Almost Free!

Here we are Sunday night at 12:50, and I'm writing my review of the weeks exams. Overall it was a pretty tough week, it was definitely a challenge to get through everything. Really just emotionally it can be tough, after going through so many exam periods in my life, and so many at CCNM specifically. This is the second last major exam period though, with midterms and finals next semester, and then I'll be in clinic! It's almost surreal how fast this experience is going by, and also how much I've learned and how much I've changed as a person.

So anyway, the exams this week were definitely tough, but manageable. With only Primary Care and Health Psych tomorrow and Tuesday respectively, I was able to actually have a great weekend. The exams aren't worth too much and I'm not too worried about the difficulty, so I was able to do a lot of fun things. Friday night, was the night that I, and many people have been waiting for for a very long time. Star Wars Episode VII! It was fun first of all just to go see a movie, because I don't get a chance to go see movies very often anymore. And as a huge Star Wars fan, I was really happy with the results. Was it the best movie ever? No. But did it reach everything that it should be? Absolutely!
Saturday night I went out with some friends, we had a nostalgic night watching Superbad and just laughing like crazy, and then went out to a nearby club. And then today (Sunday), after studying for Primary Care all day with friends, except really slowly and mostly just joking around, I went to a really awesome concert at the Danforth Music Hall. One of my all time favourite bands Silverstein came back. I've probably seen them over 10 times, but it is always a great time to see them. They also brought with them Cancer Bats, a band I used to really enjoy and haven't seen in a long time, and Beartooth, a band I really like and have never seen before. It was a really fun concert, and a great way to end off a super fun weekend.

So tomorrow its Primary Care exam and then Health Psych on Tuesday, and then I'm off to Blue Mountain with a bunch of friends for a couple days. Unfortunately there's no snow there...but we have a lot of fun people and I'm sure we'll have a good time. I'm just excited to get out of school mode for a little while and just relax and have fun. So I'm not sure if I'll post anything during the break, so Happy Holidays and Happy New Year to all of my readers, I wish you all the best time and hope you enjoy yourselves with family and friends. And I'll throw out a PSA that the singer of Silverstein said tonight - "Put your phones away, just like, turn them off. Spend time with your friends and family and actually be there, those opportunities are the best."

Holiday Play and Exam Time

I'm sorry I missed my most recent post, it's been a busy weekend, and exams are coming!
Friday I went to a really awesome concert, one of my old favourites Protest The Hero did a reunion show and played their entire album Kezia from 10 years ago (one of their best songs if you're interested). They haven't actually broken up, but two members left the band, so it was nice for them to come back and play this old stuff. It was also fun because I went to the show with a friend from school, and I've never gone to a concert with anyone other than my older friends and my brother.

Saturday night was the holiday play which was a lot of fun. Every December the 4th years put on a holiday play - no actual holiday theme here - and use it as a fundraiser for Grad. This year the theme was Inside Out at CCNM, and it was absolutely hilarious. Instead of emotions, each character was a part of a human, like MSK, GI, Brain, etc. They had really funny characters with a lot of silly jokes - I could especially understand most of them being in 3rd year now! - and even a couple great songs. I don't know what capacity it will be in, but I'll definitely be involved in the school play next year for my 4th year, it's not something I could miss out on!

So anyway exams are coming up, it's going to be busy, but not horrible I think. Definitely manageable, a lot due to the fact that in 3rd year, we have lots of assignments and practicals during the year, so our exams are worth a little bit less. I think I'll be able to manage. Next week I've got Integrated Therapeutics, Botanical Medicine, Radiology, Mens and Womens Health, Clinical Nutrition, Asian Medicine and Physical Medicine exams. The following week I have Primary Care and Health Psychology. So that's 9 exams in 9 days. Seems like a lot, but I'm used to it by now. Also Physical Medicine is a short practical, Nutrition is open book, and Psychology is not worth too much, not to mention I have pretty much perfect from the practicals and assignments. So I've got a fair bit of work ahead of me for some of the others, with IT, Bot and Asian Med consisting of a lot of information, but it will be manageable.

I kind of doubt I'll have a post on Sunday because I'll be really busy studying for exams, but look for a post the following week - I'll still have two more to write, but I think I'll be in a much better state and be able to make a post, not to mention being really excited about being almost done my 2nd last semester as a full time student! (we have one class a semester in 4th year, I don't really consider clerkship being a student, not the same at least).

For those reading who currently have exams or exams coming up, as they say....

Primary Care - Doctor Week!

As usual, it's late on Sunday night and I really should go to bed, but I said I'd do these posts, so here I am. I was actually going to write this earlier, but I decided after 3 years, I'd finally give Game of Thrones another try. I tried watching it years ago and just couldn't get into it, but everyone is always talking about how good it is, plus it's almost December, so you know, "winter is coming." I know I technically saw it in the past, but watching the first episode just now, it was actually really good. I'm excited.

So anyway, a couple cool things this week. First off, I was finally the doctor in Primary Care. I think I explained in the past, but in Primary Care the class is set up as a practical with groups of 8. Every week someone acts as the doctor, we have a standardized patient come in, and for 45 minutes the doctor does an initial intake with questions and physical exams. The kicker is that as we are still learning, your group is available to help guide your thinking if you get lost, or are making a mistake on a physical exam, or miss an important question. This week was case 7, so we've been doing this for a while, but I was only just the doctor this week. It was a very humbling experience. When you're watching the case and doing research in your notes and online, you're disconnected enough that you can really think about stuff. As the doctor, I felt so connected and in the zone with the patient, I almost lost focus sometimes, and of course missed a couple really important questions. Thanks to my group though, I got on track, and I think I did well enough, getting a good amount of information to work with. It was definitely a cool experience, and I'm excited to do it again next semester, of course also doing more of this stuff with real people in my clinic shift. Also side note, I'm also going to be the doctor in Health Psych this week, so that should be interesting too. It's still a 45 minute visit, but a bit of a different focus. I'll talk about that next week.

So another cool thing this week was that it was Men's Health Week. We started off the week on Monday with Suit and Sunglasses day. It was a lot of fun, I usually come to school in joggers or sweatpants, so it felt pretty cool to come all dressed up. At common time we ran a Men's Auction, and raised a lot of money for our charity. I auctioned off some personal training services, so I was glad to be involved. Our charity by the way is Eva's Initiatives for Homeless Youth, a great cause for homeless youth in Toronto that really need help. You can check them out at here.

There was also a really great talk I went to on Wednesday, by Dr. Yashar Khosroshai, ND. He's one of the TAs for health psych at CCNM, and in addition to his practice, runs a company called MindShift Ninja. He has some pretty cool outlooks and perspectives to talk about. His talk this week was very intersting, called "Don't Be A Man, Be A Leader." I thought this was fantastic, because in our society today, there is too much focus on men being this stereotypical character, who is strong, closed off, and doesn't need anyone's help. I have lots of notes on this topic that I'm happy to share if you're interested. He also referred to a cool TED talk I finally watched today by Brene Brown on vulnerability, and how important it is to be vulnerable in order to succeed. To be a leader, to be connected to others, it all comes down to being self-aware, and being strong enough to be vulnerable, to be open and to be able to put your ego aside, asking for help when you need it.

I could talk about this stuff for hours, but I really should get going to bed, it's another long day tomorrow. Fun things for this week? Tomorrow we've got dance practice for Medgames, something I'm really excited about, and hopefully I'll have a video to link for you in January after it happens. I'm also going out to Costco to buy food for the MOSCE, an event I attended last year, but this year as one of the VP Academics for the NSA, I'm actually running! So that's on Tuesday, and I'm hoping it'll be a great event to help support the second years and prepare them for their OSCEs. On Friday I'll be shadowing the Fibromyalgia/Myalgic Encephalomyelitis shift, which should be pretty interesting. Speaking of that, my application was accepted and I got an interview! My interview is next Friday (December 11), so I'm hoping that will go well - we're a few weeks off, but I think I'll know if I get on the shift around the end of December.

Alright, long enough post, and it's almost 1! I'll leave you with a picture of my Mo progress for Movember. I don't do the 'stache only thing because it looks pretty bad on me, but it's been a fun month anyway.

I think I took the original picture really late on November 1st, that's probably why I look so out of it.
Or maybe I planned on making the Mo picture look a lot happier, strategy!

Focus Shifts

Another pretty relaxed week this week, though focus shift applications were due on Friday, so that was a bit of a stress. The Robert Shad Naturopathic Clinic (the school clinic at CCNM) has several different focus shifts that students can apply to. The purpose is to have a focus on a specific patient population during their shifts, and also to learn from supervisors with extra training in that area. The following shifts are available at the RSNC:

Pediatrics
Sports Medicine
Adjunctive Cancer Care
Fertility/Reproductive Health
Fibromyalgia/Myalgic Encephalomyelitis

I decided to apply for the FM/ME shift, so I'll keep you posted on what happens with that. The applications included a CV (I haven't made one of these in forever!), and an essay. The essay was really tough because I haven't really done a lot of personal essays. Give me a research review or a scientific paper to write, sure thing. But writing about myself, and why I want to do something and would be good at it? That is a little more difficult. So it was a bit of a struggle, but with some help from my dad (who is a pretty great writer), I was able to put something together that was pretty good, and hope it'll get me the interview. There's an interview process in December I think, or possibly early January, and we'll see what happens.

Anyway, real quick about FM/ME so you know what it is. Basically they are two very complex conditions that do not have the best diagnosis and treatment right now. Both of these conditions can be very debilitating, and pull people away from work and the things they want to do in life. Naturopathic Medicine has a huge potential to help these people to improve their quality of life, and I'm very excited about the opportunity to help these people. In addition, I want to be the best doctor that I can in the future, and I believe that the challenge of working with complex cases would be a valuable experience. Here is a quick summary of FM and ME if you'd like to read more into them.

That's all for now, and oh ya this week is actually Men's Health Week! A very important time, remembering the importance of Men's Health. By the way, it is Movember, and I did shave clean at the beginning of the month, and I'll have a picture for the blog next week to show how far I've come. Hopefully I've helped raise some awareness and money for good causes as well.

Music, Energy, Passion

This was a pretty quiet week compared to last, with very few assignments or practicals going on. A rare and nice break to relax a little bit, kind of. I did some preceptoring on Wednesday with Dr. Jonathan Beatty, it was a pretty cool experience, though very tiring (had to be up at 6 to get there for 7:45, and I was there until 5:30). He's got a serious Naturopathic practice with a big focus on the nutrition and lifestyle aspect. His wife is actually a holistic nutritionist, and together they work patients through serious dietary protocols, and see amazing results with them. I'll be preceptoring with him several more times and am hoping to learn a lot from him.

Other than that, nothing too exciting this week, though I went to a really awesome concert on Thursday night with some friends, Parkway Drive. They're a really cool metal band from Australia, I've seen them a few times in Toronto, and they recently came out with a great new album and are touring North America in support of it. It's not the style of music for everyone, but it really highlights my love of music. There is something about live music that you just can't get anywhere else. The connection you feel with all the people around you, everyone knowing the words to the song, singing and screaming along, dancing together, and enjoying that same vibrational experience. The artist up on stage, passionately sharing the music they've created, and observing people having a great time because of what they made. The energy you feel is unreal, and it creates a perfect space for mindfulness. When you are at a good concert, there is nothing to worry about, no messages or emails to check, no facebook, there is only the music, the crowd, the band, and you.

I hope that everyone can have similar experiences like I've been so fortunate to experience with music. I think since I was 16, I may have been to over 50 concerts, and even as I get older, I'll continue to go and dance like a crazy person, because it is such an amazing space, there is so much positive energy, and I can't imagine what life would be like without. That being said, it doesn't necessarily have to be a live concert for you. It could be sitting in your room with headphones on, sitting in the car listening to the radio, singing in the shower, whatever you like best. Find your space where you can escape the world, and experience the energy of good music. There really is nothing like it.

It must be so cool to be in a band like this, providing so many people with so much joy.

Student Leadership

Quick post today because it's late and I've gotta get to bed. Today we had one of our roundtable meetings for the NSA executive. The meeting obviously has some tedious points, but it also reminded me why being part of student leadership is so great. I really enjoy getting to spend time with lots of like-minded students who want to be involved, and work together to improve the student experience for all our colleagues and classmates. It's also great to hear about all sorts of different activities and initiatives you may not have heard of and learn how to get more involved. And of course, after the meeting, we had an awesome potluck dinner where we got to just hang out and rap about anything.

There's a lot of different aspects to being a student leader, and I'm happy to talk about any of them if someone wants to comment with a question. In general though, I think that being a student leader is an amazing thing that you can do at school. We only have limited time here, and I think that you get what you put into your experience. As a student leader, you have a lot of opportunity to make a difference, both for other students and for yourself. And it's important to note that being a student leader is not restricted to being elected on student government, or as a class representative. There are always opportunities available for those who are interested, all you have to do is ask.

On a quick school note, crazy assignment time has finally quieted down a little bit. After finishing my RCIA last week, having my live patient DRE and GYNE exams, my Health Psych Case Formulation, Homeopathy Case Analysis, Primary Care PEP (busy week because as Scribe I was in charge of ensuring everyone got their work done and doing final edits) and Phys Med Practical Case, it was nice to have a little bit of a break this weekend; some time to chill out and not worry about much. We did start our partner cases in Asian Med this week, so I took the case of a classmate, and I need to workup the case, come up with a differential diagnosis list, and a treatment plan for my classmate this week. I'll present that to my TA on Thursday, and if its approved, then I'll start treating my classmate in a couple weeks. They're also going to do the same for me, which is pretty cool, hopefully we can see some good results with each other.

Alright off to bed, have a good week everyone!

Midterm Review, Assignments, and Halloween

I'm really sorry, I know I was going to make Sundays regular, and then I went ahead and missed one! I know I said that midterms were not as big this year, but the 7+ assignments and practicals going on right after midterms, well those are. So all that was kind of on my mind post-midterms, and I unfortunately missed the post. Anyway, here's a quick midterm summary:

Nutrition - this was my first open book exam ever, and it was weird. I'm usually a really fast exam taker, but I was here writing up until the last minute. It was an interesting exam, asking you to think really critically about several different conditions, and use your textbook and notes to come up with effective treatment plans, diagnostics, and other stuff. It wasn't super hard, but it also wasn't an easy exam. You definitely need to know your stuff generally, and be prepared.

Men's and Women's Health - Pretty straightforward multiple choice exam. We went through a lot of conditions in detail, and it can get a little tough because there's a lot of similarities, especially with treatments. I think it went pretty well though, my biggest recommendation here is to know your basics. If you don't understand endocrinology and physiology, it's hard to differentiate your conditions. Also, having a nice group study session before the exam in the NSA lounge, and writing out our keynote symptoms for each condition on the blackboard, that works really well!

Physical Medicine - This was a weird exam of course, because it's more of a practical based topic, but we had a 100 question multiple choice exam. Weird right? Anyway, I had heard that a lot of people failed last year, so I was a little worried. Turns out the exam was a breeze! Now maybe it's because we were all pretty worried, and had an awesome group study session the night before, and got to know our stuff really well, or maybe...na that's probably it. There's a lot of information to know, but if you simplify and break it all down, it's not too bad. And also, as a practical based topic, I find it's really helpful to study using your hands a lot - go through the motions of each test and exam as you study them, talk about and really see why they do what they do.

So the big assignment that was on my mind this past week was our RCIA (Relevant Clinical Inquiry Assignment). This is basically a massive paper where you have to do a review on a clinically relevant topic to Naturopathic Medicine. It involves lots of research, tedious summary work, and some cool critical thinking about current treatment standards, and where your research fits in. It was a lot of work, and my paper ended up at about 19 pages (!!!), but it was a good experience. The really cool thing is that the professors are planning to compile all our reports and give it back to us as a resource, so we'll have some awesome summaries of hundreds of research papers on clinically relevant topics. Pretty cool right? I did mine on Mindfulness Based Therapies for improving sleep disturbance and insomnia. Long story short? It works pretty well, and that doesn't even take into account that it has some great results for anxiety, depression, stress, and lots of other conditions. Definitely something I want to incorporate into my practice in the future.

Anyway I'm off for the week, not like I have that much to do - oh just a health psych case formulation, practical male and female genitourinary exams, a homeopathy full case assignment, a marketing assignment, and a physical medicine practical. Should be an easy week right?

Oh ya and it was Halloween yesterday, my house is generally known on my street as one of the best - my brother sets up an awesome display with scary figures in the window, dark lights, spiders, zombies, the whole thing. And then my dad has a terrifying Frankenstein laugh, it's really funny how many kids get scared to knock on the door. Don't worry though, we always have good candy! And Halloween is supposed to be scary right?

As always, here's a funny relevant picture for the week. See you next week!

Shortest Midterm Week Ever?

It's Monday, sorry I missed my usual Sunday post, but I'm here right away! It's a bit of a busy time right now with CCNM midterms. Again, I'm in third year, so this is going to be my fifth midterm period at CCNM! Time sure flies. This is a really odd one though, because for the first time, midterms are not the week of Thanksgiving (I may have mentioned that in my last post, if so, sorry, I forgot). So we have midterms over five days instead of four. However, third year is a little different than first and second; we have a lot more assignments, so we have less midterms. So right now, I've only got three midterms - I know, my undergrad self would be crying if I had three midterms in a week, but at CCNM, when you're used to five to six exams in four days, three exams in five days is really not so bad! Anyway I've got Nutrition on Tuesday, Men's and Women's Health on Thursday, and Physical Medicine on Friday. I'll try to debrief these exams a bit on my next Sunday post.

Nutrition is going to be a little strange, because it's actually an open book exam; to my knowledge, my first open book exam ever in seven years of post-secondary. We can bring in whatever we want, and for me that means the course textbook, the Gaby "Bible of Nutrition" (honestly this book is over 1300 pages, it has so much information!), and course notes. The exam is all short answer instead of multiple choice, so it'll be a little different, but I think it will be okay. Critically think instead of memorize. What a concept!

Men's and Women's Health is regular multiple choice, there's a fair amount of material, but I don't think it will be too bad. Lots of overlap with other courses, and stuff we have done in the past. There is a lot of therapeutics to know though...oh third year.

Finally Physical Medicine, it's going to be a little weird as a multiple choice exam. This is the type of course that you really see as more of a practical based thing, and the final will be just that. But for the midterm, we've got about 400+ pages worth of material, all sorts of physical exams and conditions and dermatomes and trigger points. So much information! But at least it's at the end of the week, so there's lots of time to prepare for it.

Anyway, on to something that is not just school. I've recently been doing lots of self-development, with books and podcasts being a big part of that. There's so many interesting and useful little tips you can learn, and I thought it would be nice to share some of those through my blogging. So for this week, I wanted to share a pretty cool one I learned today, called "block breathing." This is something I had learned in the past, but modified. Basically, you breathe in for 3-4s, hold your breath for 3-4s, breathe out for 3-4s, and hold again for 3-4s. While you do this, you can imagine drawing a square with your finger, or even actually draw one. Each side of the square is a portion of that breathing. This is a great exercise for helping draw you back to your breath, become more mindful, get into a parasympathetic state, and just relax. The simple things are always the best aren't they? The cool twist I learned today though, was to do block breathing while walking. Walking can be especially stressful if you are in a rush or in a big crowd of people. It's also something you have to do all the time, so why not use it as an opportunity to be more mindful and relaxed? So in this scenario, instead of using 3-4s for each side of the square, you can breathe in, hold and breathe out based on the number of steps you take. 4 steps is a pretty standard number, but depending how fast you walk, you can switch between 4-8 steps and have a pretty good rhythm.

So give that exercise a try next time you're out walking, and let me know how you feel. I'm off to study again, see you Sunday!

Remember to breathe properly! Breathe with your diaphragm and not your chest to get the best airflow, and better relaxation. This is as easy as putting you hand on your stomach while breathing - ensure it pushes out while breathing in, and comes in when you breathe out. Enjoy!

Happy Thanksgiving - Family is Great!

Going to be a short Sunday post today. It's Thanksgiving weekend, and I would like to take this time to mention the value of family and togetherness. This is a bit of a throwback to last week's post about community, but it's a little more focused because it's about family.

I come from a pretty big family (I've got 4 brothers and a sister, and between my two oldest brothers I currently have 3 nehpews!). It's really great having a big family, because they are people that you can count on. People who you have a long history with, between growing up, fighting your parents, fighting each other, going on fun vacations, endless dinners and trips to different places. It's really important to have people that you can connect with, and family is one of those groups that have such a huge advantage. That being said, it's also important to remember that your friends can be a part of your family too. I have a few good friends that I've known and been friends with for almost 20 years, and it's something that I'm very thankful for. There are some people who unfortunately don't have the best relationship with their families, and I guess I hope that they can learn about the importance of family, and eventually make up with them. The hope is that your family can be with you through the good and bad of life, and will always be there when you need them. That's how I feel with my family, and I hope they feel the same about me!

Since it's Thanksgiving, I want to say what I'm thankful for this year.
1. I'm thankful and ecstatic about the fact that I passed NPLEX 1! It was a bit of a rough summer with long days of studying, and it just felt endless studying for so many days in a row. I've never studied that many days in a row before, so I'm so thanksful that I passed and don't have to do it again! (until NPLEX 2 of course!)
2. I'm very thankful that I found this amazing profession of Naturopathic Medicine. After two years of being in school and learning A LOT, I am sure that this is where I'm supposed to be. It's a struggle sometimes, as all things are, but I'm very happy and know that this is right.

What are you thankful for this year?

The Importance of Community

Back again for my second "regular" Sunday post. I'm kind of procrastinating doing some work tonight, it's been a long day, but I'm going to do my post as promised.

This has been an interesting week as always, with our first ADNSA meeting, practicing CBT on standardized patients in Health Psych, trying out moxabustion and cupping in Asian Med, the Jays clinching the playoffs (woo! I'm such a bandwagon fan but boy is it a fun energy to be part of! Plus my grandfather loves the Jays and it's really nice to share something with him), and a really big one, the Proclamation Celebration on Thursday. That's right, the Naturopathy Act of 2007 has finally been proclaimed in Ontario - Okay, well it was actually proclaimed in July, but we're finally celebrating it. As with anything politically related, this is just one step on a long road, and you can't appease everyone as many people are a little upset about certain things, but overall, this is really great news for NDs in Ontario and across Canada and the US really. Improved regulation and legal rights leads to better patient care and protection, and better outcomes for doctors in the end. It was great to celebrate this occasion with fellow students and doctors, and to look back on how far we've come as a profession.

Anyway, onto the topic of my post for today. Community. An awesome TV show (well at least season 1-3); but also, an important word. A quick google definition of the word shows the following: "a feeling of fellowship with others, as a result of sharing common attitudes, interests, and goals." Coming from a large family, I think I've always taken for granted the importance of community, but it was really while reflecting on my last week, and doing some digging into some old psych notes that I got a greater understanding. Maslow's Hierarchy of Needs is an interesting concept based upon what it takes to find your purpose in life: self-actualization. I think this is something that everyone should and eventually will want to achieve, to answer the big question, "why am I here?" Maslow posits however, that in order to reach this point, you first need to attend to your most basic needs. This starts with physiologic needs like food, water and air, and then moves on to safety. How can you worry about your purpose if you can't eat, breathe, or drink, or if you don't feel safe from harm? But the next part of the pyramid is actually a feeling of love and belonging. We as humans have always survived and flourished because we build communities; we work together to help each other succeed; together. 

Of course being aware of this concept has led me to reflect on my recent past, going through this difficult program of Naturopathic Medicine. Could I have done this all by myself? Without a strong community? I really don't know. I do believe that we are all amazing beings with tons of potential for success, but I also think that we can all be better with the help of each other. In my first two years of CCNM, I was provided with endless resources from older students to help me succeed in my classes. I was given motivational speeches, invaluable tips, and people to talk to when I've felt overwhelmed. The help this community provides extends beyond just the older students though; my friends and classmates, future colleagues, are always there for each other. We all know that we have what it takes to succeed, but sometimes we need help to get through certain aspects. Individually, we are strong, but as a community, we are unstoppable. It is because of this that I am so glad to be a part of the NSA executive - my goal is to always help foster this sense of community among the students in years below me, and also students in my year and the one above me. 

This week I really appreciated the opportunity to give talks for the 1st and 2nd years on how to approach midterms, as it can be a little daunting. Having been in their position before, I know that it's tough, but I also know that they have what it takes. And more importantly, I know that they have what it takes to help each other get through. I have been pleased to see lots of sharing of resources and responsibilities among these students, sharing notes, creating study groups. This is the benefit of having a strong community, and I hope to continue to help build it stronger and stronger.

That's all for now, I've got work to do and my ability to write well is kind of flopping, but I'll leave you with this quote from Helen Keller: "Alone, we can do so little; together, we can do so much."

- and okay fine I'll put a funny cartoon this week!

But I swear I'm going to do my work today!
.... But maybe a quick break since I just wrote this blog post...

OAND Convention, First "Regular" Post, and Running

Here I am, as promised, for my first regular Sunday post. I already summed up last week so there's no need to talk about that, but instead I'll talk about my great weekend at the OAND Convention.

So, I think I mentioned it in a previous post, but the OAND is the Ontario Association of Naturopathic Doctors. This is not to be confused with CONO (College of Naturopaths of Ontario), who are the licensing board for NDs in Ontario. The OAND is the advocate for Naturopathic Doctors in Ontario, helping to advance legislation, provide continuing education opportunities, and lots of other activities. They have an annual convention each year which is a big opportunity to get a lot of great continuing education, and of course meet up with old friends - I'm still at school so this isn't as big, though I did get to see some friends who had graduated, and also Leslie from Signature Supplements, a really fantastic supplement company that does custom compounding for NDs (I worked for her in first year, but I'm a little too involved in academics and other stuff at school now to do that).

Anyway, this year I volunteered at the convention instead of working for a company, so I volunteered all day Saturday, and then got to go as an attendee for free on Sunday (the convention is Friday-Sunday). On my volunteer day I still got to see some talks and walk the tradeshow floor, so overall it was a great time. I saw a bunch of interesting talks, my favourite of which was about Fear and Anxiety in Cancer Patients, this was given by Dr. Jen Green who is actually a FABNO ND from Detroit - FABNO is a Fellow of the American Board of Naturopathic Oncologists; there are only about 100 total right now, and these are really well educated doctors. I really enjoyed learning about some new research in the use of mindfulness to treat anxiety and depression in cancer patients, and also seeing the applicability across other disciplines. The tradeshow was also fun, getting a bunch of free stuff, and also learning about some new products and things that are in the works. Overall it was a pretty cool weekend, and though it would be nice to sit around and relax after a hard week, I think this was a great choice - I'd recommend going for any student, but especially in 3rd and 4th year when you know a lot more and can see yourself using the things you learn much sooner.

On another note, I wanted to mention that I've taken up running, at least a little bit. I've never done that much of this in the past, most of my cardio being HIIT type stuff...or non-existent (I weight train too much!). There's tons of benefits to cardiovascular training and it's an important part of a complete workout program, so I'm pushing myself to really get involved. I did my first 10k on Friday, and today, after the convention, on about 4 hours of sleep by the way (I went out with some friends last night and got home pretty late..), I went out and did a short 5k night run. Not a long one, but decently tough for a beginner runner, plus I'm exhausted from the weekend. It's a nice little break from the world though, and I really love my music so it's a great chance to zone out and enjoy that - though don't zone out too much and get hit by a car!

Alright so that's all for my first Sunday post of the year, I've got a long week ahead of me with a bunch of assignments due, and my gynecology station 1 practical on Friday, and my first physical medicine practical on Friday too. I'll see you next Sunday for an update on the week, if you want to know about anything particular make a comment and I'll see to that. Have a good week!

I swear I don't do all this!
Okay.....maybe just a couple apps

TGIF!

It's Friday, and that means it's the last day of my "what you take in Fall third year" series.
So here's the classes for today:

Physical Medicine - This is just another physical medicine class, but a few times during the semester we'll have practicals on Fridays to actually work on the skills we're learning. Our first session is next week, so I'm pretty excited for that (sitting in a lecture hall gets boring after 6 years!).

Homeopathy 3 - This is taught by Dr. Bakir who taught is first year. I'll give her this, she's incredibly passionate about homeopathy. You can really see it when she teaches and when you ask her questions in person. She's also very friendly and easy going. Homeopathy doesn't resonate with me as much as others, but she's really great if it does for you. This year it's a full year course, and there is going to be a lot of focus on acute remedies - I think this is great, because I think Naturopathic Doctors can have a very difficult time integrating classical homeopathy. There's so many other modalities that you have an styles of interviewing that are kind of at odds with homeopathy, and make it difficult, but I think the acute stuff can work well. Anyway we also are working on a live case which is pretty cool, that started today. We had a very experienced homeopath come in and do a full case intake on a live patient for us, and we charted as if we were doing the intake. Our assignment is to work up the case, and I think this is pretty good experience - better than just learning tons of remedies! We also are going to keep going over another case that Dr. Bakir did with someone and recorded, and because that one is recorded, she goes through it with us very slowly to point out important things.

Men's and Women's Health - In this course, we focus on none other than men's and women's health! Here we look at the same things we looked at in clinical medicine last year, but in more depth, and also integrating treatment modalities. In addition, there is a practical component that involves gynecological examinations and male genitourinary/digital rectal examinations. For the female exam, there are three stations throughout the year. The first is just a recap of PCD last year, practicing on models. Mine is next Friday. The next two will be on standardized patients. I'm a little nervous for those, but I think it'll be okay; everyone else made it through right? The male ones just have two stations, both of which will be on a standardized patient. Also nervous, but I think it'll be okay. These are of course important because NDs are trained as primary care providers, and we need to be able to assess these important areas if required by our patients.

So that's all for now, I'll make sure to do a full week in the winter so you can learn about what courses we're in then.

Anyway, This weekend is the Ontario Association of Naturopathic Doctor's Annual Convention and Tradeshow. There's lots of interesting talks, and a full tradeshow with all the supplement companies. In first year I worked for a company called Signature Supplements, so I spent the whole time at the booth. This year I will be volunteering on Saturday, so on Sunday I get to go for free. I'm excited to see some cool talks and get a bunch of free supplements, and hopefully network a little bit. My regular posting schedule starts this Sunday, so I'll give you a bit of a recap then. For now it's back to work, so I'll leave you with another funny cartoon (by the way, I won't always do the cartoon thing, if there's something else relevant I may do a different picture, but it's been fun for this week so why not?)

Thursday, and the most posts in a row ever!

It's Thursday, which means only one thing....tomorrow is Friday! Let's just say it's been a long week, the first full week of the year - well technically last week was, but I was still kind of recovering from unity summit and dragon boating (things I'll hopefully touch on in future posts), so it didn't really count haha. Anyway here are the courses for today

Nutrition 3 - As this is a big class, we've got it twice a week, so just the same stuff, though Dr. Prousky tends to get us working on a case together in little groups for part of class on Thursdays.

Asian Medicine Theory 3 - Taught by Dr. Kassam again, here we're learning the more advanced treatment and theory stuff that we'll later on apply in our practical. For fall, the theory and practical class are side by side, and you have the choice of doing them in either order; but no problem, the stuff we do in practical is based on last weeks lecture, so if you have practical first, you aren't in trouble. Having lecture first is beneficial because we start class at 1, meaning we have a break from 11-1; but having practical first is beneficial becauase you end class at 4 instead of 430.

Asian Medicine Practical - Here we get to actually practice all the stuff in theory class. So far we've just been working on acupuncture, doing some advanced techniques, and then advanced points. Today we did the more advanced points that we didn't do in first and second year, the most infamous of course being Stomach 1, 2 and Urinary Bladder 1. These points are infamous due to the fact that they are right around the eye. It was actually completely fine though, you feel these points less than you feel points in your arm. Once you get over the initial fear, and realize the safety and your control, they are no problem. In the future we're also going to do fun stuff like moxabustion and cupping, and we're also going to start doing cases with each other. These will be great because we'll be able to take everything we've learned and and practice developing appropriate treatment protocols. I'm excited!

After class today, I had my regular clinic appointment at the RSNC. I think I've mentioned it in a previous post, but self care is extremely important, especially in this intense program. The RSNC provides extremely affordable naturopathic care for students (free if you're on the student health plan), and it's a great opportunity to learn about what you will be doing soon from people who were in you shoes just 1-3 years ago. It's also nice to act as a patient so to provide more practice for the interns, and of course it can benefit you immensely, helping work on all sorts of issues. I personally have been doing lots of MSK related stuff in my own visits, but some mental/emotional stuff comes up too, and it's always great to have someone non-judgemental to talk with about anything.

Ok it's 11:15 and I'm going to bed a little bit early today! Here's my funny cartoon for the day, see you tomorrow.

Wednesday, and Some Fantastic News!

Back again for Wednesday's classes. Without further adieu, here they are:

Physical Medicine - This is a pretty cool class, it's taught by Dr. Tebruegge; he teaches functional anatomy in 1st year. As an RMT/ND, he has a lot of experience with more hands on physical medicine stuff, so he's got a great perspective. We learn about stretching (both solo and assisted), strengthening exercises and exercise prescription (my favourite, exercise is the best medicine! except maybe food haha), of course all sorts of useful orthopaedic testing and range of motion stuff, and last but not least, machines! There's lots of really cool machines that can do wonders for muscle pain and strains and all sorts of physical ailments. TENs, ultrasound, laser (which by the way is actually not a word, its an acronym for light amplified stimulated emission radiation, who knew), even UV light. We've got this on Wednesday and Friday mornings, but every few Fridays we'll have a practical to actually practice the tests and movements, so that'll break it up a bit.

Radiology and Advanced Imaging - Not my favourite course, but definitely an important one. This is taught by Dr. Fritz who is a chiropractor, so he has a lot more experience with this stuff. We're going through x-rays and will also look at things like MRI and ultrasound, which are of course important diagnostic tools for many conditions. It's going to be good to have a decent understanding of how these work, even though we'll always get reports from radiologists or other technicians when we get them, so I understand why we have it.

Common Time - Wednesday's common time is a little shorter than Monday, only an hour as opposed to two; by the way if I didn't mention, common time is a period where all four years and the IMGs have no class, so different talks and events can go on during the day that everyone can attend, or people can just hang out together. I had a meeting today for class rep training, it's great that so many people want to get involved in the school (especially the first years, awesome on them!).

Botanical Medicine 3 - This is a full year course in botanical medicine, as we've already got a bunch of basics, we're just diving deeper (class of 2019 reference!) into the medicine, and looking at more conditions and doing more intense cases. It's a bit of a tough class to get through, not my favourite, but there is a lot of awesome stuff you can do with botanical medicine, so it's definitely going to be useful.

Now for the good news.........




I passed NPLEX1!!!!!!!!!!!!

It's been a pretty stressful week since we heard the letters were sent out last week, and since Monday I've been hearing results from friends (some good and some bad). I got home today and my dad was out and hadn't checked the mail yet, so I went to the mailbox, and the second I looked in the box I knew it was there. I walked back home with the letter and the rest of the mail, and didn't even walk in, I went to the backyard to my garden. I knew that I needed to be somewhere calm so that regardless of the news, I could feel kind of okay. I took a seat next to my favourite plant - the cherry tomato plant of course - took a couple deep breaths, and then opened it. I figured the letter would be folded up and I'd have to open it, so I started pulling the piece of paper out...and was greeted by three large Ps! The wave of relief that came over me was fantastic, and I followed with a nice little meditation in front of my garden, thanking myself for the hard work I did in the summer, and so damn glad that I don't have to write the exam again.

Anyway that's all for tonight, maybe I'll go to bed early for once......
Edit - forgot to add a silly cartoon for the day (oh and it's 11:30 and I still haven't started getting ready for bed!)

Tuesday! And I'm back for the second one, telling the truth!

Back again to summarize Tuesday's courses. I actually just finished doing some homework, the first homework I've really done all year! It's only the third week, I'll get in the groove I swear.

So the classes for today:

Health Psychology 3 - As our third health psych course, the expectations are getting a little higher, and there is a fair bit more practical work. This year is interesting though, because we actually have 2 SP cases for our group, and every practical, we will continue with those patients. Our first session was today, I fortunately didn't have to go as doctor (I'm a little too nervous to go first!), but it was a great experience to watch my classmates work with the biopsychosocial interview, as opposed to the more clinical focused one we watched yesterday in primary care. It was also interesting to see some of the homeopathy interviewing skills we've learned come into play here. Psych is cool though because you have a little more freedom than homeopathy to probe in different areas, but I find using those homeopathy skills helps really dig deep into what a patient is feeling, and what they actually mean when they speak. I'll also note that CBT (cognitive behavioural therapy) is a big focus this year, so we'll be working on that type of therapy with our patients in future sessions. Lucky for me, I got the textbook for free - it was actually a gift from a family friend of mine, cool enough he is a social worker who actually knows the author Judith Beck (her father is kind of the "father" of CBT as it is, and she has played a big role in it's development and popularity. I'm sure he'll be a good resource if and when I get more advanced and want some help getting better at using CBT. Oh ya I forgot to mention the professor - this one is taught by Dr. David Denis again, our professor from 2nd year. He is really great, a true counselling focused ND. He provides such a great presence when doing demos, and when helping as he floats through the different practical rooms. A wonderful resource to have in this course.

After health psych, we have a 3.5 hour break until nutrition. During this time, all the breakout rooms we use for primary care are scheduled out for the 3rd years, so we can use them for whatever we want, with IT and primary care work the main focus, if we want of course. Today however, I had to go to an exam policy meeting - 1 of my duties as one of the VP Academics for the NSA Executive Council. I'll definitely remember to do a post in the future reflecting on my experience on the exec council so far, as it has been pretty great. The meeting was a little boring, but also interesting. You can really see the faculty working hard to develop good policies to benefit the students, and also push them to better academic success. It's also interesting seeing professionals work in discussion group like this, because even though they are older and more experienced, they still have disagreements, multiple conversations and multiple people speaking over one another, all that fun stuff that happens when you do group work in school. A little more professional for sure, but it's interesting.

Nutrition 3 - Our final nutrition course is taught by none other than Dr. Prousky, who is the chief medical officer of the RSNC. It's pretty cool, because he is just a huge wealth of knowledge with many years of experience, and lots of scientific data. He is similar to Dr. Phil (from second year nutrition) in his strive for evidence based treatment, but he is also a little less intense, and worries about using a combination of evidence based medicine and individualized medicine. He is also big on orthomolecular medicine, which generally involved very high doses of vitamins and nutrients for therapeutic benefit. So this year will have a little less focus on diet and lifestyle that Dr. Phil provided (fish oil, 2 tablespoons of olive oil, a handful of nuts, and 30 minutes of walking a day will fix anything!), and instead look at more therapeutic use of nutrients. I think that a combination of these two courses will provide a pretty good foundation for using nutrition to effectively benefit many patients for many different conditions.

That's all for today, back to a little more homework before bed, but I'll be back tomorrow to talk about Wednesday. For now, enjoy this funny CBT cartoon I found.

3rd Year! And back after a long hiatus...

I've been away from blogging again, school and life have been busy, and the motivation hasn't been there. I recently got a huge boost though - I met a 2nd year CCNM student for the first time, and when I introduced myself, she said that she had read my blog! That is pretty cool, and it really took me back to why I wanted to blog in the first place. When I was doing my undergraduate degree at Laurier, I was considering Naturopathic Medicine, and it was some awesome student blogs from CCNM (Talia Marcheggiani, Navigating Naturopathy - not sure her name and last but not least, Erica Robinson). These blogs were invaluable resources when I was considering school, helped keep my motivated during and after the application process, and have even been useful information during school. So my hope is that I can provide some cool and motivational information in my blog for future students.

I know I've been off with my blogging in the past, but 3rd year is getting really intense with a lot more practical stuff going on, and I think blogging is going to be a great way to let off some of the steam, and reflect on some interesting stuff we learn. I'm also going to post about all the classes again so that prospective students can learn about them a little bit. I'm going to set Sunday as my regular blogging day, and get going with once a week blogging for hopefully the rest of the year, I think if I put it in my schedule then it will actually happen. This will be a big week though, because I'm going to do a quick post every day about all the classes we're in for 3rd year. Hope you enjoy!

So starting today (Monday), here are the classes we're in: (by the way, Monday is kind of a long day....in school from 9am-7pm! But at least we've got a 2 hour common time to relax and see some cool talks or hang out outside, maybe play some sports - like volleyball club!)

Integrative Therapeutics - IT is kind of a continuation of clinical medicine, but with more of a full clinical focus. While clin med was based around integrating anatomy, physiology, micro, immunology and biochem to produce a ddx (differential diagnosis) of potential causes of disease, IT looks at treatment as well, and of course considers what we already learned last year. It's been pretty good so far, some heavy information, but Ellen Wong is a fantastic teacher. She knows her stuff really well and presents a lot of great research. I can definitely see this stuff being directly useful in clinic and beyond.

Primary Care - This is the super serious class/practical of the year. We're in groups of 8 people, and every week we get a standardized patient presenting with some random condition. Each person has to be the "doctor" one time, and during that, they have to manage the patient over 45 minutes as if they were in the clinic - do a full intake and physical exams, and then suggest proper management if possible. The kicker of course is that the doctor has 7 classmates who are busy researching potential causes and can provide feedback and help during "timeouts". The first session was a little messy and I of course was a little too nervous to volunteer as doctor, but I'll get my chance next time. And of course after the case, we have a post encounter probe to work on all week, and then present the case with an appropriate assessment and plan to our TA the next week.

Practice Management - I've heard that this course has been a little messy in the past, but this year, the practice management program has been completely streamlined all the way from first year. Unfortunately I'll only get the course in 3rd and 4th year, but they're altering it a bit for us. New students will have a much better experience than in the past though, and I think this is great. Naturopathic Doctors have an awesome role to play in healthcare, but in the current system, they generally need to run their own business. While it's nice to be philanthropic and help everyone, you need to make money to survive, because if you can't feed yourself and keep the office open, you won't help anyone. I think the new course will really help lead to a more prosperous future for my classmates and me, and it's being run by Dr. Tim Searle who is very knowledgeable and has some great resources. And of course I'm still involved in HEROs this year (which I mentioned in the past). I've got a lot of work to do, but I think I've got tons of great resources to help lead me to a successful future.

Ok that's all for today, see you tomorrow for a review of Tuesdays classes.