back into focus 

as i shared in my last post, i’d unknowingly hit ‘pause’ on my life and my dreams these past couple years once a measly little exam seemingly took over my life but i’m back now reclaiming my time and my joy.

in that process i’ve made a few pretty big decisions about my future and just wanted to share with you all. thank you for your company on this journey. i used to constantly be in awe – and still am – of folks in the arts or humanities or really anything that didn’t have a set multistep plan for their careers. i used to find so much comfort in being a traditional applicant to medical school – straight out of college, no decisions to make about what to do with years off, etc. but the older i get the more i realize that no one’s life path goes in a linear fashion. we all face expected and unexpected challenges and have to roll with the punches. here’s how i’m choosing to roll with mine:

i’m going to be a psychiatrist when i grow up! i’m guessing that this does not come as a surprise to most of you. pretty sure most people knew this was where i was destined to be before i was able to fully embrace it myself. there were many things that fueled my uncertainty but most of them boiled down to giving too many effs about what other people think.once i set all that aside – worrying about ‘hanging up my stethoscope’ and not being considered a ‘real doctor’ (what does this even mean?? i’m in medical school, which contrary to the belief of people who continue to ask me if i’m going to be a nurse when i tell them that, i’m going to be a doctor!!), stigma against mental illness and providers in communities at large and within my family of origin, folks assuming that i’m only going into it to have a good lifestyle (anyone who knows me this is probably at the bottom of the list of reasons – and anyway what’s wrong with wanting balance in my life??) – i realized that by caring about what others thought i was simply holding my own happiness and passion hostage.

i came into medicine because of my passions for social justice and mental health and i can think of no better way to execute my dreams than by being a psychiatrist. i love getting to know my patients. i’m good at it.

of course i still have concerns – am i risking my own mental health? will my empath self be able to hold down the boundaries necessary to function in my own life without absorbing the struggles of others? will i regret missing the opportunity to be the patient’s first line and home base as their primary care doctor?

but there’s an underlying peace that i’ve found from leaning into this. into what feels right for me and what’s brought joy in some of the darkest days these past few years. into what i’ve always envisioned for my life.

i’m moving to NYC! i’ll be at columbia this upcoming year obtaining my MPH. my struggles with USMLE greatly robbed me of my passion for medicine. it often left no time or energy to explore my activism and advocacy. getting an MPH was always a part of my life plan but it’s something i’ve decided to pursue now (rather than later) in an effort to rekindle the flame and remind myself of my goals for my life, beyond passing an exam. i still have no idea where i’ll be living or how i’m going to balance moving several times this summer while taking shelf exams and OSCEs and step two. but for the first time in a long time, i’m truly excited about the future and it feels so damn good.

i only have a few more weeks of core rotations remaining in third year and i’m so happy and proud that i chose to advocate for myself to start rotations before retaking step one. i’m not exaggerating when i say that decision probably saved my life. in the past year i’ve learned so much about myself and the physician i aspire to be. i’m so excited to continue to move forward in my career and this life i’m building. grateful for your company through it all.

onward

it’s been a minute since i’ve blogged, mostly because it didn’t feel like i had anything to say, but i’ve realized that sometimes finding healing in writing means pushing yourself to face things when it would be much easier to just run and hide. i started sharing my journey online because i felt alone in my failures and i didn’t want anyone else to ever feel that way too.

it would be easier to share after everything has worked itself out somehow – after i can pinpoint how each failure actually led to a success i may not have had otherwise. there’s, of course, courage involved in admitting to failure at any point throughout our lives but i’m choosing to take you along through the thick of it – when it’s messy and unclear how things are going to work out. because, as much as i often wish we could, we can’t fast forward through the difficult parts like they do in the movies. so let’s all try to be a little vulnerable and walk with each other through the hard parts.

one of the biggest lessons i’ve learned from all these failures, other than how to advocate for myself, is learning how to come up with a PLAN B (or C or D or E in some cases). so today i thought i’d share my plan F with you all. if you’ve been following along for some time, you probably know that i’ve struggled a lot with USMLE step one. i’m not going to go into details about how many times i’ve taken the test or what went wrong or any of that because that’s something i’m still figuring out and simply, i don’t want to. i’m trying to live without seeking validation from the others.

after finishing my core rotations in third year, i’ll be taking a year off to complete an accelerated MPH program (and also take USMLE step one and two CS & CK during that time). when i applied in november i was, of course, hoping to take this step under different circumstances but i’ve learned that we often have to just roll with the punches. so far i’ve been accepted to columbia (still pinching myself about this!!!) and am waiting to hear back from a few other schools. so excited to take this next step in my career!

my passion for public health began pretty much began with my passion for medicine because, to me, they go hand in hand. public health is the marriage of medicine and social justice and i love that. i actually applied to dual degree MD-MPH programs when applying to med school back in 2013. i’d planned on getting my MPH at some point during med school but kept putting it off because of my struggles with step one. and then i realized that i’d hit ‘pause’ on my life because of this test and that had turned it into an even bigger monster in my mind. i started putting everything off until after. but that’s not how life works. or at least not how my life works.

so i’m reclaiming my time from this dragon (i.e. step one) that took over my life there for a minute. it’s a battle i’ll have to face again. but instead of allowing it to pause my life, i’m choosing to keep living and instead hit pause – no, stop –  on all the stress and anxiety and negative self talk and depression and darkness.

i’m sure this plan doesn’t make sense to many of you. ‘how is she going to study for and pass this test while doing an accelerated master’s program when she couldn’t even do it during a year off without anything else to worry about?’ that’s a great question. one i’m choosing not to answer because i’ve decided it’s time to stop seeking approval and do what feels right for me. instead of telling y’all why this is the best way forward for me, i’m simply going to show you – by living it. and to clarify – this does not mean i’m giving up on medical school by any means. i’ll be back to finish my fourth year rotations and apply to residency in 2019 after completing the accelerated MPH program!

so ahealersheart may be heading to NYC or Cambridge or Berkeley oooooor who knows!? but first, we’re going to get through peds and obgyn and psych and OSCEs and step two CS and CK. one step (pun definitely not intended) at a time. deep breaths. one foot in front of the other. we got this.