Remember the Julia way back in April and May, who was so scared for third year that she more than once just considered quitting, debt or no debt?

I don’t even recognize her anymore.

There’s no doubt in my mind that this is where I’m supposed to be. Every day I’m reminded why I love medicine so much. It’s the best feeling in the world, knowing that yes, while I’m clumsy and still gawky, I love doing this, I can do this, and yes, other people believe that I can do it too.

I’m on internal medicine right now, which is basically taking care of ill patients in a hospital setting. As long as they’re not dying or we’re concerned that they could die (those people are in the ICUs), they come to us. Everything that I learned in class last year, yep, I’ve gotten a patient with it. I guess I should have studied glomerular nephritis a little harder, eh?

Just to give you a clue into the workings of the hospital (I had no idea before I started), I’m work with a team of another medical student (detour: I really miss working with Chris!), two interns (about two months post-med school graduates), a resident and one of three attending physicians (licensed, qualified phyisican) that rotate every week or so, The attendings are hospitalists, which means he basically admits and takes care of any one sick in the hospital who’s not needing surgery and those patients get passed down to us.

The first week was dull. Really dull. Our team hardly admitted anyone, I sat around a lot, clueless as to what exactly I was supposed to be doing and just feeling like I was wasting my time. But slowly, the patients starting trickling in and I started getting more involved with their care, and it’s been fabulous since then. I’ve had more than one patient actually think that I was their doctor… of course, I straightened that out really quickly, but it was a nice feeling to think that others thought I was competent enough.

And the last couple of days, I’ve taken on enough responsibility that I’m functioning as an mini-intern. I’m deciding the plan of actions and ordering tests (all of this discussed at great length with the attending of course!) and I’m admitting patients and doing their history and physical, then making sure that everything is arranged for their discharge when that happens. I think my interns and residents like me, and my attending told me that I was doing a great job… I seriously danced around my car after that.

I didn’t mention that my attending is hot, did I? The kind of geeky athletic hotness that wows me every time. I seriously doubt that he’s a day over 30 (yes, that my friends, is still young to me!) and looks younger. Of course, he sort of has a girlfriend, but that’s so easily forgettable. Me likes eye candy. Hence part of the reason for the dancing.

Chris is on psych right now and having a terrible time. His resident is a pain and apparently has depression, and he really hates the “medicate them up!” attitude–his parents are both psychologists with thriving therapy practices, so I think he has seriousy misgivings about the overuse of antipsychotic drugs. I think he’s found one specialty to completely cut off the list! I only get to see him about one a week, but we talk every couple of days, so it’s not too bad.

Not much else going on with me. I tried really really really hard to get LNB finished before you headed off to college, Marissa, but it didn’t work. Maybe a Christmas present?

Wow, actually a happy post from Julia, with no blubbering? Amazing! Folks, this is a once in a lifetime occurrence here!

I think I’ve lost the ability to breath.

Erik’s engaged.

Even writing the words hurts more than it should, and I can’t look at them again. I’m just sitting here, blinded by my eternal patheticness.

I don’t know even how to explain how I feel. I shouldn’t feel so strongly. I haven’t seen him for two years and I haven’t been in love with him for a while now. I finally grew past that. I’m not good at letting go, but Erik I’ve never wanted to let go, not completely.

He was my first crush, my first love. I fell for him in the eighth grade because he went to Norway and came back and had all of these exciting stories. He was cute, he was funny, he was super nice to me, treated me as a friend, and I adored him. I knew his strengths, his weaknesses and I loved everything about him. I truly did. Everyone I’ve ever met has been compared to him and has fallen short. I’ve nursed so many fantasies that I knew were pathetic but I couldn’t help myself.

I don’t know him anymore, it’s true… Our lives have diverged and I don’t know if he laughs the same way anymore. But the thing was, he doesn’t know me either, and I’m so different from how I was in high school. I guess a part of me has just always hoped that one day, one day, things would finally align and he would finally see me. That although we had diverged and changed since high school, it would really be what brought us together. I’ve always felt, deep inside and I’ve never been able to get rid of it, that he was “the one.” And when he didn’t get married, when he didn’t date anyone, I saw that as confirmation.

And now he’ll be married in a month.

Part of me is angry too, that once again, love has passed me by, and I am still alone. He’s getting married and he still lives in my home town where there is nobody and yet, he’s managed to find someone. And I can’t even get a casual date.

It’s just adding to this feeling that I’ve been drowning in recently. I haven’t talked for three months to the woman I’ve considered my best friend of seven years. She and her husband came to visit family over the Fourth of July and she didn’t even called me. I’ve called her several times and she’s never returned my phone calls. How do I not take that personally? My friendship with Liz has turned so superficial since she moved out. And Chris… we’re going to be on completely different rotations starting tomorrow for the entire year. How long is it going to take before he’s a mere shadow in my life? I’m scared that I’m losing everybody, that everything that I’ve loved is just delusion. That everything that I’ve felt has just been me, and that people were just putting up with me until they could find an excuse to leave.

I hate feeling pathetic.

Wow, once again, long no update from me. Tsk tsk.

And even though it’s almost a month later…. thank you, thank you, thank you for all of your notes of congratulations about my boards. It’s been such an exhaustingly busy month that I only just realized that I never told you how much your words meant to me. You all had much more faith in my abilities and it was soul-enriching to have that faith confirmed. So *BIG HUGS* I love you all, I really do. Reading about your life and struggles and inspiration has made us friends… And there’s so much in my life, that II keep thinking of to share with you, and of course, I run out of time and don’t get to it, but please know how much you mean to me.

I just finished my rotation today, took the written final (contrary to my happy post eons ago, I still unfortunately have tests. Blah.) Yesterday, I had the practical and oral exam portion–which I thought that I blew. I knew the disease that they were quizzing me about, inside and out, but I never even mentioned the major (and only) treatment for the disease! I could have killed myself… But when I got my evaluation back today, the doctors didn’t even seem to notice! If I did well on the written (which, as always could have gone either way), I may have gotten honors. Honors! *shakes head in disbelief*

My evaluations from all of my residents basically said the same thing: I need to work on the confidence thing and take initiative… It sounds so simple, but it’s much harder to implement. I know it’s one of my weaknesses, but it’s hard to wipe away a lifetime of feeling insignificant, a part of the grey background.

Can you believe that it’s been six weeks already? The time (for the most part) flew by. The last part, the Gyn rotation was difficult. While I enjoyed the cases that I got to see and the patients that I followed on the floor (if they were admitted), it was physically hard on my body to the point that I could barely move at the end of a day. I knew that I hadn’t healed as well as I had hoped from my last surgery a year ago. I’ve had three surgeries on my right shoulder and each time it’s taken longer to get back function… I’ve got full range of motion but my strength is dismal, as I discovered when trying to hold back retractors for the surgeons for minutes and hours at end. And now, I’m starting to “feel” my other shoulder. The last CT scan showed that I had a tumor under the scapula on that side, and if I have to have surgery again, I don’t know what I’ll do. Yes, I survived Gyn, but I’ve also got 8 weeks of surgery coming up in a month and a half, where it will be the same thing–only longer and harder. I’m scared that I won’t be able to do it–that that will be my limit and the stressing factor that sends me into the spiral of more surgeries…

Enough of that. It won’t do any good worrying about it. And I’ve fretted and worried enough already. No, I really am doing good. I loved my rotation so much that it’s really lit the passion again for all of this… Medicine is truly what I love, I’m in the right spot, and somehow I’ll make it through everything.

I was asked twice on rotations if I was pregnant. Yeah. Those were great days. I’d love to blame it on the scrubs–they fit everybody ill, but… So, now I gotta add weight loss to my to-do list. *sigh* 🙂

It was Chris’s birthday on Monday. His girlfriend threw him a surprise birthday party last Friday–I was in charge of transporting him to the condo… Much amusement, especially when I had him put a towel over his head so he wouldn’t guess where we were going. The looks we got from other drivers had me in hysterical fits. It was fun. Met some of his old high school friends, which I always hate doing. I never feel more stupid than trying to make small talk with people. All of his buddies are these athletic, super smart, witty people… Seeing them, I still have no idea how Chris and I became friends… No, you think that it’s just my self-esteem issues coming out again, but really? We have so little in common sometimes, I can’t see how we got from point A to B.

Anyway, for his birthday, I made him a collage of some of his pictures from his travels and friends (trying to get on his computer and sneakily download his pics was a challenge!) and then finally, at the party got some pics of the two of us. We’ve been friends for over a year, and these are the first pics I’ve had of him And since I love sharing photos:
Chris and Julia, just click on the images. Some of them look pretty crappy–the flash only worked some of the time and I’m not clever enough with the photo editing programs to get them to look right. I’m the red-head, btw. 🙂 The one of him in Thailand is probably my favorite. It captured him perfectly when he’s trying to be charming.

And yep, that’s Melissa, his girlfriend of a year and a half now. She introduced me at the party as “Chris’s other girlfriend.” Melissa and I get along really well, I like her very much and I think she’s been fabulous for Chris, but when she says things like that, I’m never quite sure how to take it. Most of the time, she seems to be joking, taking it in stride, and then this trace of acid taints her voice and I wonder…

PS…. I heard through the rumor vines that Becka got a new job!!! Congratulations!!! I’m so excited for you. You need to give me details!