Tag Archive | "wellness"

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Those Post Call Days

Posted on 14 October 2013 by Jimmy Yan (Meds 2015)

So for those keeping track at home, right about now marks just past the 1 month point since the actual beginning of clinical rotations. By now we’ve probably have had a decent exposure to a range of clerk responsibilities, including…(dramatic drum roll)…call.

Yes, call, that one word that make your average preclerk pull off a near perfect Macualay Culkin impersonation.

But no, we’re clerks now, and just like Freddie serenades, we must go on.

And besides, inevitably, we all got to do call. It’s just a fact of life (of a clerk).

But it turns out, the whole process of being up in the night, isn’t that bad. Note: this is the personal opinion of a self inflicted insomniac. Like Hooch, I’m craaaaaazyAs long as you’re up and about and doing something, the body’s seems to shunt enough fresh blood to the brain to keep it perfused enough to maintain lucidity and sanity. And if something active or acute is happening, then at least the adrenaline is better than coffee!

What does suck though, is when that buzz comes crashing down. Dawn breaks, morning rounds or handover occurs and you finally exit to sweet, sweet, fresh air.

And then what? You got a post-call day, which is some much coveted free time; yet you’re not exactly at the peak condition to enjoy it. So what to do?

Fortunately our handy research crew (ie: me) has searched high and low, even with the government shutdown. From that, we present to you the list of the top 5 to do, and also, top 5 things not to do, during that post call daze (oh hey wordplay!) if you DON’T want to simply sleep.

Don’t:

5) Go on a shopping spree.  – Seriously, you’re judgement is impaired, you’re blood sugar is a little off, and you’re vision is a bit blurry. You’re going to be after any little sparkly doodad or supposed “good deal” out there. Even worse, the Masonville Apple store is just a short bus ride away.

4) Fall asleep in a frat house. – While sleep is key. Make sure you’re vigilante of your surroundings when you do snooze. Make sure you don’t nap in any area where people could assume you’ve simply passed out from intoxication (because, let’s admit it, by this point you could pass off as a drunk), and you end up on this site (NSFW).

3) Try to pick up. – You simply aren’t as sauve as you think right now. Period.

2) Go for a long, extended drive. – Yes, you need that car to get back home to that ever alluring bed, but you don’t need it to just hit the open road (even if Bryan Adams compells you). Seriously, there are a number of articles telling you this is a bad, bad, idea.

1) Do another call shift. No. Just. No. 

Do. 

5) Attempt to do some course reading : Yes, nerd alert , but just hear me out. This is a win-win. Either the act of reading puts you out to a peaceful sleep completely…OR you learn something and get to impress and WOW your residents and attending on your next shift (only you won’t but it’s nice to think that).

4) Eat, and lots of it: Typically you finish call at around noon the next day. This calls for five words: All. You. Can. Eat. Sushi. ‘Nuff said.

3) Have a light work out: Emphasis on the light, as you probably aren’t at your peak self. Despite this, take the opportunity to stretch the muscles a bit, get that cardio going, and burn off some of the crappy calories you consumed during the middle of the call shift.

2) Sit/Lay down on the grass: When was the last time you got to see the sun afterall? If you have the opportunity, take it, you never know when you’ll hit that dreaded streak of “go in when dark, leave when dark” phase known as the Canadian winter, so make like Superman and recharge off the rays of our yellow sun.

1) Catch up on some shows: From Netflix to YouTube, the web is brimming with series to start, catch up on, or rewatch. I’m recommending some Archer, or if you can’t get enough of medicine: Scrubs.

So there you go, what do you think of this list? Have more ideas or suggestions? Why don’t you put them in the comments below.

Didn’t like the post? Well don’t blame me, I’m writing this post-call!

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Wellness on the mind

Posted on 18 March 2013 by Jimmy Yan (Meds 2015)

I guess it’s just that time of the year. The latter half of our 2nd term is rising over the horizon, March Break (aka vacation time) ending, finished with St. Patrick’s Day and Easter just around the corner, the tax season deadline approaching, and the slow but inevitable lurch forward (like some sort of not giving up…school guyof clerkship, all these things have got me thinking about the whole “work life balance” and wellness.

Again.

Yes, I realize this topic enjoys as much attention in medical school as pictures of cats do on the InterWebs, but with the 1st OMSA Wellness Retreat geared up this Friday, it’s hard not to think on the subject and muse.

The concept of Wellness has developed it’s own curriculum. Through stand-alone lectures, lunch time seminars and workshops, regular emails (while writing this piece, I actually received an email regarding Wellness), and sharing of published literature on the subject, Wellbeing and learner health has become as integral to the medical school experience as anatomy. This has obviously been a great improvement upon the attitudes and culture in the past.

As a side note, an interesting piece of history can be found when examining how one of the longest standing traditional notions in medicine, the superhumanly long overnight on call shifts, was largely influenced by the work habits of a prominent physician who himself was using and addicted to cocaine throughout his whole career (it was not yet illegal at the time). While better regulation for sleep and shift scheduling have finally been implemented, through the goggles of hindsight it is fairly obvious that such a practice was inevitably unbalanced.

But with the acknowledgement that there is more focus on Wellness and Health these days, more than ever, in medical school, there should still be a caution on how the pendulum has the tendency to over swing.

The caveat  that should be mentioned is that Wellness is not simply an ends to reach, or another goal to accomplish, or another role (like the other CanMeds ones) for students to adopt and check off their mental CVs. Nor should Wellness remain focused solely on Physical and Social wellbeing. While these are necessary components to wellness, there are other equally important components that are under-appreciated.

Current Wellness Counseling theory contents that a person’s wellbeing and individual health can be conceptualized to include aspects of physical, intellectual, social, spiritual, emotional, financial, and occupational (or environmental) wellness. Each of these components can be in or out of balance, and it’s important to appreciate what could be missing in one’s lifestyle. That said, I will reiterate that it shouldn’t be about determining that components A, B, or C are depleted and by doing activities X, Y, Z, they will be more in line with the other ones, but rather realizing a lifestyle that can fulfill these aspects to your satisfaction.

I realize that this doesn’t require a total and sudden makeover (are you thinking what I’m thinking?), but is more of a mindset that one adopts over time. And, as one of the more infamous Night Owls in my class, definitely a topic I could use some more appreciation about.

Well, I got a few more days to think about this as I head to the Wellness Retreat this weekend. As overemphasized as this subject is, I still believe in it’s importance and am very excited for a weekend designated especially for learning more about it.

 

 

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Chew on this

Posted on 18 October 2012 by Jimmy Yan (Meds 2015)

So today I had the chance to present with several 2016s at the London Youth Action Centre on the topic of healthy eating and fitness. During the discussion it was mentioned a number of times that one of the largest challenges perceived along the way of eating healthy is that it costs too much. While the thought that healthier foods are more costly and less convenient is a common obstacle that stymies the efforts of many people who make the effort to eat healthier. Certainly many students can relate to this, operating off narrow budgets, and pressed for time, all the while stressed with studying. Continue Reading

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