Christel Wekon-Kemeni, (5/8) M.D.

Yooo it just recently hit me that I’m 24 weeks into my third year, which means I’m at the halfway point of this school year!

shocked ellen degeneres GIF

That’s wild man! Unbelievable really. How’d I get to this point so fast, after only three rotations? (Internal Medicine – 12 weeks, Ob/Gyn – 6 weeks, Pediatrics – 6 weeks; duh, do the math Christel.) I’ve got five more to go, but all of them will now be four weeks each with the exception of Surgery, which will be an eight-week rotation. It’s going to be interesting to go through a four-week rotation for the first time…it was tough enough finding ways to study for a six-week one. And I can only imagine that these rotations coming up will go by even faster than the ones that I’ve already completed. Craaazyyy.

Now that I’ve got half of third-year behind me, I’ve officially leveled up to a “5/8” M.D. even though it’s not technically the end of the semester or anything. But then again, there really isn’t a such thing as a “semester” when it comes to third-year. Regardless, I’m a step even closer to attaining my medical degree after having finished the Pediatrics rotation that I thoroughly enjoyed. (I’m going to miss the lil’ kiddos 😔) I took my shelf exam this past Friday and although it was tough, I don’t think that it was as notoriously difficult as people made it seem. Then again, maybe these same people managed to make me nervous enough to prepare harder for it than I would have otherwise…because Lord knows I went Super Saiyan in preparing for this exam. I think I’ll be getting my score in the next couple of days, so we’ll see what’s really good once I get that. Soon after finishing up my test, I left NC for Miami to celebrate in my alma mater’s Homecoming festivities for the weekend. It was LIIITTT!!! I got to see a ton of old friends while showing my roommate a great time down there, and the football team showed the hell out with a very convincing win against VA Tech, making our record now 8-0! I couldn’t have asked for a better Homecoming experience! 😄😁😄

In order to be able to enjoy my dope weekend, I had to power through one final week of my Pediatric rotation, where I spent time in both the Pediatric Endocrinology and Diabetes clinics. There were a number of endocrinologic conditions that I had the opportunity to help manage while rotating through these clinics, and I was given a good amount of independence with handling the patients’ concerns. I even had a special moment with a patient’s father, who was both surprised and delighted to see me because I looked like him, dreadlocks and all. He had been nervous in coming to the clinic with his child and understood how his outward appearance could seem intimidating to some people. But by simply being present in the room, I had put him at ease immediately and he went on and on about how appreciative and proud he was to see someone like me in the position that I was in. It was very humbling to hear him say all of that without even knowing who I am!

Something else I appreciated during my week on that service was my interactions with my attendings. Because I was the only student they were working with, I received a lot of one-on-one time with them and they were very happy to work with me! We also had some wonderful conversations while waiting for patients to show up to their appointments. One of the convos I had with an attending focused on the importance of keeping an open mind while going through third year and fully taking in my experiences in each rotation by learning as much as I can. Although I had already realized the high importance of these mantras, something she said that I took into account was the fact that there will most likely be instances in the future where I’ll be using the knowledge that I’ll be acquiring throughout the year, regardless of what specialty I choose to go into. I can already hear the endless barrage of medical questions coming from neighbors, friends and family members in the near future. We also talked about how important it is to do what makes you happy to get up and go to work each day and how pretty much everyone is going to need a pediatrician at some point in their lives (that was her trying to sway me towards her field lol). I had similar conversations with other attendings as well as convos about the conditions of the patients and college football. Talking about football only worked to increase my excitement about my imminent trip!

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There’s one more thing that I want to touch on before wrapping this post up. While at the diabetes clinic, I got the opportunity to interact with quite a few families with kids that had been diagnosed with Type 1 Diabetes. As I talked with these patients, all I could think about was how tough it must be to have to deal with this medical condition…especially as a teenager. Like, it’s hard enough to be a teenager in the first place. Adding a chronic condition like diabetes to the mix does very little to help the adolescent experience. So with that said, it didn’t really surprise me when I met patients who weren’t compliant at all with their treatment regimen. Hell, I’d be pissed too if I had to, on an everyday basis, critically analyze what I ate in addition to doing several blood checks a day to monitor my sugar levels while most people around me got to live their lives freely. After all, besides from the fact that they had a dysfunctional pancreas that couldn’t pump out insulin, these were all normal, everyday kids who just wanted to fit in with their peers. God bless their hearts and the hearts of those of you who have to deal with Type 1 Diabetes or any other chronic conditions on a constant basis.

However, there were also patients who were very compliant with their treatment and who had a positive outlook on their life. They had come to the realization that although their situations were less than ideal, things could always be much worse. I truly commend them for their optimistic attitude and for just being grateful in general, because it surely isn’t easy living the lives that they live. I thought it was cool that the clinic provided materials such as cookbooks that were tailored to this patient population. I also was able to learn all about the gadgets that these kids use to give themselves insulin, and how their dosing schedules are set up throughout the day. Overall, my experience at the clinic made me even more aware of how fortunate I am to not have to deal with a lifelong chronic condition and provided a very important perspective that will influence my thoughts and actions throughout my career as a physician.

That’s all I got for you today! With another rotation down and my awesome Homecoming weekend complete, I’m ready to kick off my experience in Psychiatry! I’m sure that it’ll be quite a unique one…

Y’all be sure to have an invigorating week!

“A grateful mind is a great mind which eventually attracts to itself great things.” – Plato

– Black Man, M.D.

Letter to Grandma

Bonjour MamiCo!

I pray that you are resting well, now that your suffering has come to an end. You left us way too soon in such a sudden manner, but we both know that God’s timing is perfect, no matter how imperfect we may percieve it to be. I was excited to come and see you this upcoming weekend because I hadn’t seen you in so long…but now that I’m unable to, I want to dedicate this post to you and tell you what I’ve been up to as of late. I’m sitting here chuckling because you would have no idea how to even read this English that I’m typing — forgive me for not being as fluent in French as you would have liked me to be. If you really wanted to though, you could probably copy and paste this whole post in Google Translate…but then again my younger brother would probably have to show you how to do that lol. I can vividly imagine you yelling his name and him running down the stairs to get to you, only to stare blankly at you in confusion for about a minute as you asked him in French how to work the computer you would be reading this on.

Okay, okay, I’m done rambling.

I just finished my first month of my third-year in medical school! Can you believe that?? I’ve been actively caring for patients for about four weeks now, specifically patients with heart issues my first two weeks and patients with kidney dysfunctions these past two weeks. C’est une bonne chose, n’est-ce pas? It’s already been a month and I’m still here trying to wrap my head around the fact that I’m really part of a team in the hospital working to save lives on a daily basis. If it’s crazy for me to think about where I’m at in my life now, I can’t even begin to imagine what you must be thinking about how much I’ve evolved ever since you first saw pictures of me as a chubby baby with a distinct, golden birthmark streaked across my cheek. Time flies huh?

This past week I had some pretty interesting experiences with several patients greatly varying in ages, who all made it known how appreciative they were of my care. I even found that my presence in one of the rooms of my patients had a calming effect on her and her regularly visiting family member! All I’ve really been doing for my patients is waking them up each morning to ask them how they were and to perform a physical exam before going back to my team to present the patients’ conditions to them as well as to work on my patients’ notes. Then I would go back to my patients later in the day just to chat with them for a bit. It amazed me how much they loved the simple fact that I would go back to check in on them in the afternoon. As a matter of fact, it continues to amaze me, and the things I learn about these people are incredible. Likewise, they’ve all been impressed at how far I’ve come at such a relatively young age.

However, even with all the excitement that comes with caring for patients, it continues to be a struggle to make myself study the material that I need to learn for my first shelf exam in early August. Granted, I’ve gotten creative with my study habits over the past couple weeks and have been able to get some good studying in while at the hospital. But once I get home, my drive plummets. I literally have to force myself to stay awake and work on practice questions for this test that’s sooner than I like to realize. It makes me wonder how in the world the interns and residents make it through the day with energy left to do other things when they get home. They work 10x harder than us medical students, and still have other things that they need to study just like us. I guess I’ll find a way to make it work when I get to that level, just like I’ve found ways to make it work in other scenarios both in the past as well as the present. I’m sure you would tell me to do the same thing, for you’re not one to listen to excuses haha. Compared to what you’ve been through, my struggles pale in comparision!

Now that I just finished my Renal rotation today, I’m heading into my Transitional Care Month. In this month, I’ll be participating in an immersion program called Walk In Their Shoes and will be working with the Geriatrics team in order to help take care of elderly patients. I’ll also be learning how to care for patients in hospice care and I’ll gain some experience working in an outpatient clinic in the city of Winston-Salem. With Walk In Their Shoes this week, I’ll take on the roles of different kinds of health workers in the hospital such as nurses, pharmacists, members of the rapid response team, and speech therapists. This collaborative program was created in order to give us the perspectives of other critical members of the healthcare team and to better appreciate what they do for a living. I’m honestly pretty excited to see how this week turns out!

Alright grandma, that’s all I have to update you with. It’s probably not as exciting as watching my brother and sister graduate from high school, but I hope it’s enough to make you very proud to call me one of your grandchildren. It really sucks that I wasn’t able to talk to you face-to-face one more time, but I’m sure we’ll meet again. When we do meet, I’ll be sure to tell you and the rest of the older generations in our family all the incredible things that your grandchildren, great-grandchildren, great-great-grandchildren and beyond have accomplished! You all will be so proud of having helped maintained lineages of excellence! The whole family is currently in deep mourning for you, but I pray that we gather the strength to turn this sorrow into a joyous celebration of your life. There is so much more that I wanted to learn about you, but I guess I’ll have to now get these stories from my parents as well as from the huge extended family that you’ve blessed us with. I’m incredibly grateful that I was granted the opportunity to have a memorable relationship with you, for you were my last surviving grandparent. May you forever Rest In Peace MamiCo. Looking forward to catching you on the other side! ❤️❤️❤️

MamiCo and me

Colette Ngantcheu

December 5, 1949 – June 10, 2017

“The greatest legacy one can pass on to one’s children and grandchildren is not money or other material things accumulated in one’s life, but rather a legacy of character and faith.” – Billy Graham

– Black Man, M.D.

Grindin’ With Appreciation

You know, having to be on the wards this morning wasn’t that bad at all. Yes, it was weird having to go to sleep around 9PM on a Saturday night and having to work at the hospital today all the while reminding myself that tomorrow was actually Monday and not Tuesday…

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But having to work a weekend day wasn’t bad at all! It was actually relatively chill, or as “chill” as being on the Renal unit can be I guess. I have absolutely no complaints and I absolutely enjoyed the more intimate atmosphere that I had with the smaller team that I was working with for the day. The interns I worked with this morning even let me go home quite early. However, my concept of a weekend is now a bit discombobulated lol. It now feels like I have “hospital-time” and “free-time” during the week as opposed to “a work-week” and “a weekend”. Thank God I’m actually having a great time while at the hospital and am not dreading spending my days there! The fact that time just continues to fly by while working just proves to me how much I’m loving my experience in third-year so far, even if I’m exhausted by 7:30 PM just about every day and have zero willpower to continue studying. Overall, I just feel very lucky and blessed to be able to love what I’m learning and doing enough to be perfectly okay with going in to work on the weekend.

This past week on the Renal service has really been an interesting one. (I know I’ve probably said that about the last two weeks already but darn it, all of third-year has been interesting so far!) During my second-year, I learned about how renal patients tend to have multiple co-morbidities and how the ones with end-stage renal disease have to rely on dialysis to keep themselves relatively healthy. But it’s one thing to learn about it from PowerPoint slides and another thing to witness these real-life patients with your own eyes. These patients are truly sick with multiple conditions and dialysis is required for many of them to survive. I felt really bad for the patients that I interacted with this past week, but I also got a sense of the strength that these patients possessed in order to battle the multiple conditions that they were afflicted with. I’ve also felt the deep appreciation from a patient who was just grateful that I came in to listen to her talk for an hour. That experience reminded me just how lonely being a patient in the hospital can be and just how appreciative some patients are when someone comes in to spend more than a few minutes with them. With another week in this unit, I’ll be granted the opportunity to continue processing the difficult lives that these patients live as well as the complex care that is necessary to adequately care for this patient population.

Along with learning more about this patient population, I also had the opportunity to observe and perform a few procedures! Yeah, I said it. You read that right. I PERFORMED SOME PROCEDURES! (With supervision of course.) I wasn’t doing brain surgery or anything, but I had a direct, physical impact on patient care for the first time since I started medical school! Well that is if you don’t count physical exam manuevers, because I guess that also qualifies as having a physical impact on patient care. But that ain’t as direct as pulling out vascular catheters from the necks of patients or placing an IV line into someone’s arm! Yeahhh that’s pretty lit, ain’t it? I did pretty well with removing the catheters, but I could use some more practice on placing IV lines though 😅. I also was able to observe a couple of blood draws and a procedure called a thoracentesis, where a doctor works to remove excess fluid from the pleural space surrounding the lungs. Wild, huh?

Alright, I gotta get back to studying/tackling my to-do list now that I have a bit of free time to do so, especially since I’m getting ready to attend an Internal Medicine Clerkship dinner in a couple of hours where I’ll be socializing with other students, faculty and residents working in Internal Medicine. Should be a good time!

Make sure to have a spectacular week!

“You may encounter many defeats, but you must not be defeated. Please remember that your difficulties do not define you. They simply strengthen your ability to overcome.” – Maya Angelou

– Black Man, M.D.

P.S. – I’m trying not to let the ridiculousness currently taking place in the government kill my mood on a daily basis, but it’s getting REALLY hard to helplessly go on about my day while our country is being actively driven to the ground. There’s only so much phone calls can do, especially when your “so-called” representative isn’t even listening to what you have to say.

Time Flies When You’re Having Fun

How in the hell am I already starting my fourth week of the Motivation Program???

smiling kanye west nope just kidding

I honestly feel like I haven’t been here that long yet.I feel like I just left VA a few days ago…But in reality I’ve been down here for almost a month already. This means that in a little over five weeks, I’ll be starting my second year of school. I bet you think that I’m dreading that. Nah. Not at all. Lol, I’m actually ready to take it on. But I would much rather continue enjoying my summer break, no need to rush life. 😎

You know how they say that you know you love your job when you don’t feel like you’re working a job? Or better yet, as the saying goes, “If you do what you love, you’ll never work a day in your life?” That perfectly describes my summer so far. What I’m doing in the program feels so natural to me that I always forget that I’m working a summer job. It’s to the point where I don’t even have to look forward to the weekends for relaxation. I truly enjoy each and every day that I wake up to. It doesn’t matter if I’m giving the students advice in class, running errands for my boss, working out at the gym, or kicking my feet up and watching a video. It’s all invigorating to me. And I love it. It also doesn’t hurt that I’m down in South Florida…except when I get caught in torrential downpours…or when the overbearing humidity damn near suffocates me…or when the sun tries everyday to give me my first sunburn…or when the crazy drivers down here try to take over the roads for themselves…or when- okay it hurts a little. But I’m still having a great time!

Speaking of giving the students advice, it amazes me how much some of the students love reading this blog! Not only do they read it, but they are actually inspired in one way or another by it. I had one student come up to me last week who told me that he didn’t know what Juneteenth was and only learned of it because of my previous post. I had another student tell me a while back that he’s been reading a lot of my older posts about my first-year experience and felt inspired by them. I also had yet another student stop to tell me that she really liked how authentic I was in my posts and that she was appreciative of the different resources that I provide on here. Lol, talk about heart-warming. Hearing feedback like that keeps me motivated to continue posting frequently and inspires me to continue to inspire people that are striving to do great things in their life. While I’m still on the subject of helping the students, I must admit that they’ve been good at making me realize how much material I’ve forgotten when it comes to anatomy & biochemistry. Like, I can’t confidently answer about half the questions they ask me without double-checking Google. It’s sad yo. It’s insane how much you can forget as time goes on, especially when you know that you had mastered those forgotten things at one point in time. Welp, such is life. I can thank them for giving me a review of basic concepts that I SHOULD know, considering that I’m going to be a doctor in less than three years.

EditingAndLayout will smith damn men in black

Lastly, we had a catered dinner (Lime Mexican Grill) last Thursday for the Dinner & Discussion series that we’re participating in throughout the length of the program. For the discussion portion, we had both a current D.O. medical student and a D.O. practicing physician come in to talk to all of us about their experiences and to answer any questions that we had. I was happy that the students were exposed to people traveling the D.O. path of medicine because a lot of them were pretty unfamiliar with what osteopathic medicine was in the first place. I myself didn’t even know what a D.O. was until I was well into my application cycle for medical school. It’s definitely nice to be able to know all the options you have available to you before beginning to apply to schools. The physician’s story was very inspiring, for he went through numerous hardships and life experiences in order to get to where he is today as an internal medicine physician with interests in HIV/AIDS and Nephrology. He stayed dedicated to his dream of becoming a great physician, even after dealing with challenges such as starting a family while in college, obtaining his MBA along the way, dealing with tragedy in his family in his first days of medical school, and so on. I should also note that he is a black man sporting some pretty neat locs. Way to shatter stereotypes!

And with that, I’m ending this post. Be sure to put a smile on someone else’s face this week!

“To be yourself in a world that is constantly trying to make you something else is the greatest accomplishment.” – Ralph Waldo Emerson

– Black Man, M.D.