2nd year cardiology! by 2011 blogger of the month Nicole Magpayo

Second-year medical student Nicole Magpayo (seen second from right) couldn't resist sending us this post, to give prospective students a glimpse of second year.

She writes "As we get back into our normal daily routine of classes, 2nd year MSIH students continue with medical Hebrew classes. This week we were taught Cardiology physical exams and performed them on each other!"

Jaffa, by January blogger of the month Seth Morrison

There are few feelings quite as nice in the life of a student as the feeling of completing a round of semester-end final exams. When these are finally over, as they are now for our class of 2016, it is like a colossal weight that is lifted off the shoulders. This new-found freedom does not set in instantaneously after stepping out of the examination room, however. The pain lingers for about a day afterwards, like the residual aches a trekker feels in his thighs upon setting down his burden to rest by the campfire after traversing a high mountain pass. Then, after that day has passed, ever so gently the new freedom sinks into the soul as softly as a butterfly alighting on an outstretched palm. The world seems fresh and new, full of color and potential.

Fresh air is breathed by lungs that have known little else but stagnant, indoor, dusty Beer-Sheva air for the previous several weeks of reviewing. Once again the senses are reawakened, and the singing of birds and smells of the earth are noticed and appreciated. Of course, this spirited jubilation is always short-lived in the life of a medical student, for the rounds of intense study, exams, and interspersed periods of liberty are cyclical in nature.

It is in these interspersing periods of relative liberty that I most enjoy setting off on some new small undertaking. This, I think, helps to re-sharpen dulled corners of the mind and to find again fragments of knowledge that you forgot you knew. The undertaking could come in many shapes, sizes, and durations. It need not be doing some noble deed or philosophizing until a brilliant epiphany into the nature of existence is attained. It could be something as simple as walking next to a river, attending a symphony performance, visiting a museum, reconnecting with a friend, or writing a letter to your grandparents. Nearly anything that lies without one’s regular sphere of activities invites contemplation for those with a curious intellect.

So it was with this in mind that, after the completion of one semester and seeing the looming advent of the coming one just around the corner, I set off to spend a weekend in the seaside town of Jaffa on the southern skirts of Tel Aviv. Jaffa is renowned for its oranges (which I did not get the chance to try and which are currently out of season anyway), but it certainly had much more to offer than fruit. The town, possibly the oldest port in the world, is beautiful. Indeed the name, Jaffa/Yafo, comes from the Hebrew and Arabic words for beautiful (יפו in Hebrew). It is perched like a fortress on the side of a jutting hill facing the sea like an amphitheater, and has a density of art galleries that rivals any historic old city. Spending my weekend there achieved the desired effect many times over: it allowed a plethora of new and returning insights to sink into my brain. I watched fishermen bringing in their catch in the afternoon twilight. I saw an African-Israeli family celebrating a wedding in the town’s lovely hilltop gardens.  In the evenings, I heard the Islamic call to prayer belting from minarets, trailing through the chilly winter air, and then mixing with church bells chiming from nearby steeples. In short, the town’s idyllic charm and rhythmic, undulating ebb and flow of life set the mood for a relaxing and inspiring weekend, which was just the lift I needed to be reinvigorated before beginning a new chapter in Part One of my MSIH tale.  - Seth Morrison, first-year blogger of the month

"Get the best from the worst" by December blogger of the month Ashley Voroba

A smart person gave me a piece of advice during the recent conflict:

Get the best from the worst.

It’s not really the same as “make the best of it,” or “when life gives you lemons, make lemonade.”  It’s a little bit different. 

While most of my classmates went home following the announcement canceling school, I stayed in Israel.  For a lot of reasons.  The biggest reason was that I never had plans to go home for Winter Break in the first place (since my mom is coming to visit).  Another reason is that I didn’t really feel the need to leave. Most importantly, I knew I wouldn’t get a drop of studying done back in the States.

I think it took me about a week to really get my head on straight after everything that happened.  Living in uncertainty and feeling powerless takes a toll.  For days after the ceasefire, I compulsively checked the news, holding my breath as I hit “refresh” on Ynet’s update page, looking for an answer to the simple question “why?” and knowing I wouldn’t find it.  I checked no less than three news sources each day, feeling unable to really trust any of them to be accurate or unbiased.  By now my news consumption has dwindled nearly to pre-conflict levels, though I think I’ll never really look at news the same way again.  I was reminded during the conflict that while journalists strive to portray the accuracy of an event (some more than others), there is no such thing as “the truth.”

Returning to Be’er Sheva after the conflict was strange.  Most of the people I know here had left, making it seem very quiet.  And suddenly I had nothing but time.  No classes, no exam schedule announced.  I forced myself into a routine of waking up early and trying to study, though I wasn’t really sure what to study for.  Thankfully, a few friends were still here, and I think we helped each other return to sanity and normalcy.

I’m not sure I was able to exactly follow the advice I received, but I did squeeze some great things out of my unexpected free time.  I finally made it to yoga (in Hebrew) and found time for spin class (also in Hebrew).  I bought some cold weather necessities like a space heater and an extra blanket (yes, it really does eventually get cold here).   I spent some time exploring Be’er Sheva and the Old City.  And I found the best spots in the library for studying, places with windows and quiet.  Living with uncertainty is part of life here, and I think I’m learning to be ok with that. 

Maybe that is the best from the worst.  - Ashley Voroba, December blogger of the month

My week during Operation Pillar of Defense, by Jamie Klein

I do not believe it is my position to write a political response to what occurred during Operation Pillar of Defense. As it is my first year at the Medical School for International Health, this is my first exposure to an experience like this and I feel it is most appropriate to share my story rather than my political beliefs.

Wednesday November 14^th

Around 4pm

 As the sun began to set on Wednesday evening, I received an alert from Haaretz newspaper informing me that the Israeli Air Force (IAF) had assassinated Ahmed Jabari. Not knowing who he was, I placed my phone down and continued to study. About fifteen minutes passed and my boyfriend, who sat next to me, received a call from his friend asking if he had heard the news. I watched as his face expression changed abruptly, not knowing what consequences were to follow. Once off the phone he explained to me that Jabari was the operational head of Hamas military wing. While we sat and discussed the possible repercussions of his death, the IAF continued to target rocket storage facilities throughout the Gaza strip. Following an hour of discussions, we decided that the potential for a retaliation from Gaza was highly probable and it would be a safe decision to leave Be’er Sheva for the night. Shortly after making the decision to leave, I received an email from Mike Diamond that classes would be canceled on Thursday November 15 – confirming the decision we made only moments before.

5:45pm

In the midst of packing clothes for the weekend and ensuring I had enough books to study, I called a classmate of mine, Zach, to see if he had been released from his Global Health Module (an additional seminar that students register for throughout the year). He informed me that they had indeed been released early and he was on his way home. I offered for Zach to come with my boyfriend and me to the Arava (an area in southeast Israel on the border with Jordan) for the weekend, as a precaution for the number of sirens that may occur later in the night and into the weekend. He agreed and we decided to meet at my boyfriend’s apartment around 9.

9:00pm

I was informed that our ride to the Arava was nearing the apartment, so I decided to call Zach and tell him to come over. Less than thirty seconds after hanging up the phone, the air-raid siren sounded. My boyfriend, his mom and I went briskly to the safe room, closed to window and door and waited patiently for the siren to end. Usually one cycle of the siren lasts a minute and only occurs once - this time the siren cycled through three times. Towards the end of the final siren we heard about 15 explosions only a kilometer or two away. Immediately I called Zach to find out his whereabouts. Luckily he had not left his apartment, but I urged him to run over to us before another siren sounded. I turned to the television and was surprised to see video footage of what I heard only moments before. One orange explosion after another appeared in the black canvas of the night sky and I felt my heart beat just one thump louder.

9:15pm

Although it seemed like an hour, Zach made it to our apartment in less than twenty minutes. While I was on the phone, giving him the access code to the apartment, another siren sounded. I told Zach to get into the stairwell while we went to safe room once again. This time the explosion was different – it was closer than before and did not have identifiable sound of the Iron Dome interception. This time the rocket landed inside Be’er Sheva. When the siren finished we retrieved Zach from the stairwell and together sat wide-eyed staring at the news. Shortly after we were notified that our ride arrived and we headed down the stairwell to the car. As we left the building we could smell the smoke from the rocket that landed inside the city. The smell of hot metal and fumes burned the inside of my nares, forever ingraining that moment in my memory. The following half-hour car-ride out of Be’er Sheva and passed Dimona, the next closest city, was the most quiet and apprehensive I have ever felt.

The following days…

My first few days in the Arava were spent in constant communication with my classmates. We knew at all times which students remained in Be’er Sheva and those that traveled to other destinations outside of rocket range. As one of the class representatives, my cell phone remained in the palm of my hand at all times. There is no question it was a stressful time for my classmates and me. As the situation continued to escalate, Israeli families all across the country were opening their doors to residents of the south. Never had I witnessed such hospitality and sincere compassion before in my life. Host families offered to take in each and every individual residing in the south, no questions asked. Thankfully Zach and I were able to find a host family in the Arava able to accommodate the Kiv family of six!  My classmate Sakal, his wife Faith and their four children were finally able to sleep peacefully. Their host family’s father even whittled wood toys for the children to play with. It was remarkable that we could transform such an uncomfortable situation into a mini-vacation.

As our days in the Arava continued, Zach and I were fortunate to tour the agricultural fields.  The Arava is a very special region of Israel that is at the forefront of agricultural technology and development. Almost every vegetable imaginable is being grown there, sprouting from the depths of the desert.

Final remarks

A week after Operation Pillar of Defense began, MSIH students were notified that school had been suspended to the end of December. Ironically, later that same day a cease-fire was declared. However by this time many students, including myself, had booked plane tickets home hoping to get home in time for Thanksgiving.

And indeed I did. I arrived home at 3pm on Thursday afternoon, just in time to surprise my family for Thanksgiving and celebrate my birthday with them.  24 hours prior I could not have imagined myself sitting at home surrounded by family and digging into my mom’s famous turkey and mashed potatoes. There was no doubt about it, I definitely had a thing or two to be thankful for this year. - blogger of the month, Jamie Klein

Refreshing, Awakening, Invigorating, Necessary: RAIN, by blogger of the month Jamie Klein

 11.12.12

In communities all over the world rain is mesmerizing. It literally forces us to stop in our tracks, allowing us to pause, evaluate and recollect our thoughts. In that moment of silence and stillness, we are amazed at what enters our minds. For my roommate rain is the ultimate balcony cleaning solution, no bleach or physical labor necessary. For myself rain brings a taste of home, a refreshing scent of spring that is generally lacking from this desert environment. And for the resident cat outside my apartment, rain provides the long awaited bath it has dreamed of.

Rain is as refreshing as it is essential, and it has arrived in Beer Sheva! 

As the weather is changing and finals are arriving, I can feel my classmates and myself itching for the interpersonal experiences we imagined having as up-incoming physicians. Appropriately timed, this week we began the first of several sessions intended to give us practical experience on the patient interview.

As a warm up for our pediatric interview rotation, my class and I visited Hagar elementary school in attempt to re-familiarize ourselves with the mentality of six year olds. The mission of the school is incredibly progressive in that they are integrating Arab and Israeli children and families together in order to develop a greater understanding of each others culture. Politics and conflict aside, it is a noble act.

My classmates and I divided into groups in order to participate in different after school activities: theater, cooking, reading, art, etc. A few others and myself were asked to join the kindergarteners. Due to the rain, our playtime activities were limited to legos, blocks, and crayons – still highly acceptable to the average five year old regardless of what continent you are on. I spent my time with a young Arab girl named Hallah building a lego farm. Like any two girls, our indecisiveness got the best of us and we remodeled several times. Luckily, in the end we were both pleased with the design of our lego farm! 

Aside from this experience forcing me to speak only in Hebrew, I was reminded that there is more to studying medicine than merely the basic sciences. It was the necessary wake-up call my classmates and I had been long awaiting. - blogger of the month Jamie Klein

When the going gets tough, the tough get going, by November blogger of the month Jamie Klein

November 1^st  As the temperature begins to drop and the leaves begin to fall, there are a few things American medical students look forward to…

The holiday isle in Walgreens is decked with holly in preparation for Christmas. 

Early morning training sessions for the annual Turkey Bowl officially begin.

 And my personal favorite, the long awaited transition to the infamous holiday cups at Starbucks. 

While other first year MSIH students and myself may have initially felt a few symptoms of withdrawal, I think it is safe to say we are adapting to life here in Israel.

Although I do not celebrate Christmas, my family is all too familiar with my adoration for a good Christmas tune. I am looking forward to continuing this tradition, even without the constant holiday music streaming from my car radio. Surprisingly Turkey Bowl fanatics are more relentless than Cubs fan! The date and location are to be announced (hopefully not on the “basketball court”- since nice grassy fields are a bit difficult to locate in a desert), but GAME ON. And after two and a half months of class on the 6^th floor of Soroka Hospital, the men in Coffee Time finally know our orders. Even though it is no Starbucks, the friendly morning meet-and-greet cannot be beat. 

photo courtesy of Nathan Douthit

While the month of November has many wonderful things to look forward to, we are after all medical students, and the weight of that statement is becoming increasingly more apparent. My classmates and I were politely reminded of this fact as we received the weekly schedule update last Thursday. In the next month my classmates and I will conquer a bacteriology lab report, weekly genetics assignments, a literature review, yet another famous immunology quiz, a bacteriology exam all while preparing for our five final exams that begin at the end of this month. If it seems like we should be overwhelmed, we are! And how will we survive this tumultuous month of never-ending studying? One day at a time, with our Coffee Time cup in hand, holiday music oozing from our headphones while dreaming of who will score the winning touchdown at the Turkey Bowl…well, at least that is how I plan on making it through.  - blogger of the month Jamie Klein

10.12.12 by Jacek Jarczynski

It is now almost 10 pm in Beer Sheva and I am unwinding from what was a very productive, exhausting but overall excellent day.  There was much to review for an upcoming biostatistics exam.  My friend Ashley and I put in a solid 7 hours doing practice problems and making sure we were clear on the conceptual ends of the material.  Much was accomplished today and tomorrow will be the final push as far as the studying is concerned.  After tomorrow it will be just a matter of knocking out the exam.  That was the business end of things for the day.  In the evening the books were temporarily retired and I decided to take a walk through Beer Sheva with no destination in mind.  Just wanted to clear my head and decompress.  On Fridays after sundown the town becomes very quiet and there are relatively few cars on the roads.  It is now much cooler in the evening here and most of the time there is a pleasant breeze zipping by.  I was walking down Ben-Gurion Avenue when from a distance I heard the sound of a beautiful melody.  I walked toward the source of the sound and passed by what looked like a wedding reception in one of the gardens adjacent to the street.  The melody was absolutely authentic to this area.  There was so much life and strength in this music and I could hear people dancing and celebrating behind the walls of the garden.  It was like a breath of fresh air.  Music is so essential … I lingered in the area just to listen a little bit longer.  Back in my room now and I am eyeing my bed … I will sleep like a rock tonight and will NOT dream about coefficients of determination nor will I be 95% confident or whatever % confident that the true proportion of a population is within a range of whatever.  I will catch up with the remainder of that business tomorrow!