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Dear all,




Well, you know, it’s fine…SUNY Upstate has a good Psychiatry program, so it wouldn’t be terrible to stay here…


Anyway, I guess there’s no point in dwelling in the past. And there’s even less point in dwelling in the further past because I was on ENT consult with a resident who didn’t want anything to do with me.

“Go see procedures,” she said.

“It’s more fun than watching me look at labs,” she said.

“Okay,” I said, before scurrying off to see one procedure per day, then hiding in the student lounge to study.



But I guess the most interesting things of note were I got to see a septal relocation (as in, a guy’s nose was deviated to the right, and they did the movie move where they just CRACK it back into place) and SUPER BAD ANGIOEDEMA from – classic board question! – an ACE inhibitor. And he was African-American too! It was pretty bad, actually; he was nonverbal at baseline, secondary to strokes, and the nurses at his nursing home found him in the morning, with a tongue three times too big for his mouth and lips to match. Needless to say, he got intubated stat, because even though he was breathing fine with an O2 saturation of 96% on room air, we had no idea of knowing when his throat would swell shut.

So that was neat.

After that exam which shouldn’t be mentioned ever again, I drove back to Plattsbugh for Mother’s Day weekend. Gods, I hate driving. I can’t wait for a self-driving car. I can’t believe my mom drove to Ithaca to visit my siblings twice a month when they were in undergrad. I was with her most of the time, but at least I could sleep or play Pokémon (GAME BOY COLOR, WOO!). A mother’s love, man.

My weekend was really chill. I made pumpkin bread and muffins and pie for my parents, played tennis with my dad, and made some progress in Fire Emblem: Fates. I’m still on the Birthright path, and taking a brief hiatus from the main storyline to collect the children. (I still don’t understand how these kids are magically born and age in a “Darkrealm” that’s outside of the universe I fight in, but okay, I guess it makes about as much sense as the Awakening kids jumping into a portal into the past…)

Anyway, tomorrow I start emergency medicine! And also studying for Step 2 for real! I’m actually genuinely worried about the Upstate Clinical Skills Exam, though. That’s in two weeks. Well, at least I’ll have all of the Emergency Medicine clerkship as practice, haha. That’s actually pretty close to what the exam will be like…except, you know, notes aren’t timed to 10 minutes. And there’s a template I can use. And if I forget to ask a question, I just turn around and ask it…details, details.

Well, I’ll see you all next week! Take care, and call your mothers!

Most Sincerely,
Annette Liem

~Sarcastic Quote of the Week~
Patient (to me): You look bored.
Resident: *snickers*
Me: N-no I’m not! Th-this is what I normally look like!