Sunday, October 24, 2010

In which I become a...

cat owner/parent/stereotype/lesbian/[insert something else].


Meet Lulav!

I adopted him this past week and am already so in love! While I am by nature much more of a dog person than a cat person, my life is currently not compatible with being a dog owner. I spend way too many hours at school. My apartment is small. My clinical hours next year will be way too unpredictable. (Side note: a bunch of my classmates have adopted dogs. While I am in no place to judge their decision, I would love to know HOW they are doing it.) So anyhow I compromised my needs to become a parent, or at least get over my fear of commitment, and decided that I can offer a loving home to a kitty.

It is strange to think about how much Lulav will likely see me through. Becoming an MD, going through residency, likely moving houses/cities/states a few different times, and possibly even becoming a wife and having children. It has only been a few days, but I already have such love for a such a small little creature! Plus, he helps me study:


Sunday, October 17, 2010

Checking things off the bucket list...

I can now check "selling myself" off of my bucket list. Maybe, if being generous, I can also check off "sex work"... but that would be pushing it.

Last night was the annual date auction fundraiser; a night that involves medical students and professors selling themselves in order to send a small group of students on a humanitarian medical mission. Turns out that I'm worth $80! Well, me and one of my friends (a fellow 2nd year med student) are worth that much. We got sold as a package deal: one-on-one sex ed from me and home backed cookies from her. Not too bad considering that most everyone went for between $40 and $100, though there were a few outliers going for $120 or so. I'm just REALLY relived that we sold at all as it would have been really embarrassing to stand up on stage and not be bid on.

In general, last night was not a night I will soon forget. The date auction was preceded by a madmen themed birthday party with good people and fun costumes. It isn't that common that I go to events with large amounts of drunk med students. It also isn't common that I get all femmed up to go out... and feel confident that I look hot. I always feel like it wont be my thing: too much alcohol and bad decision making, too late of a night out, too much photographic evidence to be posted on facebook, and too much drama that I would rather avoid. However, last night was actually fun. I was reminded that a lot of my classmates are genuinely good people and enjoyable to hang out with.

Plus there was a friend visiting one of the first years who also wears a pump. We totally geeked out on and flirted about the diabetes! We got into a pretty intense conversation about diabetes & drinking as well as about pump sites & body image issues. Both of which are conversations I will probably have with you, blog, in the future. Even tipsy, I can't escape my reality...

Monday, October 11, 2010

It gets better, part 2

This National Coming Out Day my heart hurts, a lot. It is 2010, why do we still tolerate hate and discrimination? It is time to seriously start changing this world. Watch this video. Sign this pledge. To all of you allies out there: start standing up for those of us who are LGBTQ; it gets lonely fighting this battle all on our own.

Sunday, October 10, 2010

It gets better

Tomorrow is National Coming Out Day. It is a day that has never had meaning for me. I don't really understand having a single day with the mission of coming out, nor am I someone that revisits my own coming out story. However, in light of recent events, this year I feel a little different about it all. I walk a fine line with this blog in differentiating between professional and personal; I feel that it is important to be an advocate who leaves details of my own life out of the equation. After A LOT of thought, I have decided that this post is going to cross the line though. I'm going to share my personal coming out story in hopes of getting the message across to others, and to further propagate the amazing "It gets better" project started by Dan Savage and his husband Terry.

It gets better was started in response to the recent media coverage of a string of gay youth committing suicide across the country. In quoting Jay Michaelson, executive director of Nehirim, "I’m writing to you this month in the wake of six gay-related teen suicides reported in one week. At such times, all of us who are LGBT or allies ask ourselves what we can do... let’s remember that last week was not an epidemic of gay teen suicide. What was new was not the number of suicides, but the way they were reported in national media. Those of us who have been active in the LGBT struggle for equality knows that gay teens kill themselves every week, all over the country. Studies tell us that 42% of GLBT youth have suicidal thoughts, and that GLBT youth are nearly four times more likely to attempt suicide than straight ones." He's right, though some data states gay youth are actually up to 6 times more likely to attempt suicide.

Additionally, an article was printed in the New York Times this week regarding the disturbing realities of medical student/doctor suicides. The article, written by Pauline Chen M.D., stated that "...the culture of medical school makes these students also feel like they can't be vulnerable or less than perfect." These events and articles have acutely reminded me of my own past and have made me feel incredibly vulnerable. The more I think about it, I realize that I don't share my coming out story anymore because of the shame I carry with it, and because of fear of appearing "less than perfect." But by not sharing my story, a story that is way too common amongst the queer youth that I know (and don't know), I am further propagating the shame and guilt. My silence is not helping anyone; it is not raising awareness or helping queer youth feel less isolated; it is not acknowledging that medical professionals have past (and current) mental health struggles nor bring light to the copious resources to help one move forward; and it isn't honoring the experiences, good and bad, that have shaped me into who I currently am.

A week after my 16th birthday, just over 10 years ago, I attempted suicide. My attempt landed me in the ICU under a 72 hour hold, followed by 2 weeks in a psych hospital. This "event" (as my parents referred to it) was very much out of character for the 16 year old me. I was an honors student and athlete, I came from a close knit loving family, I was a "good girl" with a solid group of friends, I had just gotten my drivers license, etc... However, while I presented to the world as a put together young woman, I was completely shattered on the inside. At the time, I didn't have the words to explain why. I knew that the me I felt internally was not the same person as the world assumed me to be. My first attempts to rectify this discrepancy came in the form of experimentation with boys; numbing myself with the fantasies of teenage lust. These encounters only made things worse. They made me feel used and rotten, completely taken advantage of. One thing led to another and I found myself at the bottom of a dark well; there was no light to be seen and an urgent need to end the pain of brokenness. I was clearly an angsty and depressed teenager, but I had no understanding of what was causing these emotions and that it could get better. I felt that I had no where to turn and no other options to help me find myself. 10 years later I still thank G!d that my attempt failed, and that I was blessed with a second chance at life.

That summer, at a youth leadership camp for high school students, I met 3 young queer college students who were working as RAs. These women were the first queers I had (knowingly) ever met. Through getting to know them, asking questions about their lives, and shedding countless tears on their shoulders, it all began to make sense. I realized that a huge impetus for my angst was my sexual orientation, for not having an understanding of what it was or what it meant, and for having no clear vision of what it would mean for my future. I had no comprehension of a future life with a women and so feared that it would mean a life of pain and loneliness. Two pivotal things happened that summer though: I had my first girlfriend, and one of my RAs explicitly explained to me that "it will get better" in a tangible way that I could understand. She also exposed me to resources so that I could proactively make it better. Thank G!d for that summer. I came home and began to come out to close friends, followed by coming out to my therapist. Some were easier than others, but with each encounter I began to feel a little less shattered.

It wasn't always easy. I was outed to my parents by my therapist, without my consent. I was physically threatened by a group of boys in high school and harassed by others. I was told time and time again that coming out to my extended family wasn't an option. I feared holding hands with a lover publicly and had to seek out communities that were safe to be out in. I dealt with crushes on straight girls and learned to navigate finding other queer women to date. I shaved my head and wore combat boots in order to convince others that I was in fact queer, because it turned out simply dating women wasn't enough (and looked really stupid while doing it). I experimented with gender and challenged the notion of binary. Time and time again I ran up against my parents who's theory has always been to not show weakness, stand out, or make yourself vulnerable; and who were convinced that "it was just a phase". But, over time, it did get better in a lot of ways; which became especially true after my freshman year of college. By that time I had developed my own identity and a close group of friends to support me and as time went by, the wounds became less raw. For the first time in my life, at 24, living in a city that I love, surrounded by a family that I choose, personally accepting and encouraging my constantly evolving identity, and dating other good Jewish girls with strong queer identities: I felt like I was being true to myself, coming into my own, and paving my own path to change the world.

However, everything turned on its head with the start of med school last year. Moving south, putting myself into this ideal world of perfect superhero doctors, and living so far away from so many that I love reverted me to my 16 year old self. More often than not, I felt totally alone, raw, and vulnerable. Regardless of the soapbox I stood on, being somewhat fem and very Jewish, I was invisible queer. I lacked community and people to turn to. I had no shoulders to cry on, people to hug or cuddle with, friends within the same zip code to kick me in the butt. Once again though, it is slowly getting better. I am working on creating community here, getting better at asking friends (near and far) for the things I need, and working to make changes in myself and in the system that I can be proud of. While it is not yet totally better, I have faith that it will continue to get better as well as a shifting understanding of what better even means; and I continue to be grateful every day for the second chance I was given.

p.s. If you are an LGBTQ youth struggling about your identity, know that there are so many people out here who care about you. Also, know about The Trevor Project. Even if you don't believe me right now, your life is valuable enough to warrant reaching out to them, I promise.

Tuesday, October 5, 2010

Insulin is my friend, but not a cure

I've been forwarded a few articles on diabetes in the past few days. There was a feature in the New York Times on the discovery of Insulin. If you don't know the history of how insulin was discovered, you should learn! It is considered to be one of the great advancements in medicine and is a fascinating adventure of making of what was perceived to be impossible into reality. It is a story of resurrecting the (nearly) dead. In all fairness, part of my fascination may come from the fact that Insulin keeps me alive on a daily basis; but still, it is a pretty cool page in the history of scientific advancement. It won a Nobel prize. This article is a good place to start learning. This book is an even better resource to learn from. The article was published because of a new exhibit opening in New York on the history of diabetes. I want to go! If anyone is in NY and goes, let me know how it is!

Another article was on an innovative design contest held at Harvard. It makes me happy to know that "out of the box" thinking is being publicly funded and gaining growing attention. As a child, I use to constantly doodle up plans for diabetes management improvement and far fetched ideas for ways to cure it. In college, by attending an extremely progressive and integrative institution, I learned that inter-disciplinary approaches of critical analysis give rise to true innovation. I have to believe it is competition like the one in this article and the DiabetesMine annual contest will continue to revolutionize management of the disease. It is important to remember that while we have come so far with diabetes treatment in such a short period of time, insulin is not a cure.

Saturday, October 2, 2010

Forgivness

So this essay kind of sucks. The month of (Jewish) holidays which just ended means that everything I've been doing has been somewhat half-assed. However, I still thought I'd post my second personal development essay of the year:

Being an observant Jew, my religious doctrine requires that I take an annual visit to the land of forgiveness. Our rabbi’s suggest that we spend the month before Rosh Hashanah preparing to ask for forgiveness from our peers, and then actually engage in the process during the10 days between Rosh Hashanah and Yom Kippur. After weeks of thinking about and asking from forgiveness from others, Yom Kippur, the day of repentance, is spent in synagogue asking for forgiveness from God. Having engaged in this religious practice since the age of 13, I have grown familiar with asking for forgiveness from peers.

The same Jewish doctrine requires that if you are not forgiven the first time you ask, you must ask for forgiveness twice more before you are let off the hook. This illuminates two different points about the process. The first that it is important to sincerely ask for forgiveness sincerely, and with enough to commitment to give your peer time to actually forgive you. Secondly, it is the others person obligation to forgive you. A process that is not always quick and easy. Though even if they don’t, you are still eventually able to move on with your life.

My actions that require asking and giving forgiveness have matured as I have aged. Actions of talking back to my parents and hitting my brother have evolved into spiteful break-ups with significant others and prioritizing myself before my family. While maturation is a good thing, the increased stakes of life’s decisions means that there is more room to seriously hurt people and to hold grudges. Misjudged actions now seem to have more significant consequences. I also realize how cathartic the process is. Holding grudges is never healthy and tends to drag me down emotionally. It prevents me from fully moving forward from the actions of my past and from becoming a better and more mature person.

One of the areas of forgiveness that I have yet to acknowledge in my life is forgiving myself. It used to be that I could use my past mistakes and self-frustrations as motivation to push forward. However, the longer that I hold onto these past experiences and negative memories, the more they weigh on my sense of self. As I am growing older, I realize that holding onto mistakes that I have made previously is airing more on destructive than productive. These memories can help fuel the fire of self-criticism. I am now realizing that I need to learn how to forgive myself, and embrace my past mistakes, through concentrating on the personal growth they have catalyzed.

The other area that I need to work on, or at least start to consider, is forgiving the mistakes of my classmates. Over the past year I have realized that I hold myself, and my classmates, to a very high standard. While we are full time students, we are also already out in the world playing doctor and interactive with many members of the community. As such I expect us to present ourselves as professionals. When a classmate does something that presents them self as less than professional, whether it be disrespecting a professor, blowing off a service learning commitment, or getting drunk and proudly posting pictures of the experience on facebook, I loose respect. These are grudges and opinions that for better or worse, I hold onto. I am just starting to realize how much I (internally) criticize such behavior. While it motivates me to present myself in a different manner, it also requires a lot of energy. I am starting to consider what I should do about these emotions and how to forgive behavior that I don’t really have a right to judge in the first place. Maybe it needs a mixture of forgiving their behavior and forgiving my own judgment.

Tuesday, September 28, 2010

saying no

One of my biggest challenges is saying "no" to things, especially to things that I sincerely want to do. Last week I was accepted into a scholars program focused on a topic that is my favorite to learn about. It is a program that I was rejected from last year, making this year's acceptance that much more exciting. The course includes 20 weeks of weekly online learning, small group sessions, and a final project. I had until today to make a decision about whether to participate in the program.... and after much strife about it, I decided to say no.

I'm super bummed. I really wish I had the time and energy to participate. If I had known I would be accepted this year, I would have not taken on other commitments.... commitments I am very much already committed to. At the end of the day, school needs to be my #1 priority along with staying sane and setting myself up to get into a good residency.

Saying "no" is an art. An art that I very much suck at. However, I also realize that if i want to succeed at what I am already doing, I need to say "no" in order to stay focused. There are hundreds of good options and potential activities to engage in but part of growing up is realizing that I simply don't have time to do everything I want to do; especially if I want to do these things well.

So here is to learning to say "no", to being at peace with these decisions, and to trusting that an occasional "no" (to maintain sanity) will not completely obstruct my personal development or cause my world to implode.