Monday, January 20, 2014

Become a better medical Student



1. Be willing to be selfish. You must be willing to prioritize personal time and to continue to do the unique things that make you who you are. And trust me, the time can be found in any rigorous program. Doctors aren’t robots, and you should never plan to train like one. Medical school must be a time for you to continue to develop your hobbies and your personality. These are the individual characteristics that will make your patients love you one day. More importantly, these are the activities that will keep you both sane and free from stress.

2. Get 8 hours of sleep. No debating this one. First the benefits – you will study better, be healthier, and feel happier. There are enough distractions and obstacles built into the medical education that you should not be adding to the list. Sleeping in class, rereading text, and mental sluggishness are not paths to engaging the curriculum. Turn off the light, set your alarm, and keep track of your sleeping schedule. After all – you are training to be a doctor who will one day advise patients on healthy practices. Limit the sacrifices you make in your own health along the way. Healthy eating and regular exercise follow, as well.

3. Subscribe to just one health policy daily email or news blog. Medicine, particularly in the modern world, has much importance beyond the realm of clinical information. As a doctor, you will one day be called to be a leader, and your understanding of health policy and health systems will drive your success. You do not have to understand every sentence, or even read every word. But be open to absorbing what you can so you will be better aware of health care on-goings. The future of medicine is in dynamic health delivery systems. While you’re cramming over the Krebs cycle, take a five minute break to review the latest info on real-world medicine issues. ACOs are being built and discussed right now – embrace that change and learn as the systems are being designed. Read during rounds when your attending is off ranting about something esoteric and his back is turned. Read it while your on the bus or in the bathroom. Again, time can be found if you look for it.

4. Study smart. There is a difference between studying for a test and studying to be a doctor. While these two goals sometimes coincide, they are often very different in nature. I find that, for some reason, medical students have difficulty wrapping there minds around this concept. Here is what I mean – medical students often look to prepare for exams as if they need to know everything about a given subject. Buying multiple textbooks and review guides is more than common. Gaining this knowledge is the right thing to do, and will make them a better doctor in the long run. But it may distract you from your goal of doing your best on given test – and worse, it may lead to burnout. If an exam has questions that are drawn from lecture, then information outside of lecture is irrelevant for the scope of that test. You need to make a personal decision as to how much supplemental information you need to be successful. I’m not telling you to take any shortcuts in learning medicine, I am telling you to be prepared for what matters. You have at least 7 years to go through medical school and residency, and then a lifetime to practice. You cannot possibly learn everything in a day, month, or year. Don’t sweat the details during your first year, anymore than is already forced on you.


5. Smile. As easy as this simple act sounds, this may be the most difficult of my suggestions. But stick with me! I am a firm believer in the power of positivity and confidence. You will get through medical school. That is not in question. But you have a choice as to HOW you get through medical school – to complain, suffer, and grieve through the process … or to enjoy the ride. I believe that smiling, appreciating the best that you have, and keeping a positive attitude effects you in two ways. In the first, you will have the advantage of internal confidence and lower stress. From a medical standpoint, you will be less rattled on test day and benefit from decreased cortisol – both can go a long way! The second effect of positivity is the external impact you will have on those around you. How do you think nurses respond to medical students that complain or look upset during morning rounds. I know that a genuine smile and greeting has led to nurses and residents that have been willing to go the extra mile to offer me support. How do you think an attending or residency coordinator will respond to the stolid student, versus the upbeat one? The truth is that letting in negativity and suffering through complaint are a means of externally expressing defeat. You do not want to be that kind of medical student. Smile, you are living your dream!

Friday, January 17, 2014

You and Me :)


Roads, Cascade and River may change their Trail,
The Radiance of Lamps may change
May my Life initiate a new tune
Raindrops may hum a different Note
Seasons will change their Style
But, I will remain forever in your Embrace,
like I always have been...
Each moment each second.

Monday, January 6, 2014

10 Highly Effective Study Habits



Students grapple with many issues in their lives, and because of all of the competing things for your attention, it’s hard to concentrate on studying. And yet if you’re in school, you have to do at least a little studying in order to progress from year to year. The key to effective studying isn’t cramming or studying longer, but studying smarter. You can begin studying smarter with these ten proven and effective study habits.

1. How you approach studying matters

Too many people look at studying as a necessary task, not an enjoyment or opportunity to learn. That’s fine, but researchers have found that how you approach something matters almost as much as what you do. Being in the right mindset is important in order to study smarter.

Sometimes you can’t “force” yourself to be in the right mindset, and it is during such times you should simply avoid studying. If you’re distracted by a relationship issue, an upcoming game, or finishing an important project, then studying is just going to be an exercise in frustration. Come back to it when you’re not focused (or obsessed!) by something else going on in your life.

Way to help improve your study mindset:

  • Aim to think positively when you study, and remind yourself of your skills and abilities.
  • Avoid catastrophic thinking. Instead of thinking, “I’m a mess, I’ll never have enough time to study for this exam,” look at it like, “I may be a little late to study as much as I’d like, but since I’m doing it now, I’ll get most of it done.”
  • Avoid absolute thinking. Instead of thinking “I always mess things up,” the more objective view is, “I didn’t do so well that time, what can I do to improve?”
  • Avoid comparing yourself with others, because you usually just end up feeling bad about yourself.
2. Where you study is important

A lot of people make the mistake of studying in a place that really isn’t conducive to concentrating. A place with a lot of distractions makes for a poor study area. If you try and study in your dorm room, for instance, you may find the computer, TV, or a roommate more interesting than the reading material you’re trying to digest.

The library, a nook in a student lounge or study hall, or a quiet coffee house are good places to check out. Make sure to choose the quiet areas in these places, not the loud, central gathering areas. Investigate multiple places on-campus and off-campus, don’t just pick the first one your find as “good enough” for your needs and habits. Finding an ideal study place is important, because it’s one you can reliably count on for the next few years.

3. Bring everything you need, nothing you don’t

Unfortunately, when you find an ideal place to study, sometimes people bring things they don’t need. For instance, while it may seem ideal to type notes into a computer to refer back to later, computers are a powerful distraction for many people because they can do so many different things. Playing games, going online, IM’ing, surfing the Web, and answering emails are all wonderful distractions that have nothing to do with studying. So ask yourself whether you really need a computer to take notes, or whether you can make do with the old-fashioned paper and pen or pencil.

Don’t forget the things you need to study for the class, exam or paper you’re focusing on for the study session. Nothing is more time-consuming and wasteful than having to run back and forth regularly because you forget an important book, paper, or some other resource you need to be successful. If you study best with your favorite music playing, make sure your iPod is with you.

4. Outline and rewrite your notes

Most people find that keeping to a standard outline format helps them boil information down to its most basic components. People find that connecting similar concepts together makes it easier to remember when the exam comes around. The important thing to remember in writing outlines is that an outline only words as a learning tool when it is in your own words and structure. Every person is unique in how they put similar information together (called “chunking” by cognitive psychologists). So while you’re welcomed to copy other people’s notes or outlines, make sure you translate those notes and outlines into your own words and concepts. Failing to do this is what often causes many students to stumble in remembering important items.

It may also be helpful to use as many senses as possible when studying, because information is retained more readily in people when other senses are involved. That’s why writing notes works in the first place – it puts information into words and terms you understand. Mouthing the words out loud while you copy the notes before an important exam can be one method for involving yet another sense.

5. Use memory games (mnemonic devices)

Memory games are methods for remembering pieces of information using a simple association of common words. Most often people string together words to form a nonsense sentence that is easy to remember. The first letter of each word can then be used to stand for something else – the piece of information you’re trying to remember. The most common mnemonic device example is “Every Good Boy Deserves Fun.” Putting the first letters of every word together – EGBDF – gives a music student the five notes for treble clef.

The key to such memory devices is the new phrase or sentence you come up with has to be more memorable and easier to remember than the terms or information you’re trying to learn. These don’t work for everyone, so if they don’t work for you, don’t use them.

Mnemonic devices are helpful because you use more of your brain to remember visual and active images than you do to remember just a list of items. Using more of your brain means better memory.

6. Practice by yourself or with friends

The old age adage, practice makes perfect, is true. You can practice by yourself by testing yourself with either practice exams, past quizzes, or flash cards (depending what kind of course it is and what’s available). If a practice exam isn’t available, you can make one up for yourself and your classmates (or find someone who will). If a practice or old exam from a course is available, use it as a guide – do not study to the practice or old exam! (Too many students treat such exams as the real exams, only to be disappointed when the real exam has none of the same questions). Such exams help you understand the breadth of content and types of questions to expect, not the actual material to study for.

Some people enjoy reviewing their materials with a group of friends or classmates. Such groups work best when they’re kept small (4 or 5 others), with people of similar academic aptitude, and with people taking the same class. Different formats work for different groups. Some groups like to work through chapters together, quizzing one another as they go through it. Others like to compare class notes, and review materials that way, ensuring they haven’t missed any critical points. Such study groups can be helpful for many students, but not all.

7. Make a schedule you can stick to

Too many people treat studying as the thing to do when you get around to it or have some spare time. But if you schedule study time just as your class time is scheduled, you’ll find it becomes much less of a hassle in the long run. Instead of last-minute cramming sessions, you’ll be better prepared because you haven’t put off all the studying into one 12-hour marathon. Spending 30 or 60 minutes every day you have a class studying for that class before or after is a lot easier and will allow you to actually learn more of the material.

You should study regularly throughout the semester for as many classes as you can. Some people study every day, others put it off to once or twice a week. The frequency isn’t as important as actually studying on a regular basis. Even if you just crack open a book once a week for a class, it’s better than waiting until the first exam in a massive cram session.

Scheduling is even more important if you’re going to be a part of a study group. If only half of your members are committed to a study group for every meeting, then you need to find other study group members who are as committed as you are.

8. Take breaks (and rewards!)

Because so many people view studying as a chore or task, it’s human nature to avoid it. If, however, you find rewards to help reinforce what you’re doing, you may be pleasantly surprised by the change you may find in your attitude over time.

Rewards start by chunking study time into manageable components. Studying for 4 hours at a time with no breaks is not realistic or fun for most people. Studying for 1 hour, and then taking a 5 minute break and grabbing a snack is usually more sustainable and enjoyable. Divide study time into segments that make sense and work for you. If you have to digest a whole textbook chapter, find sections in the chapter and commit to reading and taking notes on one section at a time. Maybe you only do one section in a sitting, maybe you do two. Find the limits that seem to work for you.

If you succeed in your goals (such as doing two sections of a chapter in one sitting), give yourself a real reward. Perhaps it’s saying, “I’ll treat myself to some good dessert tonight at dinner,” or “I can buy a new tune online,” or “I can spend an extra 30 minutes gaming for every 2 sections of a book chapter I read.” The point is to find a reward that is small but real, and to stick to it. Some may view this as absurd, since you’re setting limits you can easily ignore. But by setting these limits on your behavior, you’re actually teaching yourself discipline, which will be a handy skill to have throughout life.

9. Keep healthy and balanced

It’s hard to live a balanced life while in school, I know. But the more balance you seek out in your life, the easier every component in your life becomes. If you spend all of your time focusing on a relationship or a game, you can see how easy it is to be out of balance. When you’re out of balance, the things you’re not focusing on – such as studying – become that much harder. Don’t spend all of your time studying – have friends, keep in touch with your family, and find interests outside of school that you can pursue and enjoy.

Finding balance isn’t really something that can be taught, it’s something that comes with experience and simply living. But you can work to try and keep your health and body balanced, by doing what you already know – exercise regularly and eat right. There are no shortcuts to health. Vitamins and herbs might help you in the short-term, but they’re not substitute for real, regular meals and a dose of exercise every now and again (walking to class is a start, but only if you’re spending an hour or two a day doing it).

Look at vitamins and herbs as they are intended – as supplements to your regular, healthy diet. Common herbs – such as ginkgo, ginseng, and gotu kola – may help you enhance mental abilities, including concentration, aptitude, behavior, alertness and even intelligence. But they may not, either, and you shouldn’t rely on them instead of studying regularly.

10. Know what the expectations are for the class

Different professors and teachers have different expectations from their students. While taking good notes and listening in class (and attending as many of the classes as you can) are good starts, you can do one better by spending some time with the instructor or professor’s assistant. Talking to the instructor early on – especially if you foresee a difficult course ahead – will help you understand the course requirements and the professor’s expectations. Maybe most students in the class are expected to get a “C” because the material is so difficult; knowing that ahead of time helps set your expectations, too.

Pay attention in class. If the instructor writes something on the whiteboard or displays it on the screen, it’s important. But if they say something, that’s important too. Copy these things down as they’re presented, but don’t zone out completely from what the instructor is also saying. Some students focus on the written materials without regard for what the instructor is saying. If you write down only one aspect of the professor’s instructions (e.g., just what they write down), you’re probably missing about half the class.

If you get a particularly bad grade on a paper or exam, talk to the instructor. Try and understand where things went wrong, and what you can do in the future to help reduce it from happening again.



Thursday, January 2, 2014

Five Reasons to study Medicene

Medicine has long been a popular choice of study for bright and ambitious students, but why? There is a nearly limitless array of major choices in college education, but medicine continues to be a top choice all over the world. If you’re undecided about what to study in college, it is important to take time to think about what you want from your education. These 5 great reasons to study medicine may help you decide whether or not this is the field for you.

Promising Career Prospects

Careers in medicine can be both lucrative and exciting. Medical professionals are highly specialized individuals, and they are paid well for their skills and experience. In a time when college tuition rates are rising and financial aid is becoming scarcer, many students are looking for study options that will offer a return on their investments. Medicine is a constantly growing industry in which qualified individuals will always have a place. Of course, there are many lines of work that offer great career prospects, so why choose medicine?

Make a Difference in the World

Studying medicine in college offers you the chance to make a difference in the world after graduation. This is becoming an increasingly important part of the decision to study medicine for many young people. The world is full of pain and turmoil, but by studying medicine you can learn to help people all over the world live happier, healthier lives. You could easily make more money as a CEO or investor, but if you have the desire to help people directly, medicine will help you realize your dreams.

A Life of Endless Learning

When asked what they would do for the rest of their lives if money was no object, many young people say that they’d be lifelong students. The desire to learn is inherent in people like this, and if you want to spend your life continually learning, there is no better field than medicine. New treatments and advances in technology are constantly changing the face of modern medicine. Hundreds of years of progress in medicine offer a near endless library of lessons from the past. When you graduate and move into the medical industry, there will always be new things to learn.

Become a Respected Professional

Medical professionals garner a kind of respect in the world that others will never know. When you can meet new acquaintances and introduce yourself as a doctor, the confidence you feel in yourself and the respect you command from others combine to give one of the greatest feelings in the world. Medical professionals are some of the only people in the world who are universally admired and respected, and that could be you.

Freedom to Enter a Variety of Fields

When you study medicine in college, you are not simply training to be a doctor. There are numerous different fields to consider for your future, from research to general practice and everything in between. You may even looking into the best online degree programs in alternative medicine to pursue a less conventional path. You’ll never have to feel limited in your options, or pigeon-holed into one career choice. A solid background in medicine gives you the freedom to choose from many different paths through life.

Tuesday, December 10, 2013

मेरो रहरमा



जसो गरी रमाउँछ बच्चा नयाँ शहरमा
रमाउँदै छु सपनामा बिहानीको प्रहरमा ll 


भत्काउँछु छिनमा नै छिनमै जोड्छु नयाँ संसार
घटजोडले नयाँ रंग खुल्छन् मेरो रहरमा ll


शिशिरको स्याँठ होस् वा बसन्तको मन्द बतास्
प्रेमिल गीतका धुनहरू सुहाउँछन् अधरमा ll


उर्लि जाने भेललाई पासो थापी निल्न खोज्दा
सदा बन्जर रही दिन्छ प्यासी धर्ती बगरमा ll


ढाडको डाम हेरेपछि उसले याद राखोस्

हातैमात्र फेरीने हो धार उस्तै हुन्छ खञ्जरमा ll

Thursday, November 28, 2013

Happiness and Life

" Happiness is a Habbit, cultivate it. "

Happiness is one aspiration all people share. No one wants to be sad and depressed. We've all seen people who are always happy – even amidst agonizing life trials. I'm not saying happy people don't feel grief, sorrow or sadness; they just don't let it overtake their life.

1. Appreciate Life Be thankful that you woke up alive each morning. Develop a childlike sense of wonder towards life. Focus on the beauty of every living thing. Make the most of each day. Don't take anything for granted. Don't sweat the small stuff. 

2. Choose Friends Wisely Surround yourself with happy, positive people who share your values and goals. Friends that have the same ethics as you will encourage you to achieve your dreams. They help you to feel good about yourself. They are there to lend a helping hand when needed.

3. Be Considerate Accept others for who they are as well as where they are in life. Respect them for who they are. Touch them with a kind and generous spirit. Help when you are able, without trying to change the other person. Try to brighten the day of everyone you come into contact with. 

4. Learn Continuously Keep up to date with the latest news regarding your career and hobbies. Try new and daring things that has sparked your interest – such as dancing, skiing, surfing or sky-diving. 

5. Creative Problem Solving Don't wallow in self-pity. As soon as you face a challenge get busy finding a solution. Don't let the set backs affect your mood, instead see each new obstacle you face as an opportunity to make a positive change. Learn to trust your gut instincts – it's almost always right. 

6. Do What They Love Some statistics show that 80% of people dislike their jobs! No wonder there's so many unhappy people running around. We spend a great deal of our life working. Choose a career that you enjoy – the extra money of a job you detest isn't worth it. Make time to enjoy your hobbies and pursue special interests. 

7. Enjoy Life Take the time to see the beauty around you. There's more to life than work. Take time to smell the roses, watch a sunset or sunrise with a loved one, take a walk along the seashore, hike in the woods etc. Learn to live in the present moment and cherish it. Don't live in the past or the future. 

8. Laugh Don't take yourself – or life to seriously. You can find humor in just about any situation. Laugh at yourself – no one's perfect. When appropriate laugh and make light of the circumstances. (Naturally there are times that you should be serious as it would be improper to laugh.) 

9. Forgive Holding a grudge will hurt no one but you. Forgive others for your own peace of mind. When you make a mistake – own up to it – learn from it – and FORGIVE yourself. 

10. Gratitude Develop an attitude of gratitude. Count your blessings; All of them – even the things that seem trivial. Be grateful for your home, your work and most importantly your family and friends. Take the time to tell them that you are happy they are in your life. 

11. Invest in Relationships Always make sure your loved ones know you love them even in times of conflict. Nurture and grow your relationships with your family and friends by making the time to spend with them. Don't break your promises to them. Be supportive. 

12. Keep Their Word Honesty is the best policy. Every action and decision you make should be based on honesty. Be honest with yourself and with your loved ones. 

13. Meditate Meditation gives your very active brain a rest. When it's rested you will have more energy and function at a higher level. Types of meditation include yoga, hypnosis, relaxation tapes, affirmations, visualization or just sitting in complete silence. Find something you enjoy and make the time to practice daily. 

14. Mind Their Own Business Concentrate on creating your life the way you want it. Take care of you and your family. Don't get overly concerned with what other people are doing or saying. Don't get caught up with gossip or name calling. Don't judge. Everyone has a right to live their own life the way they want to – including you. 

15. Optimism See the glass as half full. Find the positive side of any given situation. It's there – even though it may be hard to find. Know that everything happens for a reason, even though you may never know what the reason is. Steer clear of negative thoughts. If a negative thought creeps in – replace it with a positive thought. 

16. Love Unconditionally Accept others for who they are. You don't put limitations on your love. Even though you may not always like the actions of your loved ones – you continue to love them. 17. Persistence Never give up. Face each new challenge with the attitude that it will bring you one step closer to your goal. You will never fail, as long as you never give up. Focus on what you want, learn the required skills, make a plan to succeed and take action. We are always happiest while pursuing something of value to us. 

18. Be Proactive Accept what can not be changed. Happy people don't waste energy on circumstances beyond their control. Accept your limitations as a human being. Determine how you can take control by creating the outcome you desire – rather than waiting to respond. 

19. Self Care Take care of your mind, body and health. Get regular medical check ups. Eat healthy and work out. Get plenty of rest. Drink lots of water. Exercise your mind by continually energizing it with interesting and exciting challenges. 

20. Self Confidence Don't try to be someone that you're not. After all no one likes a phony. Determine who you are in the inside – your own personal likes and dislikes. Be confident in who you are. Do the best you can and don't second guess yourself. 

21. Take Responsibility Happy people know and understand that they are 100% responsible for their life. They take responsibility for their moods, attitude, thoughts, feelings, actions and words. They are the first to admit when they've made a mistake. Begin today by taking responsibility for your happiness. 

Work on developing these habits as you own. The more you incorporate the above habits into your daily lifestyle – the happier you will be. Most of all: BE TRUE TO YOURSELF. 

Wednesday, November 13, 2013

Love Song


If I didn’t have you, life would be blue
I’d be Doctor Who without the TARDIS
A candle without a wick, a Watson without a Crick
I’d be one of my outfits without a dick-ey

I’d be cheese without the mac,
Steve Jobs without the Wozniak
I’d be solving exponential equations that use bases not found on your calculator, making it much harder to crack.

I’d be an atom without a bomb, a dot without the com
and I probably still playing video games for fun. 

Ever since I met you, you’ve turned my world around
You’ve supported all my dreams and all my hopes
You’re like Uranium-235 and I’m Uranium-238,
Almost inseparable isotopes.

I couldn’t have imagined how good my life would get
From the moment that I met you, my Soulmate.

If I didn’t have you, life would be dreary
I’d be string theory without any string
I’d be binary code without a one,
A cathode ray tube without an electron gun
I’d be ‘Firefly’, ‘Buffy,’ and ‘Avengers’ without Joss Whedon
I’d speak a lot more Klingon,
and I definitely still playing video games for fun. 

Ever since I met you, you’ve turned my world around
You’re my best friend and my lover
We’re like changing electric and magnetic fields;
you can’t have one, without the other

I couldn’t have imagined how good my life would get
From the moment that I met you, my Soulmate.
Oh, I couldn’t have imagined, how good my life would get
From the moment that I met you, my Soulmate.