Maintaining Balance Through Medical School and Beyond

Tag: Anxious

The Wenigs

We met Michael and Allie Wenig shortly after moving to Ohio for medical school. They are 2 years ahead of my wife, which makes it possible for them to offer viable information about the future during medical school. I know that we and others have found them helpful when times are stressful and seem to be unknown. Michael is in a similar situation to me, as a husband to a medical student.

Michael works for Cru, a Christian organization, where he disciples and mentors college age students. Michael worked to provide financially while Allie was in Medical School. Most of his work involves traveling to schools, but he doesn’t let that stop him from getting his work done at home. Due to Allie’s busy schedule, Michael does most of the house work. I find myself in a similar situation trying to clean and upkeep the house as best I can.

Michael and Allie have been married since 2016, experiencing and enjoying life together. They met each other in 2012 during their freshman year of undergrad. They started dating in 2014. A while back they made a furry addition to their household with a dog named Beesly. They have had a lot of adventures and experiences together through the years and have learned from them. They offer a plethora of knowledge to those around them, and I hope you find how they handle their lives useful for yourself.

Daily Schedule

Allie is now a resident in Columbus, OH where she is working to become a Pediatrician. Being a resident requires a different work schedule than as a medical student. Michael has a highly flexible work schedule that allows him to spend time with Allie when she is available. Though she doesn’t have a lot of free time, they make the goal of having a date night each week. This helps them to have quality time when they endure long stretches without really getting to see each other. They try their best to prioritize each other before work. A good practice for them is setting a priority and target at the beginning of each week, then aiming to reach that goal. They may not have a date each week (if scheduling doesn’t permit) but they do their best to make it a consistent habit. Michael feels that medical professionals are super type A, meaning that they tend to fill each and every moment of free time if left unchecked. Taking time to sit down and talk helps them to look back at what they value first and keep their priorities in order.

  1. Marriage
  2. Friends/community
  3. Work
  4. Everything else

Michael has found the schedule changes to be beneficial over the years. Though the daily schedule doesn’t seem to be very consistent, it has allowed them to work together. With weekly and monthly changes, they have found themselves with an opportunity to progress their ability to communicate and work together. Communication is key for them in their relationship due to their nature of medical school and now residency.

With a schedule that doesn’t allow Allie to contribute maybe as much as she wants, Michael has picked up a lot of the daily and weekly tasks. Michael does about 80% of the cooking, cleaning, and grocery shopping. I am in a similar situation, and we can agree that we don’t dread it. Michael and I both have the view on our efforts as helping our wives achieve their goals. I know that my wife is busy and I want her to do well in school. This tends to mean that we (as husbands) are challenged to pick up more work so that she has more time to study when she is home.

Stressors

Michael is very familiar with stressors for Allie. The biggest stressor that he has noticed is when she compares herself to her classmates. The stress comes from a comparison between how much she studies and how much they study in correlation to their test scores. Trying to achieve some unspecified, nebulous and unreachable level of studying puts a strain on her. It can be hard not to compare yourself to others, especially when they seem to study less and score better than you. I have found this to be very common among the medical students, including my wife. It is difficult to avoid comparing yourself to others when receiving grades on tests, but it is best to avoid this practice.

Michael has developed a plan on how to help Allie relieve stress.

I tend to think if I pick up extra housework and chores it will help Allie feel better if she is stressed. Contrary to that, I’ve learned what’s most helpful is to do or say something that communicates to her I’m thinking about her. That means I either try to surprise her with a gift like flowers, a small treat from the store, or with a fun date. That could also look like taking the time to sit and ask her questions about her day and then offering encouragement, communicating that I see her hard work and I’m proud of her.

Michael Wenig

I have found this to be true in my relationship. Depending on the love language of your significant other or spouse, conveying this way may differ. It appears that Allie’s love language is “Words of Encouragement,” which would be the same as my wife. My wife finds great relief and encouragement when I let her know how well I think she is doing. Don’t get me wrong, our wives enjoy a clean living space, but it is more impactful to let her know how proud I am of her.

Allie’s primary resolution to being stressed is buckling down and working harder. Studying harder and putting in more work can bring a sense of relief for her when she is successful. It is most beneficial for her to step away and have small frequent breaks where she partakes in activities that avoid work. Taking time to play with their dog Beesly on trips that include exercise is also helpful. They both enjoy going to new places getting to spend time together.

Allie is an avid runner and will use exercise as “medicine” to help relieve daily stress and anxiety. Exercise is beneficial for a lot of reasons, but it takes a lot of commitment and effort. It is hard to push yourself to exercise but can be very rewarding. Allie has a lot of motivation and dedication, and it shows in her life daily.

Some hobbies they enjoy together are hosting people in their home and going out with friends. These times tend to be accompanied by good conversation, food and drinks. It doesn’t matter if they stay at home or go out, they enjoy having the fellowship, food, and time together.

The most impactful collective practice for Allie and Michael in reducing stress is having a spiritual discipline of Sabbath. Keeping disciplined to this has helped them in many aspects of their lives and has created a better balance of Work vs. Life. I find this to be one of the best times of the week for us as well. It gives an opportunity to spend time together without commitments and let’s us enjoy being in each other’s company.

Extracurriculars

Allie and Michael love reading, watching sports and hosting others. Hosting others and initiating activities is their favorite thing to do together. They recognize that most of Allie’s peers (and their spouses) are new to this season of life and the city. They may feel lonely, overwhelmed and desire friendship. By inviting them into their home they are able to build relationships with them.

Frequent walks and adventures with their dog Beesly create some exciting times. Beesly keeps them on their toes while they take her out on walks in parks and on trails. All three of them enjoy being out in nature in each other’s company. Beesly is a Viszla, a high energy and athletic dog breed that seems to fit in well to the Wenig’s active lifestyle.

When they are not hanging out with people (or Beesly), they also enjoy trying new drinks and making cocktails. Allie also enjoys baking desserts with Michael. There are a lot of different activities that Michael and Allie enjoy, but most of the joy comes from doing them together.

Satisfaction

Michael can see from Allie that she is 100% satisfied in her work. They try to talk at dinner or whenever they can catch up in the evening on a daily basis. They have worked hard to build a relationship culture in which they openly communicate and ask questions. They find themselves with the ability to talk about their days in marginal times of the morning, over a meal or in the evening.

Michael is a college campus missionary for Cru. He has fairly relaxed hours which allows him to be with Allie most of the time when she is home. That being said, due to working on college campuses, he finds himself busy at times when Allie is home. This kind of situation adds a little bit of stress to Michael’s life. Times were tougher when they were in medical school, but that was mostly due to the fact that they had one income.

Allie expresses interest in Michael’s work. It means a lot to Michael that she asks him about what he is doing. She does her best to stay up to date which conveys a sense of interest from her side. I find this very useful in relationships. Having a partner that shows they are interested in what you do makes a difference in motivation. I find that it affirms our actions while we are trying our best.

Finances

Michael and Allie are satisfied with their income. It can be difficult to budget and live a financially disciplined lifestyle, especially when other students appear to live extravagant lives. Living within your means may not always be the most fun, but it is very rewarding.

During medical school they were able to lively solely from Michael’s income. They had plenty of money to pay bills, go out with friends and take small trips. The main key for them is having discipline and well laid-out budget. Sticking to the budget is the hardest part by far! I have found that it’s pretty easy to make a budget, especially with different apps that available on the market. It is difficult to hold back spending when things arrive that catch our interest.

Relationship

Transitioning into medical school can be difficult. For the Wenig’s, they have had to forgive, offer graciousness, and lots of patience to one another during the transition. They set a definitive list of values and scheduled their time accordingly. Their faith and marriage have been placed at the forefront of their journey.

Allie and Michael have worked as a team through medical school. Allie does not have to go anything alone. Michael has been there to help with meals, work around the home, and help carry the burden when times were hard. He was also there in the times where she needed someone to help her celebrate. Prioritizing their marriage has helped Allie out appropriate boundaries on her time spent studying. Having a spouse pushed Allie to use her time wisely so that she could spend time with Michael and taking breaks.

Michael has not ever felt that being married has hindered them in their lives. Marriage is intended to enrich their lives, and they are experiencing it first hand. Marriage is not intended to be a unity reflecting “roommates”, but is for us to work together.

Michael strives to be the launchpad for Allie’s career. He is currently at a point in life where he works hard to support Allie. The time where he supports her will never end, but may change over time. He makes sure that Allie knows that she has worth and purpose no matter the outcome of her career. Michael strives to ensure that Allie knows that her worth isn’t tied to her job or status of her career. Setting Allie up for success and keeping their priorities in order have been some of the biggest challenges for Michael in their relationship.

Final Thought

The Wenig’s are working together to conquer schooling for Allie. She has a ways to go, but she is well over the hump. I think they are doing a great job keeping their priorities in order.

Marriage is a team effort that requires cooperation and hard work. The only way to succeed is to have the same goals in mind and support each other in their interests. The Wenigs are doing what they can to take interest in each other’s lives and support their decisions. There is something in their relationship we can all note for our own lives.

The Lows are Low

Life isn’t always sunshine and rainbows. All of us have felt this at some point. Whether we get sick or have a family member pass, there will be a time when we are not happy. And that’s ok. When life is going well and we are on the ups, the downs can hit us hard.

My wife has had hard experiences during her life that have crippled her mentally, and made it hard for her to complete daily tasks. She is tough, but not invincible. Recently she made a post on social media that I think is worth sharing. The female perspective is different on these topics than mine, and that’s good. My wife feels and notices a lot more in some aspects than I do.

My wife is amazing and wrote this really well. She has been having a lower time in her life, though things are going well. Some of the frustration for her seems to come from where we are in life. There are a lot of decisions to be made and she feels like we are kind of stuck. Read the following message from her and see if you can relate.

This is important. Pay attention.

What does depression look like to you?

I want to be honest. Like really honest. My timeline is full of happy pictures. Smiles and love. Family and friends. Next steps in my medical school journey. Memories of good times. That’s all great and life is full of wonderful moments…

But.

Life also has valleys. Times of sadness, anger, frustration, worry, and fear.
And when I find myself in those valleys, they just seem a little deeper and a little darker than others.

“Aleena, why are you sad?” … I don’t know.
“Aleena, why are you mad?” … I don’t know.
“Aleena, let’s go out” … maybe another time.
“Why aren’t you reading?” … I don’t want to.
“Why don’t you take pictures?” … I don’t have the energy.
“Let’s take a walk.” … I don’t know if I can move.

“Well if you don’t know, then why stay sad? Why stay angry? Why worry?”

I don’t know.

And I’m being honest. I don’t have an answer for these questions.

Please know I know that God has a plan for me. Please know that I know that there is good all around me. Please know I know it doesn’t help to focus on the negative. Please know I know it’s not productive to worry. Please know I know my God is in control. Because I know all this. It doesn’t change the fact that the valley is still deep and dark and it will take me time to climb out of it.

I’m so excited for each new rotation. I’m so excited to pick my specialty. I’m so excited to be an aunt. I’m so excited for the holidays. I’m so excited for Jacob and I’s next steps. I’m so excited for our future, my future.

I know things will get better, but right now, it’s about surviving. And surviving is enough. Surviving is good. Surviving is the first part of climbing out.

Please don’t worry or freak out. I’m ok. I am loved and taken care of. As my husband told me today, I have an army behind me ready to help and I am thankful for every single one of them.

So. If you happen to find yourself in the deep, dark valleys… I see you. I understand.

And I’m here. For the car rides. For the coffees. For the smoothies. For the silence. I’m here. And we survive together. We climb out together.

This year has been tough on all of us. Check in on each other. Realize that sometimes words can’t describe how someone is feeling. Just be there. That’s enough. And remember, valleys can’t be valleys without the mountain tops. You just have to keep moving forward ❤️

With love, Aleena”

My Learnings

I hear from my wife when she has had a bad day, week, or month that she doesn’t want to do much. It’s not easy for me to communicate with her because I tend not to get a response. I choose to make the decisions for her and nudge her to come with me to get out and avoid just sitting on the couch. I find it beneficial for her and it helps me to better understand her.

I’m still learning how to help her and handle these low points. My goal isn’t to make her happy instantly, but to make sure she knows that I am here. I try to make sure that she knows she is safe, loved, and things will get better. I have found some success in taking her out on a drive or to a park. Getting her mind off whatever she is thinking about and more into explaining and talking to me seems to help. It can be hard for her to talk, and hard for me to understand but it is beneficial for both of us.

Take time to listen. Take some mental notes and find some strategies to keep your spouse happy. Find what they need, which may not be what they want. Be patient, kind, and cautious. Use this time to learn about your spouse and do your best to be there to help them.

Mental Well-being

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.

Anxious Thoughts

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.