Maintaining Balance Through Medical School and Beyond

Tag: Stress (Page 1 of 4)

Making a HUGE life decision!

There comes a time in nearly everyone’s life where they have to make the decision on what they are going to pursue doing for a living. For most this occurs at the completion of high school, undergrad or graduate school. Not everyone makes a long term choice on the first attempt either, sometimes it’s not than easy to find what we want to do the rest of our lives.

For those pursuing an M.D. degree like my wife, a big decision has to be made around the completion of the third year of medical school. This time of their educational career pushes them to pick what specialty they will pursue. There are many specialties within the medical field and one must be chosen for residency. My wife was torn for a long time on what she would pursue.

After looking at many different specialties and experiencing these doctors’ daily operation, my wife has chosen OB/GYN. It appears to be the best mix of surgery and patient contact. My wife enjoys getting to talk with patients building a relationship with them. A lot of the dedicated surgery specialties have little time talking with patients and this is important to her. Family medicine has a lot of contact with patients getting to know them, but my wife would prefer to have a surgery aspect to her career.

So, how did she make the decision? What were some things that she considered when making this decision?

The (almost) Doctor’s Thoughts

Hi! So, when I first started medical school I thought I wanted to go into general surgery. I loved the idea of operating and being able to use my hands to fix a problem. I loved anatomy and wanted to spend every day getting to use that knowledge. I didn’t think I wanted long term patient continuity and I wasn’t sure about long clinic days.

The summer between M1 and M2 year, I did an anatomy elective that allowed me to focus on the female reproductive system. I was able to do my own dissection and learn about some common procedures. I fell in love with the pelvic anatomy. From there I started doing some more research. A not so secret secret: OB/GYNs are amazing surgeons! M2 year brought lectures and book work on the reproductive system and I came out of that class with a pretty good idea that this was the right field. But first, I needed to experience it in real life.

Some of my thoughts changed when I got into third year. I wanted to find a specialty where I could use my full potential. I wanted it to fit my personality. I wanted it to fit with my goals outside of medicine. Jacob and I started talking more about the life we wanted to have outside of medical school and residency. What were the goals we wanted for our life? For our family? That’s when I knew I needed to find a specialty that would also be supportive of my life outside of medicine.

As I went through each rotation I talked with the physicians about their lives, why they chose that field, and the highs and lows of that specialty. I crossed off some specialties right away. I didn’t want a lot of down time. I get bored a little too easily. I didn’t want super sick patients. Intensive care is a little too sad and frustrating. I liked kids, but I didn’t want to only take care of kids. By Christmas, I knew that I was between General Surgery and OB/GYN. I decided OB/GYN was the best option after my clerkship in January. The residents and attendings love their work and are happy even during the long hours. On service, I saw women in all stages of life supporting each other as they learn to become the best physicians they can be. The combination of surgery and clinic keeps the days interesting. I love that I will be able to care for women throughout their lives and be with them for some very important occasions. This specialty will allow Jacob and I to move back to a more rural community and fits well with our vision of the future.

Final Thoughts

Making big life decisions is hard. It causes a lot of stress and worry which makes the process difficult. I have found through our processes that considering the following can guide us on our path.

  1. What is the most valuable thing in my life?
  2. Is this decision the biggest thing in my life?
  3. If I were not to proceed with this decision, would I still feel satisfied in life?
  4. What steps can I take to eliminate other options?
  5. When it comes to careers, if I were to lose this opportunity, what else do I still have?
  6. How can this career help me achieve my life goals?
  7. Will my life goals be blocked by choosing this career?
  8. Will my job choice influence my family life positively?
  9. How can I have a career and a family?
  10. Does one choice offer better benefits?
  11. Do I feel that one will be a career and one a job?

How have I spent the last 10 years with the same lady!?!?

It was back in August of 2010 that I met my wife. At the time, I made the effort to offer my assistance on her schoolwork and homework though it wasn’t needed. I had lower grades than her (and she is smarter than me) so she didn’t really need my help. I like to think that my incessant and possibly annoying persistence was the key to winning her over.

We didn’t officially start dating until I turned 16, but we decided that we were going to date at that time on February 12, 2011. Dating at age 16 was a rule set by my parents and I think I will continue this for my children. What’s the point of dating if the child can’t drive themselves anyway?

My wife has been an amazing addition into my life. She contributes so much to help us prepare for the future. This includes how we spend money and life choices she makes with school. I definitely don’t know where I would be in life without her.

Following are some things I have learned after dating and being married to her. They are not in a particular order, but all are important. It would be interesting to see what others have learned during their marriage or dating life if it has been as long.

What have I learned in the past 10 years?

  1. Be Patient. This is something that most relationships have realized. There are a lot of times where we are waiting on each other patiently, our relationship could be difficult. Being patient also includes life goals that have been set together. In my case, after I knew that I wanted to marry my wife, I had to wait longer than anticipated to get married. Having to wait doesn’t mean that it is a time to bail, but learn. Learning to be patient is hard and a relationship with our significant other or spouse can help us learn first hand.
  2. Do what she enjoys. I learned long ago that my wife had different interests than me. She enjoys reading books about 10,000 times more than me. I can’t remember the last book I read, but I know for a fact that it was not for pleasure! I just don’t enjoy sitting down and reading books, but she does. I have made the effort over the years to sit with her and accompany her while she reads through adventures. She will curl up next to me on the couch and read for hours while I browse on my phone or watching tv. She enjoys my company and I enjoy making her happy.
  3. Date your wife. This is something I have heard quite a bit from older generations. I have found it useful in keeping our relationship feeling young. I know that being married nearly 5 years isn’t long, but plenty of marriages don’t make it this far. Dating your wife (going out together) gives the feeling that you are continuing to pursue her and makes her feel wanted.
  4. Do your hobbies. It is fun to have another person around, but it is important to continue what you want to do. You need to be yourself while being in a relationship. I have found that my spouse enhances and adds to the joy of my life. It is important for me to continue my hobbies and what made me happy before getting married. Not all hobbies qualify, but the hobbies that are important that fit into my relationship with my wife.
  5. Listen to what she thinks about. Sometimes it can feel like I can’t relate to the topics that my wife wants to talk about, but it is important that I listen. Not only does it make her happy to talk to somebody, but I feel that I learn about her while she speaks her mind. This is an opportunity for me to learn what she thinks about and what is important to her. I am always learning and hope that this will continue as we grow old together.
  6. Give her what she needs. This might be one of the hardest tasks because it takes time to decipher between NEEDS and WANTS. I know that some of you may be thinking “if she says she needs it then she needs it,” but I have found that she needs the unspoken items more than those she vocalizes.
  7. Ask what she wants to do. It is important for my wife to feel wanted and needed in our life together. It is crucial for me to ask what she wants to do even when we end up participating in a different activity. This can be asking what she wants for dinner or how she would like to spend the weekend. I find that if we don’t ask then try activities that each of us are interested in, it can be hard to learn about each other. There are things that she may want to try that I haven’t ever considered and may enjoy. Our goal of being married is to work together and it would be difficult with only one mind dishing out ideas.
  8. Make her feel important because she is. Learning the love language of your spouse is key to productive communication. My wife’s love language is “Words of Affirmation” which means that how I speak to her goes a long way. My words carry a lot of weight both positive and negative. I make the effort to tell her that I love her and that she looks beautiful on a regular basis. I also try to weigh in on decisions when she asks me about life choices or clothes. She enjoys when I pick out her clothes because she wants to be dressed in something I like, and know that I like what she’s wearing.
  9. Work together to achieve your goals. I am a firm believer that we were put on Earth to work together to glorify the kingdom of God. This is not an easy or simple task. We (as husbands) are made to build up our wives and our wives are made to support us. It is hard to work together all the time because we have different ideas. I have found it most productive to talk through our own life goals and work with each other to achieve them. We should not be giving up our happiness in order to give happiness to our spouse. We are in each other’s lives to enhance, not detract.
  10. Lead. Leading in our relationship is my job and it has benefits for my wife. Leading doesn’t mean that I make all of the decisions (though that seems to be how it is interpreted). I work to lead our relationship and help my wife to achieve her goals. She is currently in medical school which involves a lot of her time devoted to studying and learning. I have taken it upon myself to earn money so that she can get through school. Leading is difficult as it also makes me responsible for failures. I feel that this takes some weight off of my wife and helps her in school and life.

The Future

Every relationship is different. I’m sure that you (the reader) have found similarities and differences between your relationship and mine. Marriage has brought together two different people to work together in a new way. I have given up some things, she has given up some things, and together we have made a life that is ours. It really doesn’t feel like 10 years together! At almost 5 years married, I think we are off to a good start at getting to know each other.

Failure – Let’s Talk About It.

What if we talked about our failures.

What if we posted about them as much as our successes. What if you posted that picture where your makeup isn’t done… your hair isn’t styled. What if we could be a little more real with each other.

I had a conversation with a friend recently. We aren’t super close, but I try to be a person who will listen to anyone who needs a safe place.

I had chosen to sit by the windows for lunch. Seeing the trees outside keeps me calm in the craziness of the hospital. I could tell this student was a little flustered. I offered them a seat and to eat with me. They sat down and started talking. We talked about all sorts of stuff. The rotation we were on, what we were doing next. We talked about hobbies, specifically photography, and what we did in our little free time. We talked about the future. I talked about staying in the area. They talked about the uncertainty and deciding where to go next.

And then we talked about our worries. It doesn’t take long for medical students to talk about anxieties, stress, and worries. Between tests, assignments, evaluations, and applying for residency in the fall, there is a lot going on.

And then we talked about Step 1. I know I’ve talked about it before, but please hear me when I say that every single medical student deals with anxiety, stress, uncertainty, fear, and worry when it comes to this exam.

In the moment, I decided to be honest. Be real.

I told my colleague about my struggles with the exam. I told them about my burn out. I told them about being sick. I told them about the failed practice exams. I told them about the stress. And worry. And fear. And feeling inadequate. Feeling like a complete imposter. I told them that I went into that test ready to conquer it, but wondering if I could do it. If I would actually pass and get a score that would be enough to move forward. I used every last bit of fire left in me to pass that exam. But found myself coming up with plans B, C, D, E, and F if things turned out to be on the wrong side of the passing line (and my own line of what was acceptable).

And I passed. It worked out. Was it a happy ending? I guess it depends on your definition.

In the moment, I saw their shoulders drop just a little from their ears. I saw them relax just a little bit. A little bit of relief to hear that someone else had struggles. Someone else had worried and feared for the result and it turned out okay. And they mentioned it was good to hear about a journey that wasn’t all rainbows and perfect scores. I just kinda chuckled and realized most of us don’t have that journey. Let’s be honest, life isn’t all rainbows, pots of gold, or mountain tops. Life isn’t 100%s and 280 step scores. I’m so proud of my classmates who reached those high scores, but I’m also so so proud of my classmates who passed that exam! Who came out of there a little nervous and passed! Maybe just on the other side of that line. That is something to celebrate.

Why are we so hesitant to be real? To be honest? Why does it take so much effort and courage to talk about our actual life?

I realized a few years back that it was important for me to be open and honest with others. Our experiences can be helpful to those we cross paths with. We might not be walking on the exact same path, but we can still encounter the same obstacles. Your story could be the very thing your friends need to hear to know that they are not alone and they will make it. A simple conversation about the obstacles we face could be a turning point for those having lunch with us. It can bring hope and ease fears. Your story reminds others that they are not alone and someone else has been through this and survived.

What if we were more bold? More courageous? What if we took a leap of faith and were vulnerable? What if we could make an impact in only 20 minutes during lunch? What if we could bring some hope and light by saying “I’ve been there.”

And those conversations are amazing! To watch this person across from you realize that someone else understands. There’s a joy that comes with these conversations.

Life isn’t going to be all rainbows, pots of gold, and mountain tops. Let’s be real. Let’s meet others in the rain and in the valley. I see you. I’ve been there. Want a hand? It works out.

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.

How To Fail While Avoiding Failure.

Failure is an interesting concept to me because it changes depending on the perspective. If we make an attempt for a goal in life, but we don’t achieve our goal, we tend to say that we “failed.” If it is a constant and continuing process of failing we tend to say that some is a “failure.” But why is this the case?

Important Definitions

The definition of fail is to be unsuccessful in achieving one’s goal. By this definition, if we make the attempt to achieve anything and do not succeed, we have failed. That doesn’t mean that we won’t learn anything along the way, but we have failed. It’s not fun to fail and lose out on achieving our goals. Failing to reach our goals is part of life. We set goals and strive to achieve them and occasionally roadblocks stop us. It is demoralizing and crushing to our morale when we fall short. This usually results in losing the prize at the end of hard work. There are times when we set a goal that is a stretch for our abilities but making goals that are difficult is what pushes us to try our best.

The definition of failure is lack of success. It is possible for us to fail to achieve our goals, but we are not a failure by this definition. Failure would be if we arrived for our goal, failed, but did not come away with anything from the experience. Failure is a lack of learning and success in any way.

Repetitive Failed Goals

I, like most people, sets goals for myself and strive to achieve them. To be honest, I fail quite regularly. I have been working on remodeling part of my basement now for over a year and have failed nearly every milestone that I set in the beginning. I originally wanted to complete the project by Christmas of 2019 and it looks like it will not be completed by Christmas 2020. It is hard to push ourselves when we are not motivated or the reward doesn’t seem to outweigh the input of work. My basement is a great reward and there has been a lot of work input to reach where I am today. I hope to complete the project by the end of the year, but it will take more determination and effort than I have invested recently.

Looking back at my progress I can see that even though I have failed nearly all of my goals, I have come a long way. The space is painted, flooring installed, electrical run, and it’s almost complete. This has still happened with a long list of failed goals. So with all these failed goals, should I consider myself a failure?

Failing ≠ Failure

It’s easier for me to see my progress with something tangible like my basement. I can walk down my stairs and look at the ceiling, walls, and floor and easily depict whether or not a task has been completed, and a goal met. It may be harder to tell when looking at our lives. Not everything that we set a goal to complete is as simple as my basement project. Not all goals we set in our lives have obvious milestones leading up to the primary goal.

Medical students take a Step 1 exam around the end of their second year across the nation. Some of them take it earlier or later, but this seems to be the norm. This is a huge test (if you know a medical student ask them about it) and failing is not an option. Failure is possible and a small percentage of students that fail every year seem to be cast into a different class of students. That failed exam is carved into their permanent academic record. They can retake the exam but the previous failure will always show. I don’t know anyone that has failed but I think this is due to knowing some really good students. From my perspective it seems that most of the students are scared or terrified that they will fail, and use it as motivation to study harder and push for their goal of passing. Students that fail on their first attempt can retake it and become doctors. Failing creates a different path for them, but it is possible. It’s probably best to avoid it but many ask themselves “What if I fail?”

It’s hard to put a positive spin on a failed Step 1 exam due to the repercussions in the students life. Here are some questions that I think we can ask ourselves when we fail our goals.

  1. Is this failed attempt going to ruin my life?
  2. Is there anything positive that has come from this attempt?
  3. Did I achieve anything along the way?

The most important questions are below.

  1. Did I try my best?
  2. What did I learn from this failed attempt?
  3. Is this goal worth trying for again?

The first three questions help to gain some perspective of the situation. I think that in every failure that we experience, there is something positive. It isn’t easy to see positive points after a failed attempt. We may not be able to look back and find it right away, but I believe that it exists. The second three questions are the more important questions in my opinion. The separation between a failed attempt and failure is being able to look at how hard we worked, what we can learn, and if it’s worth pursuing again.

Avoiding Failure

For me the defining line between failing and being a failure is what we learn and how we take our next steps. If we strive to achieve and goals and succeed, then well done. In the event that we fail to achieve our goal but do not learn anything, that is failure.

If failure is defined as a lack of success then as long as we have some sort of success, failure does not occur. I believe that we can always learn from times that we fail. We may learn more about ourselves on how we should/could have handled the situation when compared to success. Maybe we learn that the goal isn’t worth the effort because we don’t enjoy the road to success (or the prize) as much as we thought we would. Maybe we realize where we caused our downfall and can prepare for the next attempt.

The key to avoiding failure is to do our best, learn, and find a way to achieve our goals. There are goals in life that are not achievable. Our mind and body have limits but I don’t think that we usually push ourselves far enough to find them. There is a point where we will be limited and won’t achieve a goal.

It’s hard to tell when the challenge is too much or we didn’t try hard enough. We tend to be limited by our will power and the desire to press on toward our goal. Keeping devoted to a task is hard, especially if the road to the finish line is rough.

Final Thought

I think that people are not failures or achieve failure unless they do not look at what happened and learn from it. Taking the time to look at the situation and think about what happened makes a huge difference in the success when someone tries again. We need to learn from our (and others) past mistakes so that we can be more success on our endeavors of the future. Keep pushing for your goals, learn along the way, and do your best.

If we fail to achieve our goal while learning nothing, we have achieved failure.

How do I progress with a failed plan in life?

My wife is a planner which is useful in so many ways. We have a lot of commitments and it helps to have a plan set forward before embarking on new adventures. Planning for different life events has helped us avoid being unprepared and see potential failures. I enjoy planning some things in life but prefer to go with the flow in most circumstances. Many people prefer to make plans, which are often shifted, and I thought it would be worth discussing how I practice staying relaxed, accepting outcomes, and rolling with the punches. So, when life doesn’t follow my plan how do I deal with the changes?

My Plan of Attack

I tend to follow a process to handle situations where changes occur. My way of handling these changes isn’t perfect, but it works well for most situations. I have broken it out into the following 5 steps.

  1. Look at the situation as a whole picture.
  2. Determine the severity of the situation.
  3. Find the problem.
  4. Plan steps to solve the problem.
  5. Execute the original or new goal.

A Scenario

Let’s say I am planning to purchase a used car from a local dealership. I own a good driving vehicle but am looking for an upgrade. I search online and find a model of vehicle that I like and spend an extensive amount of time studying. I have looked at lots of reviews and find that this vehicle fits my needs and would make a great long term buy. I look at some local dealerships for a few weeks and notice that a new listing has been posted for the vehicle of my interest. I also notice that there are a few listing further away in some nearby towns.

On a Saturday, the only day I am free, I go on a test drive in the vehicle and discover that it has some minor issues, but is still in excellent condition. All-in-all it seems like a great vehicle, listed at a perfect price point for my budget.

After my test drive I arrive back at the dealership to discuss purchasing with a salesperson. I inform them that I should be able to make a decision soon but would like to look around more at other options. They are left with my phone number, and I tell them I could be back in 1 week to make the purchase.

Before I have time to return, I receive a call from the dealership that the vehicle has sold.

A Distant Analysis

Looking at the situation from a distance I see the following facts.

  • There was a local vehicle for sale.
  • I know the model of vehicle I want.
  • I know the price I want to pay.
  • I liked how the vehicle drove.
  • I know what price people will pay.
  • It sold quickly.

A Calculated Severity

In this situation I would look at the repercussions from missing out on purchasing this vehicle.

  • I didn’t make the purchase and have to continue driving my current vehicle.
  • I may end up having to pay more and potentially less for a similar vehicle.
  • I get to keep my money a little longer.
  • I have more time to branch out my search.

Looking at the list above, missing out on purchasing this vehicle will not have harsh repercussions. I still have my good running car to fall back on and have learned more information on the process of purchasing a used car. I liked that vehicle, but there are others ones that are for sale. If I were to have made this purchase, which is the first that came available, I would not know what else is out there.

Snoop Around

I find it productive to look at why I was not able to purchase that vehicle.

I was not ready to make the purchase at the time of the test drive and decided to wait. I have given an opportunity for someone else to swoop in and make the purchase. I should consider being prepared to make the purchase upon visiting the dealership to lessen my chances of this happening again.

I’ve got (another) Plan!

In this scenario, I have no other choice but to create a new plan. The vehicle that I was interested in purchasing sold to someone else, so it is not available for me.

The new plan is to find another vehicle for sale and put in the work to make the purchase.

Pressing On

In this step I should be putting in the work to find another vehicle for sale. This requires me putting in the work to search dealerships, private sellers, and possibly a larger radius to find the vehicle for me. I can push forward using the previous experience to guide me on my future decisions.

Some new things that I have learned is that I should be ready to buy upon inspecting the vehicle. If I go in unprepared for purchase, there is a chance I can lose the opportunity again.

Understanding the Situation

It is said a lot, but try try again. Being optimistic and looking at the situation from a positive perspective makes a huge difference. When I fail, or feel as if I have failed, I prefer to look at the situation as maybe I avoided some sort of issue. Was I supposed to succeed? Was my blocked path actually protecting me?

Maybe the vehicle I was trying to purchase had a lot of issues. That vehicle may have had engine or transmission problems, which would have resulted in expensive repairs. Maybe the vehicle would only last me a year or two before breaking down. It’s hard to tell, but like I said, I prefer to think of blocked life paths in this way. Due to the fact that I didn’t make the purchase, I won’t know the end result for the vehicle. But I choose to think that maybe I wasn’t supposed to go down that path. Maybe the path that I missed out on wasn’t the path for me, and my next path could be better. Not every path with challenges is a path worth losing, but it is hard to tell when that is the case. There are times when putting in the work to go down the path becomes too much.

In my scenario, I could have tried to find out who bought the vehicle. I could have them tracked them down and made them an offer. Would this be wise? I’m probably going to end up spending a lot more money than if I went out and found a different vehicle. There are times in life where we may need to do this, but it is hard to tell when it is what we should do.

A Final Thought

When looking back at the scenario above, put something from your life as the vehicle that was sold before you could buy it. Maybe your road block is a job you wanted, a car, a relationship, or a life event. It’s hard to come back from some of our failures or losses, but we can learn from them. We may not get what we want, but I believe we are pushed down paths for what we need.

I believe that we are led paths for certain reasons in our lives. There is a path we are made to go on and it tends to be a path we don’t understand. It tends to be a path that if we knew before hand, we would be too scared to go down. We would more than likely feel like quitting or seeking a new path due to what we see ahead.

This is also why I tend not to worry about what’s ahead, and try to view new challenges as something that builds us up stronger than before. That doesn’t mean that I don’t worry or get nervous, because I do. We can learn from the blocked paths and lost ventures, using that information to progress on our next attempt a little further.

Habakkuk Chapter 1

I Will Rise

My mom gave me a gift this weekend while I was with her for thanksgiving. I’m pretty sure it was meant as a Christmas gift, but she got it in the mail the day after thanksgiving while I was still visiting. She handed me this small brown box and said, “when I saw these I knew you needed to hear them”.

Inside the box, I found two necklaces. They were simple gold pendants with a card behind each of them. This is what the card said.

I WILL RISE

In this hard season, she will conquer the mountain. She is steadying herself and leaning into His grace. And with each step forward she will whisper to herself, “I will rise.”

I turned the card over and found a

Bible verse that was new to me.

Ezra 10:4

Rise up. This matter is in your hands. We will support you. So take courage and do it.

A few weeks ago I wrote about depression. About finding yourself in the “dark and twisty” place. Sitting in the valley. And I told myself, and wrote to you all, that you just have to keep moving forward. But.. I forgot a step. Sometimes in those times, we may no longer be standing. Maybe we are sitting in the valley. Maybe we are lying down in those low spots.

Before we move forward, we need to rise up. (Like it’s easy or something.) I’m sure many of you know how hard that first move is. To rise up. But listen here, it says “Rise up… we will support you.” Do you see that? These things may be in your hands but we WILL support you.

And that’s what my mom wanted me to see, wanted me to hear. Rise up! We will support you. Those times can feel so lonely, but look up and look around, reach out. We will support you. I will support you.

I know thanksgiving looked different for most of us this year. I know many traditions had to be put on pause. And as we look toward Christmas, I hope we can find joy, hope, and thankfulness for what we have and the wonderful things ahead of us.

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.

The “Dark and Twisty” Place

This is Important. Pay Attention.

What does depression look like to you?

I want to be honest. Like really honest. My Facebook timeline and Instagram feed are 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 okay. 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.

A Good Night’s Sleep

With all the stress and strain in a medical student lives, it can be difficult to have a good night’s sleep. We have a lot going on, especially with school or work, and it can be hard to quiet our minds enough to rest. This is something that seems to vary depending on what rotation my wife is in, and how strenuous the work.

Personally, I don’t usually have many issues falling and staying asleep. I tend to rest my head upon my pillow, and be asleep within 10 minutes. I tend to take some time to reflect on my day and relax before heading to bed as well. I may be a weirdo, but I prefer to shower before bed, and not in the morning. It seems that a lot of people I have met prefer to shower in the morning because it wakes them up and preps them for the day. I have noticed that it has been a bad idea to fall asleep on the couch, then take a shower and try to fall asleep in bed. This tends to result in a long period of time awake staring at the inside of my eyelids. It must be that I was asleep, then interrupted it and tried again. I prefer to prep for bed about 30-60 minutes before I want to fall asleep. This gives time for my body and mind to slow down, and my nightly routine not to interfere with my sleeping schedule. This doesn’t always pan out when I am working on projects, but I try to stick to it.

I try to stay on a nightly schedule to create some consistency to my day. I like to set alarms for things that I need to do so that I don’t get too caught up in my work. This helps to get started on my routine so I’m not late to bed late. This is something that my friends have noticed and choose to point out every time my alarms go off. They mean well, and I also think it’s funny that they know my alarms as well as I do. I try to use my schedule to influence my wife as well, pointing out when it is time for her to stop working or watching TV so we can get to bed.

My wife’s experience with good sleep is a different story than mine. She tends to have some issue falling asleep, and it seems a majority of the reason is due to her high brain activity when climbing in bed. She uses her brain so much during the day that it can’t tell when the day is over. This causes her to have a hard time getting her mind to stop running. This seems to be a common issue among people that live busy and hectic lives. It can be hard for her to slow what she is doing and let herself relax.

Some things that she does to relax may be taking a walk, reading a book, or listening to music. I’m not sure how positively influential smart phones are on our sleep habits, but it seems best not to play on them while in bed. She tends to need more time to relax before falling asleep when doing so. It seems to be more important what time she gets in bed, and not as much how long it takes to fall asleep. As an example, if it takes 30 minutes to fall asleep but she gets in bed at 8:00 pm, it’s not a big deal. If instead of 8:00 pm it were 11:00 pm, that’s different and not going to be beneficial. Not everyone can fall asleep right when their head hits the pillow, which is okay. It can be beneficial to find ways to relax and prep for bed so that you can rest properly. If you can find what makes you tired, maybe you can get adequate sleep.

Some Sleep Influences

Following is a list of influences that I have noticed affect my wife’s sleep. They don’t cause her issues every night, but they do on occasion. It can be hard to stick to healthy living and a schedule, especially with how busy our lives have been during medical school.

  • Stress from working in the hospital. Patient stress and stress caused by the environment.
  • Continuous thoughts about tomorrow. Not only negative thoughts, but positive thoughts as well.
  • Poor diet, especially in the evening. This is usually remedied by having a good meal early in the evening.
  • Tense muscles, this is usually remedied by a massage. This is a continuous issue. This tends to make her toss and turn a lot, which interrupts sleep.
  • Brain seems tired but body is not. This seems to be common as well, especially when she spends a lot of time studying and not moving.

Getting good sleep can be difficult when your days are stressed. It seems that if a person did a bunch of things in a day, it would cause them to be tired enough to fall asleep. This doesn’t seem to be the case. Proper sleep can make your days much more productive and enjoyable. Hopefully you can find some productive, healthy, and beneficial outlets for stress and worry to allow yourself to get proper rest.

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