Tag: Anxiety (Page 2 of 3)

Mental Well-being

July 22, 2020 / Jacob Brown

What level do you feel you are at in regards to mental health? Are you usually happy? Tired? What is the cause? It can be hard to pinpoint the level of our mental health at any given time. Life takes a toll on people, and doctors are not immune. If you feel this way, you are not alone.

Medical students and doctors have to deal with situations regularly that I have never experienced. There are odd hours, long days, and probably the biggest, loss of life. Difficult times mold people for better, or for worse. From my perspective, the way that these situations mold us is in how we choose to interpret them, and deal with them. The glass is half full or half empty cliche comes to mind. Times get hard, but are they challenging us to grow? Do we see it as a time when the world is trying to tear us down? It might be a little bit of both. Our response to hard times needs to be beneficial to ourselves and those around us.

Something that you may know is that Medical School builds a mountain of stress for students. A common phrase that I have heard is “medical school breeds alcoholism,” Students are under tremendous stress, and a lot of them confide in a drink. It is unfortunate that this is the case, but it happens. The students may feel alone or there is not another outlet for their stress. Alcohol may make them feel more relaxed and give them peace of mind while they are working or relaxing at home. The continuous stress pushes them deeper toward alcohol and may develop further into a crutch for them. This is something that I have noticed among the medical students. I am unsure of an exact quantity, but it seems most students will have at least 1 drink per day. Having 1 drink per day doesn’t make someone as alcoholic, but they need to keep it under control and use it properly. It could be beneficial to someone worrying about relieving stress in this manner to find another activity to relieve their stress.

My wife and I have been talking lately about some items going on with her and her rotations. Most of the toll on her seems to be emotional strain. There is joy within the hospital, but there is also sadness. It can be hard to recover from sad or unpleasant times when they occur, depending on what they are. I have been trying to be a better listener for her, but there are things that I will not understand completely unless I were in her shoes. That being said, listening to her talk to me has been beneficial for her. Though I am not experiencing what she is, it helps her to talk through it.

Medical Students don’t talk about their problems and issues enough in my opinion. I was part of a group a couple years ago of medical students and their spouses (if they had one). We had a day where we split gentlemen and ladies to have some discussions amongst each group. Something interesting for the women is they discovered that almost all of them were struggling with the same emotional strain. All of them going into the discussion seemed to feel alone and that there problems were unique. They had the mindset that they did not want to bother others, or others would not understand the situation that they were experiencing. After they began to talk they realized that they were all in the same situation, and if they would have confided in each other and talked about it a long time ago, they could be in a better place. School is hard, life is hard, and when we are surrounded by people that are experiencing the same hardships, we should talk about it. There is not enough discussion on hardships and how we handle them in the med student community. I wholeheartedly believe that med school is a team effort. Spouses, significant others, and friends work together to succeed. Something may be learned if “enemies” worked together once in a while. Yes each student is competing with the each for spots after graduation, but that doesn’t mean they can’t help each other now.

Tips for the reader.

Find an outlet for your thoughts. There doesn’t have to be a problem to talk to someone about your day. There may be a problem or may feel strained, but that doesn’t have to be true. It can be helpful for getting more perspective or better understanding your situation as well.

Talk to someone going through the same situation. This is an awesome opportunity to share amongst colleagues information they have gathered. People may feel alone on an island with whatever hardship they are going through. I am 100% sure that if you talk to your fellow colleagues, as long as they are being open with you, you will find that they are going through a similar situation. They can relate better to you than someone on the outside, and might be able to provide information on how they handle situations.

Find healthy activities that make you happy. As you may know, I am a big advocate for hobbies and fun activities outside work. Taking time to rest is equally if not more important than work. Keeping your mind and body healthy will allow you to work, so take the time to rehab them and rest.

Early Mornings

July 8, 2020 / Jacob Brown

My wife just started her third year of medical school. For those that don’t know, third year requires students to partake in activities alongside interns and attendings. The learning takes place in their (the doctors’) work environment on their schedule. This period of the students’ learning allows them to see how hospitals and clinics operate. They get to learn different procedures and techniques related to the many sectors of the medical field. It is the time when the traditional classroom learning environment diminishes and they begin transitioning into “hands on” training.

Our basic schedule is outlined below. It’s nothing exciting, but it is good insight in what is to come for those going into third year. My wife does a lot of different things at the hospital. Some of the things she does include rounding, scrubbing in on surgery, performing procedures, and others. I will definitely be writing another post that goes more depth on what she is doing, and how to best be prepared.

Starting the day.

My wife is currently working in surgery. Due to surgeries being scheduled nearly all day in hospitals, she is working longer hours than I am. My day typically involves me getting up at 5:15 am, but her day requires 4:30 am. Due to the fact that she begins earlier than I do, I get up with her to keep her company and help her get ready. She has to leave by 5:10 am to head to the hospital to avoid being late. She doesn’t have to be ready until about 6:00 am, but it takes a while to get ready with all of the time spent parking and prepping for the day. While she gets ready in the morning I take the initiative to make her lunch. I usually pack some items for making sandwiches, salads, or other items that we have made recently.

Lately I’ve been including salad with mozzarella, tomato, dressing, and chicken breast. Other items included are croutons, apple slices, and a bottle of water.

Lunch time.

My wife does not have a regular lunch schedule. Most of the time she has lunch randomly or not at all. The time allotted is typically when it is convenient in her schedule. I pack snacks bars for her for in case she has time to eat them. It is a lot easier to grab a snack bar in a quick break than to sit down and eat a full meal.

With the amount of unknowns such as lunch, she has experienced some new stresses. She has to go long periods of time on occasion without getting to eat. This could be one of the main contributors to her feeling more tired in the afternoon, but it could also be that by noon she has been up for over 7 hours by noon.

Departure from work.

My wife tends to leave around 6 pm, but there have been a few times where she has left between 12-2 pm. The scheduling right now is sporadic with COVID-19, and incoming patients. I leave work in time to get home and start dinner before she arrives. She is always very tired when she gets home, and I find having dinner ready helps when she needs to study before heading to bed.

I use the time when I am home and she is gone to exercise, work on projects, or make dinner. This is the time where I can catch up on things that I am behind on before she gets home. Usually I am behind on dishes and keeping our kitchen clean. I like to cook and am terrible at keeping everything tidy.

Tips for the reader.

Make it a team effort. Medical school is already hard enough. I find that taking the time to help with the little things make a big difference. Making lunch, dinner, or cleaning up the house goes a long way in reducing stress.

Follow their schedule if possible. I wouldn’t be able to follow my wife’s schedule if she were on third shift, or me, but I can right now. I think that it works well having us get up together and go to bed together. We have opportunities to create more unity and help each other.

Public Parks

July 1, 2020 / Jacob Brown

Public parks are spread around the Toledo, Ohio area and provide small oases away from bustling city life. They are like pockets of space that we have allowed to grow into a more natural form, and allow us to gather the same feeling that we would get from venturing out of town. Most of the Metro Parks are wooded and have paths for walking, running, and biking. Benches are placed along the trails for people wanting a good vantage point to spot wildlife and relax outdoors. Occasionally we see wildlife in the areas. Deer, rabbits, and various birds are pretty common to see while moving through these peaceful parks.

A doe and her two fawns walking down a path.

My wife and I enjoy going to public parks to relax together. Walking on trails or riding bikes allows us to spend time together, and we usually have time to talk while doing so. Occasionally we take the time to sit on a bench and have a conversation, depending on how many bugs are swarming us. We also will go out together for dessert and stop at one of the local parks to sit and eat together. There are plenty of ice cream shops in the area offering a treat during hot weather.

Spending time walking in our public parks allows us to get to know each other more. We spend time chatting about current problems we are experiencing and whatever else is going on in our lives. I truly think that it offers us more good talks together than just sitting at home. Going out offers a change in scenery that makes us feel more free to discuss different topics.

A young deer feeding as we pass on a trail.

From what I have seen, it appears that when people get married they tend to slide into a lifestyle that does not include as much activity. That doesn’t mean that everyone does, but when people (like us) have the option we tend to be physically lazy. I know of a few couples around our age that are dating or have gotten married that have become more active, but I think that is more rare. My wife and I have been trying to be more active lately and walking/biking in public parks has been our main choice of exercise.

Tips for the reader.

Find an activity that allows you to learn about your significant other. We choose to go out and hike or walk in park because we have the opportunity to get to know each other more. The scenery is a nice addition, but the main point of the activity is to keep investing in each other.

Find your happy place. It’s beneficial for many reasons to find a spot that takes some stress out of your life. Medical school causes stress for spouses and students, and it’s good to keep it from spilling into other parts of your life.

Make the trip often. If you have time to get to a park or other location 3 times a week, do it. Get out and keep working on your relationship as much as you can. There won’t always be time for activities like this, so make the most of it.

Make Time Together

June 24, 2020 / Jacob Brown

Now that my wife is in medical school we have really grown to appreciate the time that we have together. With free time being limited, we have to make choices on what we want to do together in advance. Now, not everything that we decide to do together is super extravagant, or extremely time consuming, but it doesn’t need to be. We have found that it is fun to do bigger things together, but we get more quality time together when we are laid back.

There are a lot of reasons that we don’t get to spend as much time with each other as we would like. We have found that most of the reasons we do not get to spend time together are good reasons. We have things going on in our lives and can’t always put them on hold. I have put together a list of some reasons, and whether or not I think they are legitimate reasons for not making time together. Some of them are more serious than others, but all of them eat up time.

We don’t get to spend as much time together because I have to:

Work at my job. This is a good thing. It is good to have time away from each other because it helps us find ourselves. I work from 6:30-5pm on weekdays so that we have income, which is kind of important.

Mow the lawn. When living in a house with a yard this is inevitable. At some point the grass will have to be cut, the question is by who. I could pay someone to come to my house and mow my yard (which takes about 15-20 minutes) or I can just do it myself.

Work on house projects. I do a fairly significant amount of work on our house to maintain it and increase the functionality and appearance. Some of the work is a requirement, but some of it is additional tasks that I have chosen to do. Lately, I have been remodeling our basement to bring it a little bit more up to date. This is not a requirement. There was nothing in the basement of our house that was damaging or going to cause major problems.

Watch tv and play on my phone. This is something that I think is the least beneficial to our relationship. That being said, watching tv and playing on my phone has a time and place. There are times where my wife is busy with school, and I have completed everything else on my to-do list.

We don’t get to spend as much time together because my wife has to:

Study for class. This is a legitimate reason not to spend time together. This is the reason we moved and are doing what we do. She needs time to study without me needing to bother her.

Attending class or other learning centers. This is another big reason we don’t get to spend time together. I am not upset about either of these reasons because this is why we are here. I want her to excel as much as she can, and that can only be done by attending school and doing her best.

There are some different chores or tasks that we try to work on together that gives us more time. Some of them are washing dishes, doing laundry, or cleaning the house. Not only do we get to spend time doing these, they go faster. When we help each other it opens up both of ours time so that we can do more together.

Biggest tip for the reader.

If your spouse is busy, be busy too. If your spouse is working and has a time that they will be done. Try to get your work done at the same time. Don’t push off working on projects, chores, or work. If you can get everything done while they are working, you will have a nice window to spend time together. It’s not super fun to have one person done with what they are working on while the other person still have an hour of work to complete because they were watching tv. I have experienced this (and still do).

4th Wedding Anniversary

June 17, 2020 / Jacob Brown

My wife and I just celebrated our 4th wedding anniversary. We got married between our sophomore and junior year of undergrad, in 2016. It has been an awesome experience being married while in college, and I think we have been able to answer quite a few questions for other couples. We enjoy talking with couples that are looking at getting married or are dating while in college.

When your spouse is in medical school there are times that you have to squeeze fun activities into small windows. As an example, we chose to celebrate our anniversary together by going on a day trip. We also looked at the cost to stay somewhere, and decided that we could do a day trip and be satisfied with our time together.

We left our house and headed toward Cleveland, OH to visit Cuyahoga National Park. Neither of us had been there, and it seemed like it would be a nice place to visit together. The weather forecast was good, and walking on the trails and riding in the car together would give us a lot of time to talk to each other. We are both fairly busy, and getting busier, so we decided this would be a nice trip. Our goal for the trip was to get out in nature and spend time together. We don’t get to talk to each other enough, and this was a great opportunity to do so.

We were also able to drive around the Cleveland area to see what it has to offer. Cleveland is a potential residency location, so we decided to drive around the neighborhoods just to see what they looked like. We visited the West Side Market as well. It was a cool experience having vendors selling goods in a bustling building. I can see how it would be filled with people buying meats, vegetables, breads, and confections later in the summer. Due to COVID-19 limiting people in buildings, it was not too busy.

We ended up eating at a nearby restaurant for lunch, then headed to Brandywine Falls, our first stop on the trip. For me, this was the most memorable location. The view of the falls is calming, and I’m pretty sure it was my wife’s favorite.

We ended up not staying in the Cleveland area for dinner and headed home. This worked out well. We went to the store and bought crab legs and some bread and planned to have our Anniversary Feast at our house the next day. This also allowed us to save some money, and get to spend more time together.

Tips for the reader.

Value the little things. Every trip or vacation you take with your spouse doesn’t need to be extravagant. Making a day trip to a scenic location is simple and cheap. Spending time together getting to talk can help you deepen your relationship, and get to know each other more.

Support your spouse. Your relationship will be way better if you can support your spouse in their life goals. I am finding new ways all the time to support my wife. A recent one is finding ways to take day trips or go to parks. It really helps her keep her stress levels down.

Take a cheap trip. Trips don’t have to be expensive in order to be entertaining or fun. As an example, the parks we went to were free, our lunch was $15, and we spent about $20 on gas for the entire trip. Not too bad for visiting a new city and going on a new adventure together.

Third Year Start

June 10, 2020 / Jacob Brown

My wife it at the cusp of beginning her third year of medical school. She has kind of started already, but she is just doing an online class due to COVID-19 keeping most medical students out of hospitals. Soon she will be shadowing doctors in their workplace, experiencing more of what is like to be a doctor and less of a classroom setting. From my experience a classroom setting is good for building some background information, but it can’t totally educate a person on a task that will be performed. As an example, in the United States we typically don’t have children read a book on how to swim, then push them into a pool on their own expecting them to swim perfectly. It takes time and practice within the workforce to gain important skills that can’t be obtained within a classroom.

My wife signed up for a year long layout of clerkships. She will be watching (and hopefully assisting) doctors in field that in orthopedics, surgery, OB/GYN, family practitioners, and many more. This year looks like it will allow her to try a lot of different specialties, which should in turn help her pick what she would like to go into as her career.

A new experience. A lot of medical students have job shadowed before, but not on the level that they will embark during their third year of school during clerkships. Most of schooling that they have experienced has been classroom work, which makes this changeover a totally new experience. I view it as one of the most important steps in becoming a doctor. The students have the background information, now it is time to apply it and tie all of the information together.

Change in learning style. I have found that there are people that excel in classroom learning, and there are people who excel in hands-on learning. My wife happens to be someone who is very good at both. I know that she is better at classroom learning than me, and she loves hands-on learning. Being able to apply what we know is crucial as it is the way that we make it all useful.

Schedule changes. Now that she will be shadowing doctors in clerkships, she won’t be in a classroom daily. She will have to travel to the doctors work, a hospital or clinic, for learning. Not only will she have to drive to their location, she will be on their schedule. This can be a little bit sporadic, but the schedule should be fairly consistent. The schedule is dependent on what specialty she will be shadowing at the time.

My wife has done a lot of research to figure out exactly what she needs in order to be successful in the clerkships. She has done shopping for shoes and other clothes. A big portion of what she has been looking at lately is office supplies. Make sure that you never run out of pens or are unprepared to take notes. Another thing that she has been interested in is what to keep in your white coat on a daily basis. This includes everything from office supplies to snacks. There are times that she won’t be able to take a normal lunch or break, and it’s good to be prepared for those times.

Third year looks like it will be a good change from the first two years. It will allow the medical students to grow more and increase their abilities to have relation with patients. They also get to step into the life of practicing doctors, and learn from them directly.

Tips for the reader.

Research online. Looking at forums or other blog posts can help you find what you may need. Being prepared will make you more comfortable and confident.

Ask past third year students. Past students are a simple source to find out what you may need. They have been through it, and they can help you decipher between what you need, and what you don’t.

Do what makes you comfortable. Within reason, and any guidelines set forward by the program, do what makes you comfortable. If you are uncomfortable all the time, it will make it much harder to focus and do your best. This applies to everything from shoes to your hair style.

Sharing a Meal

May 27, 2020 / Jacob Brown

Living in a house has given my wife and I a huge opportunity to share with others. We have had the ability to host as many as 20 medical students at our house for various reasons, feeding them on multiple occasions.

Most of the medical students live in apartments or live in a house with multiple people. Due to this, most of them do not have a lot of space for hosting or inviting people over. I am not saying this is a bad thing. I fully support and want medical students to do what they can to save money. There is a lot of debt accumulation in the medical student community and it’s best to find ways to keep it down.

When my wife and I invite people over we try to prepare meals that are good for lot of people. Occasionally we make burgers or hot dogs, but usually stick to meals like pulled pork. I enjoy smoking meat, and it’s nice to be able to cook for a lot of people. I can usually put in the meat before I go to work, and when I return is it about done. This is very convenient for me, and it is usually best to do something easy. Something else we also do is encourage the attendees to bring items like sides or drinks. I find that this allows people to feel like they are contributing and are not just taking.

A free meal. Inviting people to our home allows us to host for people. We are able to provide food to medical students which can cut a little bit off their food budget. Now, I understand that it isn’t much, but $5 is $5. Not only that, but it may be one of the only recent times they have had a good home cooked meal.

Fellowship in conversation. Meeting together over a meal allows everyone to talk and allows people to feel more relaxed when in conversation. I have found that people talk about different topics when it is over food. Medical students tend not to share hardships or ways that they have overcome them during medical school. I’m not exactly sure why they avoid these topics. It seems to help them all collectively if they talk about these issues and how they have overcome obstacles.

Don’t worry about the cost. I have hosted a lot of people, on a lot of occasions, and I have intentionally never asked anyone to pitch in cash. I find that it gets in the way of everyone having a good time to ask people for money. Also, why would I ask people to come over so that they can pay for food? I find it best to pick something that I am going to make that I can afford, then give them the option of bringing extras.

As a closing thought, I find it important that my medical school friends know that my house is open to them. If they need somewhere to go for any reason they are welcome to stop in. I have actually had quite a few occurrences where med students stop by and stay for dinner. Medical school can create a lot of isolation. By allowing people to come over whenever they want I think I can lessen this for a lot of them. Food draws people together and has a big impact in relationships with people. I encourage you to partake in these types of events if you can find them.

Some tips for the reader.

If you are invited, consider attending. If you are a medical student really try to keep from isolating yourself for extended periods of time. It is already a time where people are working on their own and it is beneficial to get out once in a while.

If you’re hosting, do something simple. Whether you make hot dogs, burgers, or swing through a restaurant, make it simple. It’s better to have time to spend with everyone than be working through their visit to prepare a 5 course meal.

Steer conversation away from medicine. I understand that most everything in a medical students life is medicine, but it’s good to stay in touch with their personal lives. I like to figure out what hobbies people enjoy and go from there.

Anxious Thoughts

May 20, 2020 / Jacob Brown

From being immersed in the medical student culture for almost 2 years now I have noticed a huge amount of anxiety among the students. Most of them seem to be fairly anxious about everyday tasks, but they really seem to get anxious when they are approaching a big test date or a large event. I think everyone gets anxious at times, and it’s good to now how to handle that anxiety.

My wife is a planner. She enjoys figuring out the logistics of every day, and trying to stick to it. Planning out when and how she will accomplish tasks helps her to keep her day and mind organized. On the downside, when there are changes that don’t follow this plan she has a hard time coping. There are not a lot of things that we can control in life, which makes it harder for people that are planners. So when small things change in a daily schedule, it tends to add stress to her day.

Lately she has been studying for Step 1 amid the COVID-19 pandemic. Her studying was put to a halt by the fact that her exam has now moved to October. She has had a lot of stress relief knowing that there is a set date again. Before it was changed to October the date moved 3 times. All of the students had been studying more than 10+ weeks for a test that was only intended to have 5-6 weeks of study time. Some students were able to take their exam in Mid-May, but the seats available were limited.

With speaking with my wife I have found that there are a couple things that make medical students more anxious. This is not an all inclusive list, but it is some of the high points that I have found are common.

An unknown future. Being out of control never fun. There is a certain amount of unknown that comes with not being at the helm to steer the ship. This is a very prevalent in medical school in general, but most of the unknowns seem to occur in the last 2 years of medical school. The first big unknown for my wife has been trying to take her Step 1 exam. The Step 1 exam in general is a big unknown. The whole future of what field of medicine the student can go into is determined by this one exam. Students spend weeks studying and in the end, can achieve a score that is too low for the specialty they want to partake in. Another big unknown, that we have not reached yet, is matching with a residency program.

Important dates changing. All of the COVID-19 madness in the United States has created a lot of uncertainty for my wife. One major change has been the date for her Step 1 exam keeps getting pushed back. She was originally scheduled to take it in May of 2020, but she is now schedule to take it in October of 2020. Hopefully the date will not change again. Another major change has been the class scheduling. The medical school has been forced the shorten their rotations in order to fit all of it in the school year. The end of the school year has to be the same as they can not delay this year and just keep delaying.

Important test dates approaching. Finishing classes and starting new ones seems to put people on edge. After all, each student has a lot riding on this short 4 year journey through medical school. Tests stress people out partly because of the unknown. The student doesn’t know what the questions will be, how it will be graded, or whether or not they did a good job. It can be hard to relax and do the best job possible.

Long sessions of study. Long sessions is referring to days, not necessarily hours in a day. For example, studying for 5 days in a row without getting to have a break. This is very common for medical students as they have a lot of big exams. Having long periods of time without a break or relaxation period accumulates stress that lead sit anxiety.

Tips for the reader.

Don’t try to sleep with your mind running. Something good is to try to prevent all of the stress and worry in life from becoming anxiety. Something important for me is to resolve issues as quickly as possible, and try not to let them carry over into the next day. I find that this helps me sleep well, and not stress over work. If I can resolve these issues, I won’t be thinking about them, and in turn will allow myself to relax.

Plan for the best and expect the worst. It can be hard to have plans change, but when they do, you need to be agile enough to take another approach. Sometimes the many changes in life require us to have a backup plan. For everything with your education (and most of life) have a backup plan. It can take a lot of pressure off when things change.

Talk to others. If you are having a hard time with stress or a situation, you are not alone. There are many others who are going through the same situation as you, and they might be able to help. Never think you are alone in what is going on, because you’re not.

Find ways to take short breaks often. My wife has had success with taking short breaks to relieve some stress when possible. Working for a few hours and scheduling lunch or a 15-30 minute activity session is a good start.

Finding Hobbies

April 7, 2020 / Jacob Brown

Medical students spend a lot time completing classwork. My wife typically studies for 8-16 hours per day. This is dependent on what class she is taking, but the heavier class loads are more toward the 16 hour mark.

When I get home from work, she is studying.

When I get ready for bed, she is studying.

While she is studying, I have a lot of time for myself. I work a full time job from 6:30 am – 5:00 pm, Monday through Friday, but have every other Friday and weekends off. I usually get home around 5:30 pm, which is about 3-4 hours before she is done studying for the day. I try to fill this time that I have by myself with hobbies.

Why are hobbies so crucial to my life? If I didn’t have hobbies, what would I do? Probably just sit on the couch and stare at my phone, which is not the greatest use of my time. Hobbies are important to me because I don’t get to spend as much time with my wife since she is in school, and I am working. I am not upset with her or disappointed in her about not having as much time together, but it is different for me spending less time with her. So, hobbies are a way for me to get out of my head and into a job or task. Instead of lounging or relaxing (which is also important), I have chosen to make more use of my time.

For me, there are a couple different kinds of hobbies that I enjoy, some by myself and some with others. I tend to do a lot more hobbies by myself, but I enjoy the occasional hangout with friends.

One of the categories encompasses activities like riding bikes, running, and general exercise. There is no tangible return on the investment, but it is fun and healthy. I think that these are useful to everyone and tend to have short amounts of dedication (for short periods of time) to complete. Tasks do not usually carry over from one day to the next, but if they get interrupted, it can set certain goals back. One key feature of these types of hobbies is there are few tangible products from the effort. Most of the resulting achievements are times, physique, distances, or reps. These hobbies tend to be cheap. Some common items to purchase might be shoes, a subscription, a membership, or a bike. My wife and I try to enjoy this type of activity together when the weather is good. We spend nearly every evening during the summer riding bikes together or going for walks for 30-60 minutes.

Another category includes activities like home remodeling, knife making, automotive repair, woodworking, cooking, and construction projects. There is a task at hand, and I can gain a tangible reward for my efforts. These tasks have less impact when interrupted and can be completed in small steps. This also tends to be the best way to do them. A downside to these types of hobbies is they tend to be more expensive than the other category. Buying items like tools and supplies can cost quite a bit, but the reward is greater for me. There are ways that these types of hobbies can save money as well. I have made a few different items around my house instead of buying them, which has been cheaper and more fun than just purchasing at a store.

There are activities that merge both of these types. A good example for me is fishing from a kayak. I enjoy fishing, and being in a kayak makes the event exercise. I am able to have the leisure of being out on a river or lake and catch fish (which has a material reward). This activity requires a 1 time payment, then it does not cost hardly anything (usually just fuel to get to the water). My wife usually just paddles around while I am fishing out in the summer sun, reading her book every now and then.

I know that these sound pretty simple to accomplish, but a key component is self motivation. I regularly have to motivate myself (with the help from my wife) to get up and work on projects. As humans, we tend to take the easiest route, and it’s easy to be lazy and watch tv or play on my phone. It’s hard to get up and go, but being active is important. Set goals in your hobbies and chase them.

Useful tips for the reader.

Put together a list of interests. I like to find about how much it will cost as well. That way I can weigh the cost against my interest. Some things could be long running hobbies, but cost a lot.
Rank the hobbies. Find what interests you and something that has a return that you seek. If you don’t find something that you are really interested in, it will be hard to continue over the long run.
Find activities you can do together, and alone. I like to have a few hobbies for myself, and a few that I can do with my wife. This way, we can spend time together.

Step 1 Preparation

March 25, 2020 / Jacob Brown

Dedicated is the study period the is “dedicated” for Step 1. It’s a larger window of time where there is no class, but required practice exams for Step 1. Dedicated and Step 1 are some of the largest challenges of my wife’s Medical School journey, and is the most challenging to date.

Before dedicated started, my wife began laying out how she was going to study during this time. She has online study guides and tools, and she planned to use them accordingly. She planned to go through practice questions in excess of 150 per day, and watch videos to help her remember key terminology. She laid out the study session for 6 weeks, and is currently approaching the end of her fourth week of study.

She began studying at home, but soon found it to be boring. It was hard for her to sit in the same place everyday and try to study. So, she started going out after lunch and studying in a new location. This mixed up the scenery a little bit, and it seemed to help her keep focused. Her favorite locations to study are the alcoves of the simulation building and coffee shops. She loves to have lots of windows for sunshine and scenery.

She hasn’t tried studying with other students, but I think this is mainly because the students work at their own pace and can go through whatever material they want.

In the evening I usually make dinner when I get home from work. She enjoys when I make dinner because it allows her to study up to dinner time, then we can eat together and her study time isn’t used on meal preparation. I enjoy making dinner as well. I tend to make roasts, chicken dishes, or pasta. It just depends on how much time we have and what we are interested in eating.

Unfortunately for her, we are in the midst of the Coronavirus outbreak in the US. This has closed a lot of the places where she was studying, and has made the future seem a little bit unpredictable. The state of Ohio has put restrictions on schools, which has put the status of taking the Step 1 exam in jeopardy. If all goes well, she will be able to take the Step 1 exam early this year and will not have to wait longer.