My New Golden Rule, by MSIH's first year blogger of the month Jay Berkes

Procrastination is usually pretty fun.

That’s what I was thinking this morning when I was riding through the hills outside of Beer Sheva on one of the many mountain bike trails that surround the city. I should have been studying for the upcoming microbiology quiz. Or the upcoming histology quiz. Or the upcoming immunology quiz. I probably should reviewed gluconeogenesis for biochemistry, and I definitely should have looked back over my notes on recombinant DNA technologies for molecular biology.

But, procrastination is fun, so I kept riding. And after our two week break for the Jewish High Holidays, I’ve rediscovered the importance of little vacations like that.

Nitzanim Beach Weekend

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When you imagine your own personal getaway, the one in the forest, or on the beach, or in the city you’ve always wanted to visit, you do it for the solitude. Your own kind of solitude. You might do it for peace and quiet, or you might just do it for the difference that isn’t in a daily grind. It’s a grass-is-always greener thing, and it’s usually hyperbole. But hyperbole, like procrastination, is fun.

For me, solitude used to be the promise of efficiency; a window of opportunity. “If I can just get away, I’ll finally catch up.” It’s probably why I spent three weeks in a cabin in the mountains of southern Colorado studying for the MCAT. Or why I regularly spent my summers during college 1200 miles away from home…sorry, 1931.21 kilometers away from home. It might even be why I moved to Israel to attend medical school. But my break from school over the last couple of weeks has helped me understand what I really need out of little vacations.

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As one of the many non-Jewish students at MSIH, with no previous links to Israel, this is my first time experiencing the High Holidays. In the days leading up to our break they were explained to me as a new year celebration in September (Rosh Hashanah), a day where no one eats or drives (Yom Kippur), and a week where everyone eats their meals in little wooden dwellings outside of their houses (Sukkot).

After being welcomed with open arms into a Jewish household for a Rosh Hashanah feast, talking with new Israeli friends about the importance of self-reflection during Yom Kippur, and seeing little beautifully constructed huts pop up throughout my neighborhood I began to get a little more perspective on the traditional undercurrent of the High Holidays. Specifically, the concept of teshuva (תשובה), which literally means “return.” In respect to the High Holidays it means repentance, and the ten days between Rosh Hashanah and Yom Kippur are especially focused on teshuva.

I’d never heard the word before a couple weeks ago, and I’m still a little fuzzy on the details, but I understood it as a kind of returning to your original nature, or refocusing on your real self. Personally, I’m no longer a practicing member of any religion, so I applied this idea of returning to your original nature and refocusing on your real self to the primary religion in my life: med school.

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Mountain biking north of Beer Sheva

Moving to a new country is jarring. So is starting professional school. Put the two together, and it’s easy to get overwhelmed. Our first 6 weeks included an accelerated emergency medicine course, hours upon hours of studying Hebrew, being introduced or reintroduced to some heavy scientific topics, and the many tedious details of securing housing, utilities, groceries, and school supplies.  Throughout those 6 weeks, the holiday break became more and more of grass-is-greener type of window of opportunity; a promise to catch up on the growing list of “things to review.” By the time the break arrived, though, that list had grown so long that it became its own source of stress. I was overwhelmed with class, and I was overwhelmed with break…Until this concept of returning or refocusing started weaving its way through my mind…On one bike ride it reminded me of how inspiring the desert scenery is around Beer Sheva. On one hike it reminded me of how the challenges of medical school are easily trumped by the excitement of learning. And when I shadowed one of the orthopedic physician assistants in the emergency department it reminded of how rewarding patient interactions are.

Nico and Raphy duking it out in Krav Maga. 

My true nature, and my real self, is the reason I came to medical school. Whenever the stressors get too great and I begin to lose sight of that reality, I’ll just need to make use of little vacations to help me return to that reality. Whether that means doing an extra Krav Maga session with my classmates, camping out on the beach for a weekend, or taking the occasional nap, I know that returning to my original self will help check things off my list much more effectively than worrying about how long it’s gotten. And I have my first High Holidays to thank. 

My new golden rule for the next four years: Plan to Procrastinate.

Visiting home and traveling..my summer break before starting the second year of medical school by blogger of the month Maia Reiley

After spending a few days with friends in New York, I flew home to Maine, and immediately started preparing for the next leg of the very exciting journey that medical school is turning out to be. Visiting home is one of the wonderful things about traveling and living in a foreign country, and the result of habituating to a new country is a sort of reverse culture shock upon reentry. JFK airport greeted the newly deplaned arrivals from Israel with several well marked lines to stand in, depending on country of citizenship. The airport attendants loudly, enthusiastically, and repeatedly made sure that everybody knew which line to stand in, how to open their passports to the proper page, and how to present their customs ticket. While efficient, the process seemed insulting. After nearly a year of pushing and shoving and generally fending for myself to achieve anything from getting on a bus to opening a bank account, going through American passport control felt very foreign. 

Other experiences proved to be more welcoming in their simplicity. I could plug my computer straight into the outlet, instead of playing a balancing game with the outlet, plug converter and power cord. I could understand everything being said around, about, or to me. It is very nice to be able to have a conversation with instead of getting the general gist of questions and either smiling and nodding and saying thank you, or smiling and shaking my head and saying no thank you.

My few days in the city of well organized lines have been followed up with a refreshing stop in the land of no lines at all, which can also be called the land of nearly no people, or, in google-able terms, Brooklin, Maine. My family just calls it home, though.

The next stop will be Iquitos, Peru. One of the perks of attending MSIH is the likelihood of meeting other students who not only want to do the same things as you in their free time, but who will also make a plan do these things and follow it through. The current thing is a summer internship in a city off the Amazon that, apparently, can be reached by plane or boat, but not by road. Because I don't particularly enjoy cars or driving, this should be great. I wonder what the local practice is for standing in lines, though. 

Taking time to enjoy the sights, and the cats, amidst the crunch of finals, by Blogger of the month Maia Reiley

That dazed feeling of being nearly done with 11 months of what you always wanted to do…

We have one more week of class before our final final, and I know that the collective sigh of relief our whole class breathes will be tempered, at least from my corner, by a tinge of sadness. I will be grateful not only that it will be over, but also that it will have happened.

Back to the present moment, though. It is springtime in Beer Sheva (well, high summer by any normal person's thermometer), and there are a thousand kittens to mark the season. Leaving the hospital, going to the SuperSal or the vegetable stand, I will infallibly be surprised by some tiny cats making tentative steps from under a ramp or behind a railing. This type of unsolicited cuteness exponentially increases the amount of time I spend running errands.

Here is an example:

In other news, we took a trip North and saw some very pretty sights, including the Baha'i gardens in Haifa and the ruins of Caesarea. Although I love living in Beer Sheva and the unique perspectives it offers, seeing a beautiful city on a hill overlooking the ocean reminds me that I eventually want to move back near the water.

As an illustration of why, here's a throwback picture from Passover. We took a few buses down to Dahab on the Sinai coast to learn to scuba dive. The Sinai is basically a barren wasteland, in which I wouldn't want to wander for 40 minutes, let alone 40 years, but the Red Sea is a miraculous paradise full of beautiful life forms. As this year wraps up, I am already looking forward to returning to the Sinai and planning new adventures in this amazing part of the world.

But for now, back to the coagulation cascade.

It's nice to know that we always have the beach and each other, by blogger of the month Shauna Dunton

This will be my final post as blogger of the month, and it will touch upon a common theme in all of my posts which is that the best thing about MSIH is really the people. The best advice I can give to the entering class next year is that your best resource is each other.  The students in your class and also in other years of MSIH truly have your back and want to see you succeed and constantly work towards making changes in order for everyone to have a better, more effective education and experience at MSIH. I took a long road to medical school and I have seen many other educational systems along the way and I can assure you this is a unique feature of this school.

We have just finished a tough month of finals and have already begun Endocrinology, which is our sole focus for the next month. I can pretty much speak for all of us in saying that we are excited to be starting systems and can’t wait to see what the next year brings.

A big group of us went to Palmachin beach, just south of Tel Aviv, to go camping and get some sun and relaxation in before we started our next class. The weekend was complete with shesh beish, football, a nice fire, human pyramids and an unexpected private fireworks show put on by other campers on the beach. It’s nice to know that we always have the beach and each other. - blogger of the month, Shauna Dunton

Life's a Beach, by blogger of the month Aviva Friedman

Last weekend, I woke up on a beach. Despite it being only 6 am and having wind-tangled hair and a mouth full of sand, it was magnificent. It’s a constant struggle to find a balance between fun and learning, to fight the nagging voice telling me to stay cooped up studying while also trying to squeeze in time to get my suntan/burn on while sitting, eating, dancing, swimming (and competitively winning at card games) amongst friends and Israelis at sunset on the Mediterranean. We are living in this beautiful country, after all, and when the opportunity arises to go camping on a beach or diving off a cliff or snorkeling in the Red Sea, we must seize it (YOLO, amiright?). So, we packed our things and headed to Beit Yanai, a beach 30 minutes north of Tel Aviv, and did just that. It was a glorious way to cap off the weekend after an equally satisfying visit to Tel Aviv. 

As part of our first year Global Health course, we have been split up into pairs and assigned various clinical placements that we will visit 4-5 times over the semester. My partner and I have been placed at the refugee health clinic at Tel Aviv’s “new” (emphasis on the quotes…) central bus station, a hub for refugees from Sudan and Eritrea primarily. The clinic is a fascinating place, literally tucked between two bus stops in the center of the crumbling station, a respite for many that sees everything from minor burns and lacerations to pregnancies and rare infectious diseases. On our visit to the ER, we heard at least four different languages being spoken and saw babies and young women and middle-aged men being treated. All had stories to tell or physical markings that told their stories for them, of how they escaped war-torn countries and suffered through excruciating journeys and torture camps in Sinai before finding some sort of temporary respite here. For many of us, moving to a new country and learning a new language and culture has felt impossibly trying, but visiting a place like the clinic managed somehow to put everything into perspective.

Soon, we’ll be paying a visit to Hadassah Hospital, so I guess you could say “next week in Jerusalem”....

-blogger of the month, Aviva Friedman