs.  The time to roll up your sleeves and dig deep, to use all your critical thinking skills, medical knowledge and be able to continue to build on those...You ARE A DOCTOR NOW!


I am currently working in Internal Medicine ICU, which I absolutely LOVE.  Every time I'm in this environment no matter how tired I am I am keen and open to learn.  Like last night, Friday night, we are dealing with several complicated cases and the Fellow (a fellow is someone that has complete residency and is now specializing is a particular field...ie she is a Pulmonary and Critical Care Specialist) kept saying, "We are saving lives here."  ...I replied, "I LOVE IT."  


My excitement is that fact that I am able to understand what is going on is SO SWEET.  I see my growth.   Last November, I was assigned to the ICU, which was a privilege as a 3 year med student and back then I felt I knew absolutely nothing...But, as I have completed other clerkships, I see how my clinical knowledge has grown.  So, now as a 4th year, back in ICU...I am pretty much understanding a lot of what is going on.  Working with good fellows/residents that want to teach you is awesome....


The amazing part of all of this is I am a person that always dreamed of becoming a DOCTOR, as a little girl.  I didn't really know how to get here...I didn't have any doctors in my family or even college graduates.  I was the first person in my family to graduate from college.  And now, at 40+ I will graduate from medical school and begin practicing medicine is ABSOLUTELY AWESOME....


With hard work, dedication and the willingness to step outside your comfort zone the WORLD is YOURS...The journey will not be a piece of cake, but at times it can taste just as SWEET!  With tough times comes good times..and if you know this...You can DO THIS!


Now, go live your dreams!

Tuesday, September 8, 2015

FInalizing Match Application

It's September already.  Match 2016 opens, Sept 15th...This is perhaps the most exciting time for a medical student...For the past 3years, the hard work, the tears cried, the prayers made were not in vain.  Match 2016 is the day that I match into MY residency program. 


After 4 years of medical school and graduating with a Doctor of Medicine, aka MD, this is the time for our first job as medical doctors. A residency program can last any where from 3 year to 6 years, depending of your specialty.  This is the time a novice doctor will be tested, tried and perfected, before they go out into the world alone.  So, this is perhaps the most important part of this journey.


I am perfecting my personal statement, tightening up my CV (resume), and obtain all the letter of recommendation from my attending physicians and the most important thing is getting the financing for the application and interviewing process....


With great excitement, I asked myself, "where will I be this time next year?  Where is my new home?"  I know it's going to be absolutely fabulous.  My destiny will lead me to open doors that no man can shut.  I will not be denied.  It's my time to WALK into DESTINY...I have walked in determination, persistence, dedication, resilience, etc, etc, etc.  Those qualities I will always possess...But, to know that 8 years I started on this journey and now...I'm HERE!  I can just imagine the feeling I will have when DESTINY speaks...


The amazing thing about it all is that this is just the beginning, a new chapter to be written...Isn't LIFE WONDERFUL...


Always go into new adventures with great expectations...greatness will manifest...higher spiritual awakenings are there...provision is there...infinite power is there...RISE TO THE Occasion...You were made for this time...this season...this hour...Arise...and Walk in Your DESTINY...it is IN US ALL....Arise!





Thursday, August 20, 2015

Surgery DONE!

The past 8 weeks of surgery clerkship has been a topsy-turvy experience...It wasn't because of the material needed to be learned, but the interaction with the surgeons.  OMG...I have not been in such a hostile environment since Air Force basic training days....I am glad to say all that is behind me...


The up side of surgery was when I had the opportunity to round with a general surgeon.  He was a great guy.  I loved to watch his interaction with the patients and surgical staff...Great personality.  It goes to show you that you can draw more with honey than with fear and intimidation.  Also, it fosters a great work environment and a positive atmosphere for learning.  He made every patient feel important even if they were overly EXTRA...He knew how to handle the situation without direct confrontation...WISDOM at work....


So, now I step into the world of exploration...my year of electives....Should be fun, but intense...
I start an elective in community medicine on Monday...Then I begin my Sub-internship in Internal Medicine....Now, this will be heaven for me....I have the pleasure of rounding 6 weeks with Sub-I's  in the ICU during my 3rd year core clerkship and learned so much..So, Now, I will be the Sub-I and pray that I can achieve exponential growth. in care for critically ill patients....


This med school life is starting to ROCK for REAL!
#MD2016
#a40yearoldmedicalstudent
#WithGodAllThingsArePossible
#Push
#StayFocused
#DreamsDoComeTrue


As you push through the tough parts of the road on your journey to GREATNESS and DESTINY, know that you shall reap, if you faint not.  Don't quit mid stream! The storms that are raging are temporary.  The sun will shine again...You MUST see it! You MUST feel it!


Now, go live your dreams!

Wednesday, August 12, 2015

Passed STEP 2 CS....DONE!

This morning I received more great news...after waiting 2 months for results...I received the word....I PASSED STEP 2 Clinical Skills exam....


Now, that all the particulars are completed...I can focus on which direction I am going on this path through medical school....


How am I going to SAVE the WORLD?  Where am I going to make my mark?  Where can I make the most impact?  As this journey unfolds, nothing but excitement, joy and great expectations are blooming within me. 


As you take a look at what is unfolding before you, know that your future is brighter than your past.  Your course in life can be what you desire it to be, when you put in the necessary WORK!  Anything worth having is worth going after with your whole heart...


LIVE BIG...DREAM BIG...DO THE WORK........


Now, go live your dreams...
This is a40yearoldmedicalstudent talking directly to you...it can be DONE!
No matter what obstacles are before you!

Wednesday, July 29, 2015

Another Day of Celebrating...STEP 2 CK Results are IN!

This wonderful journey to and through medical school as been very eventful.  It has been the most challenging, yet rewarding task I have set out to accomplish thus far.  I just feel deep down inside that this the beginning of something HUGE, a path that will unfold unlimited possibilities...


This past month has been the most challenging I've experienced in my clerkship experience...but, through perseverance and determination...I made it to the other side of USMLE STEP 2 CK...Sometimes distraction arise, but you have to know that they are just distractions and don't let them stop you...You must be determined to complete what you started. 


Now, back to studying...in surgery clerkship...YAY!



Saturday, July 11, 2015

USMLE Step 2 K - DONE!

Yesterday was my day to SMASH Step 2CK...I was ready to get it over with...prior to taking it I was  an emotional wreck...but, not really realizing the depth of my inner fears, until after I finished the exam...The week prior to the exam I felt stressed, I had a headache every day....my stomach was in knots...and I have never had such bodily manifestations that were overwhelmingly affecting me like this...I've had many challenging days in my life, which I was able to manage well...


On top of all of this, I put my workout regime on hold until after the exam and that was not a good idea...6 weeks of a sedentary lifestyle allowed the stress to build up and to manifest in my body...the last two days before the exam I had the worst thoracic back pain ever...I was in so much distress and just did not have the time to go see a doctor...to get up out of a chair, my bed felt like someone was stabbing me with a knife...the back spasms emerged out of no where, I don't recall any trauma; but, it felt like someone had hit me across my back with a bat.  I did not have a fever.  I could take deep breaths without pain...So, I assumed I just slept in the wrong position...but, the odd thing is the back pain began in the middle of the day...when I woke up on Wednesday morning, I did not have them...I took some anti-inflammatory meds but that did not help...I took acetaminophen with little relief...well, it did help my headache...Well, I pushed through all these manifestations and continued to study...The morning of the exam I noticed that I was able to get out of bed without my calculated positioning of my legs and carefully rotation my upper torso. However, I still felt some pain, but on a lower intensity.  It was Friday, July 10th, 5 am and I was ready to CONQUER this day!  Pain or no pain!


Going into CK, I was more relaxed than on Step 1....I was praying and believing that I did the proper preparation and I would feel good about my performance.  So, after 8 hours and 393 questions, I was done....I even had 9 minutes on the clock for a break...As I sat down with the test proctor to sign out...I noticed my back pain was completely gone...I had no limited range of motion, no limited movement at all...I was quite amazed at how I allowed the stress from this exam to affect my body...


As I look back, I was in a panic mode these past 2 weeks...I started my surgery rotation in a very specialize field that I felt was not giving me the diversity I needed to complete my surgery shelf exam...and on top of that I did not have the down time to study for CK...or my surgery shelf exam that I have to do on August 24th...SO, with all this pressure my body was screaming out for help...


Yesterday evening, I was in the spirit of praises to GOD for seeing me through...I could not believe the pressure I was under and now it was gone...I felt FREE..I felt as if a 10 ton weight was lifted off my back...


So, the learning point for this blog is, though trials may come and go...you have to make sure you take care of yourself emotionally, spiritually and physically...never again will I neglect my body....to be a sound Being we must care for our WHOLE BEING and when one part is in deficit the Being does not function as it should...


Now, Go LIVE your Dreams!


3 John 1:2-4
Beloved, I pray that you may prosper in all things and be in health, just as your soul prospers. For I rejoiced greatly when brethren came and testified of the truth that is in you, just as you walk in the truth. I have no greater joy than to hear that my children walk in truth.

Thursday, July 9, 2015

Life altering exam...USMLE Step 2CK

I am finally here...the night before CK...I really don't know what to think or feel...I've reviewed 3 years worth of material...I've answered over 3300 practice questions...Watched videos from two different sources...and have taken hundreds of pages of notes, not to mention all the note cards made...Praying that I formed the proper synaptic connections that has stored the information in my long term memory and I am able to recall it when needed.  It will be a long day...8 am to 5pm....350 questions...Not sure if a cafĂ© is in the building, I just finished packing my lunch....Chicken breast, baby carrots and a protein drink.  I'm trying to decided should I drink water...I know that sounds very strange...but, I can't afford to leave the exam to go to the bathroom...lol...Although, I will get 45 minute break to divide how I see fit...I guess can afford to drink a Gatorade....Normally, when I take my shelf exams which are 4 hrs long and no allotment for breaks...I make sure I do not drink anything that morning going into the exam...


I must say, I am much calmer than I was taking Step 1.  I was a real wreck for that one.  Perhaps, I've grown.  I would hope so and like to think I have.  These past years have been trying...challenging...and difficult; to be at the cuff of finishing medical school in approximately 10 months in mind blowing...I am so thankful to GOD and all of YOU that have followed my journey and sent me words of encouragement and well wishes.  So, please tomorrow as you go about your day, doing and taking the necessary actions to manifest your dreams....say a PRAY FOR ME...I will need the Divine direction!  USMLE Step 2 CK, I'm ready for you....


Job 23:10Amplified Bible (AMP)
10 But He knows the way that I take [He has concern for it, appreciates, and pays attention to it]. When He has tried me, I shall come forth as refined gold [pure and luminous].







Sunday, July 5, 2015

Surgery in the midst of Step 2 CK....UGH!

I know you all are wondering...Hey, where is she?  what is she up to?  Well, I'm on course to finishing my final year with the same amount of enthusiasm as when I first began this journey...perhaps, I am harboring a great deal of excitement and anticipation, too....I cannot believe how fast time is flying by. 


I'm in my last core rotation, surgery, and still prepping for CK...I feel like these two things are my last hurdles I need to jump before Match 2016 opens in September.  And they are the BIGGEST, yet....I had planned on being finished with Step 2 by now...but, just wasn't ready...so, I rescheduled my exam until this Friday...I don't think you can every feel ready for these kind of life changing exams...The many hours invested in studying seems like it's never enough...but, the longer you put it off the more likely you will forget the stuff you reviewed in the beginning...So, I'm praying, believing and hoping for a successful experience with CK...


I started surgery at the end of last month and it has been non stop...OMG...I'm working with an orthopedic surgeon that specializes from the elbow down...very specialized.  So, most of the day we are examining hand and wrist injuries.  I never knew so many people had issues with their hands...from young to not so young...


I chose two fields for surgery: orthopedics and plastics...I didn't get the plastics; but, I was really curious about the new craze of butt injections and wanted to see how it was done by real professionals...Some years ago my sister had a friend that was a plastic surgeon in Laguna Nigel, Ca and when I met him he said, "I can fix your nose." He began to tell me what he would do to improve it...Then I said, "Who said there was something wrong with my nose?"  LOL...


My second have of surgery is general surgery....I could just imagine what I will experience there...It will be all fine because I will have finished all major exams and can focus completely on it....


I've always had an interest in orthopedics, especially hip and knee replacement.  Knowing several people that have had them, I wanted to see how it's all done...I think I could easily work in orthopedics...I know how to use a screwdriver, mallets and hammers...It's a lot like construction and I use to own a remodeling business.  I know how to cut wood, lay tile, etc.  So, far hand surgery seems pretty routine...lot of the same injuries: pins and plates needed. 


I know one thing, this hand surgery rotation has made me more conscious of my hands and wrists while I'm roller skating...I really need to get some wrist guards...Although I have not fallen in years, but accidents are accidents...


So, looking back over this tedious journey...I'm so glad to share this with you...I decided to share my experience in order to show you that with determination, perseverance, commitment, a never give up attitude, you can accomplish what ever you desire to do.  Will you have obstacles? Absolutely!  Will there be days of asking, "Lord which way do I go?"  Absolutely! But, what most of all you must possess is knowing with your whole heart, every part of your being that this is what and where you are suppose to be and you will let nothing stop you from getting THERE....


Now, go live your dreams!


James 1:5-10New King James Version (NKJV)
If any of you lacks wisdom, let him ask of God, who gives to all liberally and without reproach, and it will be given to him. But let him ask in faith, with no doubting, for he who doubts is like a wave of the sea driven and tossed by the wind. For let not that man suppose that he will receive anything from the Lord; he is a double-minded man, unstable in all his ways.



Tuesday, May 26, 2015

USMLE Step 2 Prep...

http://www.gofundme.com/JBuschMD


In the US, there are three steps in order to become a licensed practicing physician.  For the past two weeks, I have started my prep for Step 2.  This is usually done at the end of your 3rd year of medical school, after all your core clerkships have been completed.  The importance of completing the exam before the fall clerkships is residency season opens in September and you need your scores in order to have a complete application and offers for interviews.  The score weigh heavily on if you are offered an interview. 


The good part is I feel I've gotten better at taking exams.  After every clerkship there is a NBME shelf exam that must be passed.  So, this has allowed me to deflate some my anxiety, I suffered from Step 1.  I still have yet to get over the hype of all these exams we have to take.  They are the most difficult, challenging and nerve racking part of this whole journey. All that you have done leads you to this point.  The point of no return.  It's a make or break situation...You have to do well...The interesting part of it all is, the exams literally covers every aspect of the past 3 years.  Going all the way back to your first day of medical school.


Step 2 is composed of two exam over a two day period.  The first part is Clinical Science: applying all you have learned in 12 mocked patient encounters.  A 8 hour day, you have no idea what the encounters are.  They can be anything from knee pain, back pain, pancreatic cancer, psychosis, pregnancy, domestic violence, pneumonia, etc.   You have 15 minutes to conduct the patient interview, to figure out what's wrong and to do a focused physical exam pertaining to what you think the problem is.  Then you have 10 minutes to type a flawless patient note.  In the patient note,  you must at least 3 differential diagnosis in the order of most likely diagnosis, history findings and physical findings.  This takes a lot of practice...in the beginning of this journey, it would take me over an hours just to write the patient note...So, you have to be quick on our feet. 


Part 2 of the Step is Clinical Knowledge: a 350 question exam that is 8hrs.  This is the part that makes you want to cry.  The challenging part is decoding each question...I am so amazed at the question writers...they have to be geniuses...How do you ask a question without mentioning the topic while droping the most vague hints?  And we are suppose to figure it out.  LORD HELP ME...


But, I'm ready....I have waited a life time for this...I will be ready..I will conquer...


So, as you prepare for what you have desired for a life time...go hard...and don't give up.
You will reap if you faint not...Persistence...Diligence...and FAITH!


Now, Go live your dreams!


Please don't forget to support me in my residency match fund raiser:
No contribution is too small or too large...With your contributions of $5, $10, $20, $50, $100, $1000 $10,000, will make this all possible.  Feel free to tell your friends, co-workers, neighbors, etc....
Click this link to donate: http://www.gofundme.com/JBuschMD

Wednesday, May 13, 2015

Residency 2016...Fund Raising has officially begun..Donate NOW!


I am on the verge of making history....as a practicing Physician (first in my family)....I always had the desire to practice medicine in my youth; But, I went a different direction...After graduating from high school at age 16...I joined the US Air Force...and life went on...However, in 2008, the urge to become a doctor came up again.  But, this time, I did not ignore it.   I decided it was time to live out my dream and actually go for it.  I had to complete several classes (15), before I could apply to medical school...which took time....In the midst of this, unfortunately, my husband became gravely ill and  passed away, 5 years ago.  It was a real stressful time.  But, I was determined to finish what I had started.  I had to schedule every aspect of my life, from taking him to  chemo and radiation appointments, managing his care, to the managing of the boys, to my volunteering, I was determined.  After his passing, I promised him that I would adopted and raise his two sons...Now, some years later, I am in medical school, my oldest is in college and my youngest is in middle school...A very hetic life.... 

Now, I'm at the door.  I can see the end of the tunnel...It's so exciting...I am entering my 4th year of medical school.

In order to practice medicine as a skilled physician, I must complete a residency program. This is a wonderful adventure of 3 to 4 years of pure torture (some say)...however, by the end of the residency, I will be considered an expert in my field of training...

Residency seasons for Match 2016 opens officially September 15, 2015 and ends Februray 2016.    During this time, I am looking to apply to many programs around the US.  However, applying for these programs comes with a hefty cost.  The approximate price for 275 programs application fees will run approximately $5500.  Why so many programs?  I will be applying to several different specialities and within those specialities I need to apply to a minimum of 50 programs...Then after I have applied, and the programs that would like a closer look at me, will offer me an in person interview at my expence.  A medical student can get up to 20 interviews...however, the average is about 11 interviews... So, that means I would have to fund the trip: travel, housing and transportation.

As with any job interview, each invitation is an honor with such stiff competition and a must to attend in order to be considered.  Match 2015 had approx. 25,000 opening with 37,000 applicants...So, the more programs applied the better the chances of matching.  Come March 2016, it will be music to my ears to hear, "Congratulations, You've Matched!" 

No contribution is too small or too large...With your contributions of $5, $10, $20, $50, $100, $1000 $10,000, will make this all possible.  Feel free to tell your friends, co-workers, neighbors, etc....
Click this link to donate: http://www.gofundme.com/JBuschMD

All things are possible to them that believe....

Thank you for your support...and follow me on
http://a40yearoldmedicalstudent.blogspot.com
I've been journaling my journey to and through medical school for the past 7 years....

Kindest Regards,
Joyce

Friday, May 8, 2015

Birthing A DREAM...Can be so emotional

Sunday evening I had a 4 hr talk therapy session with my with my dearest friend Lady E, businesswoman, great woman of Faith and Wisdom....She shared with me and I with her our journeys...as tears flowed from the path we took to walk in our destinies...I'm overjoyed to hear and witness how she came from 0...divorced with a DREAM in her heart that was bigger than her reality, with 3 mouths to feed, feeding her 3 children bologna sandwiches everydays, a bucket of a car that her children were so embarrassed of that they would ask her to drop the down the street from school...to starting her first group home....then 1 went 2, 2 to 3, etc...No one around her believed in her but herself...she was now in position to buy her and her children a home, then another, and another, etc...then she went from the bucket to a Maxima...then to a Benz...and then paying CASH for her BENTLEY...She was able to give her children the best education..her daughter was accepted to 3 Ivy leagues: Harvard, Princeton and Yale; graduated from Harvard...As tears flowed, she said, "Joyce, I worked hard, all had was bologna to feed my children...We were on welfare...foodstamps...People would criticized me, but I kept believing I could do it. I provide for my children with no help from their father. The man that told me for years I could never do what I AM doing."


Everyone has a story..some may judge her harshly for driving her big beautiful car around on Sundays on her way to church, taking her luxurious cruises (at time all by herself), but if they only Knew her story...if they only knew the struggles and pain she endured...




I know what it takes to birth a DREAM...even in the midst of lost and bewilderment...Having to take care of my dying husband, a man 6' 4" that went from 210 to 137lbs...Having to take him to EVERY doctors appointment, 10 months of chemo (I remember he even had chemo on Christmas Day during the time we took this picture..see picture below), 59 radiation treatments and dealt with all the side effects the treatment entailed...at the same time in school finishing my prerequisites for med school, having to schedule every aspect of my life, volunteering at Healthcare for the homeless, making sure the boys were straight, 5 years ago he succumbed to cancer on my 40th Birthday. I was left to care for two children ...I was in school full time trying to get accepted medical school...had to fight 7 lawsuits that was trying to intervene on my adoption...all the lies theses "saved" folks told in court was unbelievable...All I had by my side was my mother, the prayers of my family and The Most High God...God stepped in and His Divine Will prevailed.....




Don't judge me for my Bright Smile... My Eternally Optimistic Attitude about LIFE, especially MY LIFE...My LIFE IS FABULOUS ...and it's not about the material things I possess...My Happy, Healthy and Whole sons...because WE went through in Faith believing for brighter days were coming ...Victory Was and IS MINE, OURS...Selah...people comment all the time that, "You look so HAPPY...You HAVE A BRIGHT SMILE"...It's BECAUSE I AM HAPPY...I have The Peace of God...I Have the FAVOR of GOD and man...




R.I.P Mr. D.B...You chose the right ONE...I GOT THIS...‪#‎IGOTTHIS‬ ‪#‎IMDOINGTHIS‬ ‪#‎WithGodAllThingsarepossible‬ ‪#‎WalkbyFaith‬ ‪#‎GREATISHISMERCYTOWARDSME‬ ‪#‎A40YEAROLDMEDICALSTUDENT‬ ‪#‎ImSoEmotional‬

Friday, April 24, 2015

Realization...

Have you ever come to a conclusion and realize that the facts are the facts?
Well, today as I was doing exams, pap smears, fetal heart tone assessments, I realized that no matter what capacity that I practice medicine, the most important factor is I need to make a difference.  I thoroughly enjoy seeing patients, especially those in the motherly way.  OB/GYN may not be the residency I apply for; however, I must admit, I thoroughly enjoy the connection that I make with my patients.  The Girl Power connection is AWESOME...the  funny thing is majority of the OB/GYNs, I've meet in this area have been men.  I've only met one female OB/GYN...None the less, the ability to assess and offer solutions catered to the individual's need is special and rewarding...


So, no matter the end result of my exploration through different aspects of being a medical provider, I now have the realization that this is without a doubt My Destiny...and God willing, I will positively impact lives and improve their quality of care, as I take my place in this ever changing atmosphere. 


Psm 27:13, "I would have fainted unless I believed I will see the Goodness of the Lord amongst the land of the living."


Keep expecting the realizations, the revelations of the Divine to unfold continually before you and without a doubt...You will walk in Destiny...


Now, go live your dreams!

Friday, April 17, 2015

WE NEED MORE BABIES...I'm so emotional!

This past year of clinical clerkships have been very exciting for me.  I have thoroughly enjoyed each clerkship.  But by far Obstetrics has been the most emotional.  Being able to share in the joy of child birth in a family, mother, father, grandparent is so rewarding.  I am so exciting that so many people are still having babies...LOL..I laugh at that because right now in my extended family we do not have any babies.  What a shame!  I think the youngest are at least 4 or 5 years of age...WE NEED MORE BABIES...Have we've gotten so busy in living that we have restricted our procreation to the bare minimum?  My paternal grandparents had 14 children.  My maternal grandparents had 11.  Where are the brave souls that are willing to compete with those numbers?  LOL...I had the pleasure to meet a 24 year old patient on her 6th child, she and her husband was overjoyed.  I love it!  WOW, I'm so emotional about this...


Going into Obstetrics, I never imagine the amount of miscarriages that occur and the pain that follows.  I am so emotional about this.  Yesterday, I scrubbed in on a 16 week inevitable miscarriage.  The fetus was in the vault and no heartbeat was detected.  Tears weld up in my eyes, as I was scrubbing in, when I heard how the grandmother fainted, the mother carrying the child cried, regretting this second tragedy only at age 28.  It was an emergency procedure and we were there to assist.  As the procedure proceeded, I could not believe the tragedy of this fetal demise.  I would only pray that one day, this young woman will be able to carry full-term and she and her husband will share in the joy of the fruits of their labor. 


The difficulties of conception is a fact in Obstetrics, this I know first hand, now...I only pray that whatever, my journey takes me that I will be able to bring consolation, healing and alternatives to my patients.  I am so emotional right now...


Where ever your journey leads you, be aware that you are touching lives.  You are building bridges...You can restore hope...You can offer alternatives...and in doing so, You are paving your road to GREATNES.  This the ART OF BEING....HUMAN, COMPASSIONATE, and/or really ALIVE!


Now, go live your dreams!







Great NEWS...


Early this week I received a phone call to report to our campus on Friday at 11 am... I assumed it was for a meeting I asked for as a favor...But to my surprise it was a presentation of an award to me. I was selected by the American College of Emergency Physicians for the Medical Student Professionalism and Service Award in recognition of excellence in compassionate care of patients, professional behavior and service to the community and the specialty of emergency medicine.

 

The people that know their God shall stand strong and do great exploits...." Dan 11:32 NKJV

 

 



Sunday, April 5, 2015

Obstetric and Gynecology...A great adventure...

First week in OB/GYN clerkship off to a fast and exciting experience...I think I was the most excited about starting this clerkship to get the experience of bringing little bundles of joy into the world...However, I never thought about the down side to this choice...A 29 year old female presents to clinic with complaints of lower abdominal pain and had gone to the Emergency room and was told that her baby did not have a heartbeat...So, she came in to us for another opinion. And after an exam and ultrasound..it was confirmed...there wasn't a heartbeat...You should have saw the tears flowing...not only her face, but mine as well...I didn't think about this side of the pregnancy...the complications that can occur...Although, I know that approximately 30% of pregnancy end with miscarriages...I just wasn't expecting this on my firs day in the clinic...So, due to this loss, we had to perform a dilation and curettage in which I scrubbed in on and assisted the doctor. I wanted to experience the operating room, but not like this...Well, the upside of my day, I did get to see a cesarean delivery that day...And a circumcision. Since Friday was Good Friday, we were told we could leave a 1 pm...We all decided to go for lunch...and then we received a text that we needed to report back to the hospital for an emergency C-section at 6pm...So, I was at the hospital Friday for 13hrs...The life of an OB/GYN...LOL Just within the first week, I realized that the lifestyle of an OB/GYN is hectic crazy...the babies are in charge... Although I love the atmosphere and playing such an amazing role in women health and being a surgeon, I can see a very demanding lifestyle...and having a teenager by the time I get into residency...I just don't think I can justify that time away from my son, his high school years. I want to be available to participate, attend his games, etc.... However, I noticed that around the nursery and seeing the babies, brings me a lot of joy.... I'm just wondering if I should go into pediatrics or neonatology...Perhaps, I can do critical care for neonates... Well, the beauty of exploring is the adventure...you are challenged...you will see growth...you will find your place in the world... Have you explored new territory lately? Have you stepped out on Faith to find your fertilized soil? In order to grow into your true self, must be planted in well fertilized, well nourished soil...Seek out your soil...I pray that you find your place... Mark 4:3-8 NIV “Listen! A farmer went out to sow his seed. 4 As he was scattering the seed, some fell along the path, and the birds came and ate it up. 5 Some fell on rocky places, where it did not have much soil. It sprang up quickly, because the soil was shallow. 6 But when the sun came up, the plants were scorched, and they withered because they had no root. 7 Other seed fell among thorns, which grew up and choked the plants, so that they did not bear grain. 8 Still other seed fell on good soil. It came up, grew and produced a crop, some multiplying thirty, some sixty, some a hundred times.” Now, Go live your dreams...

Monday, March 30, 2015

Pediatrics Complete.....

What a wonderful experience! The joy of caring for babies and children was a blast...I never thought I would want or desire to be a Pediatrician...But, after this clerkship I wonder? It seems that there is always so much to learn from each clerkship...As a pediatrician you are responsible for monitoring and caring for the development of the children...To make sure the baby/child is reaching their developmental milestones, to screen for genetic disorders, to look for musculoskeletal abnormalities, etc, etc...What a huge responsibility! The most rewarding part of this clerkship is to say or comment to the parents that their child is on target with development, healthy and doing great...You should see the smile on their faces...Every parent wants to hear that. Although the majority of the children you see as a pediatrician are relatively healthy...the keenness of your skills come when you detect the abnormalities in the midst of a busy schedule. That's the seriousness of the job. You have to make sure that you are not overlooking any abnormality that could delay or cause serious developmental issues in the child. The office I was working in was a very well rounded practice. The doctor took care of his patients, patient centered care. I guess that is why, he has 2 very thriving practices. His favorite saying, "medicine is common sense." When practicing use your common sense, mixed with clinical knowledge and you will have a great career. He was the epitome of caring for each and every patient sincerely. As I continue in my training, I will forever remember the doctors that always showed true compassion and had a desire to care for and provide their patients with the best quality care. The wonderful part about this journey to practicing medicine is I'm truly enjoying the journey. No matter how tough or challenging your road maybe ahead, try to find the enjoyment in it all...because when you look back, what you focused on the most is how you will remember it...Focus on the good, focus the great experiences, focus on your accomplishments, focus on the light shining brightly NOW..It is guiding you through the tunnel...Life is Better than GOOD...I feel the light shining on me and it is guiding me through and to my destiny... Psm 34:8 NIV, "Taste and see that the Lord is good. Blessed is he that takes refuge in him." Do you feel the LIGHT? Do you see the Light? Look hard...See your destiny. Live in your Destiny, Now! Your perception is your reality...NOW, go live your dream (s)...

Sunday, March 8, 2015

I love the Babies...

OMG...I am half way through my Pediatrics clerkship and it has been so much fun. I think Pediatricians have the most fun through out their work day...Just imagine playing with babies all day. Goo GOO and ga ga ing all day long...singing the alphabet song...a real blast... At the end of the day, I am pooped. I was not really expecting this much fun...My attending is really great with the parents and babies. He has 2 thriving practices and is busy all day long... The challenge with this rotation as with Internal Medicine is finding the time to study. By the time you get home, you are too exhausted to pick up a book or do questions...I have been studying daily on some level... I just pray it's enough by March 30th when I take my shelf exam...I've developed a half way check point, I purchase a NBME assessment exam to gauge my comprehension. I did the exam today..and wasn't too ecstatic about my score. But, good news is I still have 3 weeks to improve before I take my shelf exam...I have work to do...lol I had never thought of a career as a Pediatrician prior to this rotation, but I can really see how rewarding it could be. It seems that every rotation I do, I like...What's a girl to do? I guess that's why Family Medicine is a sound choice for some... children and adults....I'm so tempted by them all...Decisions, Decisions.... Another 3 weeks of Pediatrics, then it's OB/GYN..."I don't know nothing bout birthing no babies." (for all you young heads that's a quote from the classic movie Gone with the Wind..LOL) As you move along your journey, count it all joy...when the opportunities are unfolding...God knows the way that you take.. Live the life you've dreamed of NOW!..You can do it!

Saturday, February 21, 2015

Mentally Healthy without painful toil...

I am in a great place right now. I completed my clerkship in psychiatry a week ago...and left it with mixed emotions. It seemed that the content came so easily to me. I completed my study material and over 500 questions 2 weeks before the clerkship had ended. I think that was partly because I have not lighten up on my studying habits, as of yet. I'm still studying 7 days a week. My mixed emotions about psychiatry is all good; fostering dialogue of a possible future as a psychiatrist. I found that most mental health issues need medical attention, just as any physical ailment does. Could I bring an awareness to the underserved community? Could I make leaps and bounds progress and getting minorities to seek out help with mental health issues as other ethnic groups? Would I be able to actually help someone with mental issues? Of course, I could. I love helping others no matter what the issues are. I live for that...I'm always looking for the cure all...even though I know there very well may not be a cure all. But, there maybe a way to get someone who is hurting; whether mentally or physically assistance to relieve that pain and get them a better quality of life. That's what practicing medicine is all about. I learned that first had from the experience with my terminally ill husband. Although, a cure was not our goal, but to have a high quality of life was our goal. So, understanding the limitations of practicing medicine is a maturing process. Knowing how I can aid in patient center care is what my goal is no matter what field I ultimately decided to take. I enjoyed working in the field especially in the therapeutic settings. I found that when patients are given the opportunity to express their fears, concerns, and hopes, the end result was collaboration in treatment and patients left the office "feeling better." as they would say. Being mentally healthy is just as critical to life as physical health. It would be the coolest thing to open a clinic that catered to bother mental and physical health...a one stop shop....So, I'm considering applying to internal/family medicine and then do a fellowship in psychiatry. The details to my destiny are unfolding before my eyes...It's interesting that you can start on a journey desiring one thing, the twist and turns experienced will allow you to explore options never imagined. The scripture says, He will make your crooked road straight. In order for that to happen there must be an element of trust, confidence and knowing that what is meant to be will be. I must admit I have been experiencing some anxiety about which direction to choose. It seems that every clerkship I've enjoyed. I don't want to limit my chances for growth, expansion and most of all enjoyment in what I'm doing. My mom has been steadfast in reminding me that my path has always been directed by God. When I'm unsure of which road to take, I submit to prayer and meditation and my answer always is received. I'm getting to that point where I'm ready to let the anxiety go and let my faith and trust in GOD take the wheel...Isn't that funny. I know I have to come to that point when I am tired of the speculation and say, "I surrender. I'm listening to YOUR guidance. I receive YOUR instruction." I know that is what I need to do, but I feel like I'm getting some kind of charge, excitement out of trying to figure this out on my own (that is toiling). But, I know that my destiny will have it's perfect course and no matter how many hours I spend researching residency programs on the internet or how many people I get advise to why they choose their path. I know I will choose correctly...My path has already been chosen for me before the foundation of the earth...My job is to seek wise counsel, to seek out my path according to the Will of GOD for my life...I believe that before me is LIFE and that I will choose LIFE...I'm on the verge of GOD's manifested Glory to shine brightly like the noon day and it there is no turning back. Proverb 10:22 NIV "The blessings of the Lord brings wealth, without painful toil for it." So, as I let my mind rest and I will enjoy my journey to residency match 2016....

Monday, January 19, 2015

"I Have A Dream"

Today in the United States is a National Holiday celebrating the birthday of Dr. Martin Luther King. On the shoulders of so many great people of my past, am I able to pursue my dream today. I had a dream as a young girl to one day become a practicing physician. I never considered myself the smartest kid, although I graduated from high school at the age 16. I started school at age 3...and scrambled to keep up with those around me, never wanting my peers to know my true age. I made decent grades in high school...I even was chosen to attend a college program during the summer before my senior year in high school (in which I completed the program with a 3.33 GPA at age 15yrs)...I still didn't see the reality of my dream... After graduating from high school, I took a year off and worked three jobs...just to pay my $200 car note...Then, one of my aunts talked me into going into the Air Force and there I could get money for college. Okay, now a plan was coming together. I went to talk to a recruiter and signed up. I thoroughly enjoyed my tour in the military. I was "ate up". I was the golden child of the squadron...I was on the base honor guard, received top annual performance reviews...I won several awards, was chosen for early promotion...enrolled in college...earned my Associates degree...I excelled...My confidence was at an all time high...So, I decided to go check on the Air Force Boot Strap program where the military would pay for me to go to school, all the way through medical school. After speaking with the counselor, I was discouraged. I was too afraid to try...So, I put my dream on a shelf and pursue a degree in Business...Which worked out fine for me, but it wasn't what I truly wanted to do with my life. You must know your self worth. You must know that you are worth a "try". If you feel you have the dedication, the determination, then you are worth a try. Push fear to the side to PUSH FORWARD....This is why most of my blogs ring with the same theme...don't let fear, excuses, and/or other opinions stop you for being the best you, you desire to be. I have had many discouraging so called "counselors" on this journey tell me otherwise...but, I refuse to accept their discouragement as my final destination...I HAVE A DREAM...I'M LIVING MY DREAM... IT IS UNFOLDING BEFORE ME DAILY... So, as we remember Dr. King today, rekindle your DREAM, grasp your faith in your destiny, know that it's never too late...if there is a will there is a way...make the sacrifice...it will be worth it...for every sacrifice there is an equal or GREATER REWARD.... Now, go LIVE YOUR DREAMS!

Saturday, January 17, 2015

FREE YOUR MIND the art of Psychiatry...

It's a NEW Year 2015....Happy New Years...I'm seventeen days into 2015 and I have not posted...what's been going on with me? I start my Psychiatry rotation. I had mixed feelings about psychiatry, not really know if I would like it or find it interesting. But, I've gotten good reports from my peers on how they fell in love with psych on their rotations. So, I wanted to see for myself. I've been told by many people I should be a psychiatrist, since I'm always analyzing people, trying to fix people, or trying to save them. But, not having any first hand exposure to the field, I just thought prescribing medications was the jest of it. Now, that I am starting my third week rotation with a very busy psychiatrist, I see that psychiatry is more than prescribing medications. The skills used in diagnosing are the same as an ER doctor, just using different tools. As patients enter the office doors, they are looking for answers to their behaviors that maybe impairing their functionality on their jobs, in their relationships, or just within themselves, a psychiatrist is there to help. I know that there is a negative stigma in a lot of communities about going to a psychiatrist. But the truth of the matter, visiting a psychiatrist office is no different than seeing your primary care doctor or rushing to the emergency room when you need acute care. I guess that's the beauty of medical school, you get to explore physical ailments as well as mental ailments and provide solutions that best fit the patient lifestyle individually, customized patient care. Just as in physical treatment, not all illnesses can be controlled or cured and the same as with the mental illness. The many layers of psychiatry are unfolding before me and I'm excited to continue to see my journey. Whatever your mind concieves, you can achieve...unknown Now, go live your dreams!