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Monday, September 26, 2022

CASPA School Interviews and PA School fair

Every year the PA school fair rolls around and I often find myself caught unprepared for the events of the day. Thankfully someone compiled a list of things that would be needed for each PA school application. The missing parts of the list can be used as a question template for school representatives at the CASPA fair.

  

Question

Answer

Why us?

How did you find us?

Good points about our program

 

School mission

Program overview

Student and faculty

 

Gap in education – Prerequisities

Additional Education

Certificate

Other programs? Y/N

EMT

MA

GRE

MPH

 

How you improve?

 

Why Healthcare? Why PA?

Academic foundation à PA

PA good role player

 

Good economic finance

Scholarship program

Dorming

 

COVID 19

Effects

Changes

Actions

 

Working Experience

MA

Other activities:

- Red Cross

-

 

Online/Onsite

Class size/community

Social networking

Student relationship

 

 

Monday, July 25, 2022

Drafting a Personal Statement, Going through Writing Hell

I am trying to follow the guidelines laid out in the previous post about using characteristics or traits that I want to flesh out. The going is rough though as I am never really quite good at self-promoting or writing with vivid descriptions. 

I have the following below:

When initially setting up the discussion, the age of the patient plays center role. For one elderly gentleman, Mr. Jackson, I talked about US presidents of their time such as John F. Kennedy (JFK), and Lydon B. Johnson.

The conversation quickly spiraled into a discussion of New York City (NYC) mayors and the past city environment. In the days of yore, the city was crime ridden and undergoing urban decay. The poor environment painted a negative view of public services that affected the man to this very day. As a result, he was reluctant to rely on public transport and always preferred driving to any destination. However, he was developing cataracts and was losing visual acuity. This issue was impacting his entire life as he lived in a Long Island suburb. He was relegated to using the dreaded Access-A-Ride, known for its tardy service. I could sympathize as traveling from the suburbs to go to any destination without a car is close to impossible for the handicapped. This personal connection gave greater emphasis to accommodate him and to ensure schedule flexibility with his appointments. Just remembering the patients in the first place is the key to personalized healthcare. Sounds simple, but being able to recall one patient among the many can be quite challenging.

 My previous knowledge History is powerful tool to connect to patients on a personal level. By reaching into the past, I can invoke a sense of nostalgia as well as empathize with patients by linking to the present. At in Elmhurst,  As a medical assistant, I have ample time to chat with patients about the history of New York City or the history of the United States (US). During the Often time conversations can be linked to present day circumstances and can help form personal connections central to high quality care.

Yet just understanding and remembering a patient is not enough to help them. Once the task was outside my scope of practice, I was left helpless. Many of the medications and forms for specialty services required a nurse or doctor to sign off. In these scenarios, I was a glorified phone operator taking and passing messages along. Often both, the doctor and nurse, were already swamped with in basket messages and it would take hours or days to get back to each patient. One particularly gnawing incident was an elderly couple that had come to apply for the blue disability parking tag. Unfortunately, they had absolutely no idea where to begin and came with just the vague notion that they needed a health clearance. After going in a blind search for the specific form required, I needed to find a doctor to assign them to as their regular doctor was out. Another few days of frustration and frantic calls later, they finally managed to get their blue card in the mail about weeks later. This incident left me disheartened about the limitations of my job and pushed me to move up to a higher-tier healthcare professional.

Knowing the context behind a person’s life is important to craft a close relationship. The past shapes the background for the present. However, without the ability to follow up and act on that connection, not much can be accomplished. I ...

Monday, June 20, 2022

Issues with Writing a Personal Statement

I have been going through the wringer again with writing personal statements for PA, RN, MD, and DO. I just keep having writer's block and struggling to come up with a decent outline that does not need constant adjusting for every new sentence I composed. 

Once again, I have also been running right into the wall with 3rd person statements. I do not know if it is a bad habit I got from my history major days, but I found run into the issue of writing in the neutral 3rd person. God, it gets so frustrating! I write a paragraph into existence, only to read and find out that it sounds trite or dull.

It has gotten so bad these past few days that I am checking multiple different online websites to find examples of good writing that I can learn or emulate. Here are the takeaways I got from a few of these sites:

https://www.shemmassianconsulting.com/blog/medical-school-personal-statement-analysis

Excellent source describing how to approach writing a good personal statement. It goes through the run down on how to write the intro → body → conclusion in a more detailed fashion than others on here.

  1. Resume-first approach leads to poor introduction
  2. Use a list of qualities 1st (use 2 or 3) → think of events or situations that highlight these qualities
  3. Show don't tell (write like Charles Dickens and drop in adjectives like crazy)
  4. No need for Eureka moment
  5. Cover 3-4 personal experiences
    1. Why did you pursue the experience?
    2. How did you feel during the experience?
    3. What have you accomplished or learned?
    4. How did the experience affect you?
    5. How did the experience influence you to pursue medicine?
  6. Conclusion = positive qualities + new perspectives + passion for medicine
https://www.princetonreview.com/med-school-advice/medical-school-personal-statement

Okay source, but has too many general tips or rules (15 on their list). It goes broad in its advice and adds some cliches of its own such as checking for spelling and grammar.
  1. Allow extended time for multiple rewrites and revisions
  2. Focus on a certain aspect of the story
  3. Take care with cliches
  4. Show don't tell
  5. Solid 5-point essay format: (Intro, 3-4 body paras, conclusion)
  6. Check for grammar & spelling
  7. Get 2nd opinions about your essay
https://writingcenter.wustl.edu/2021/03/17/finding-your-voice-medical-school-personal-statements/

Very verbose with pain text and blog-like aesthetic (like here), but good writing advice.
  1. Have a plan for 2 stories focusing on people/science.
    1. People stories
      1. I helped someone
      2. Saw its impact
      3. Felt gratified
      4. Write down the 5 senses details from these moments (good intro)
        1. Follow up next para with background before the event
    2. Science Story
      1. Doing something sciency 
      2. Solved problem and got the result
      3. Gratification
      4. Write down 5 senses right before the wave of gratification
        1. follow up vivid hook with background paragraph
  2. Segue between people and science stories with a good transition
Hopefully with these new "templates", I can develop more clear outlines for a good essay. So far I keep ending up with the same nonpersonal rubbish.



Thursday, May 12, 2022

MCAT Studies: Amino Acids

Amino Acids

Chart division of amino acids based on properties:

Acidic 

Basic 

Polar 

Nonpolar 

  • Aspartic acid 

  • Glutamic acid 

  • Lysine* 

  • Arginine? 

  • Histidine* 

  • Serine 

  • Cysteine 

  • Tyrosine 

  • Threonine* 

  • Asparagine 

  • Glutamine 

  • Glycine 

  • Alanine 

  • Valine* 

  • Leucine* 

  • Isoleucine* 

  • Phenylalanine* 

  • Tryptophan* 

  • Methionine* 

  • Proline 

     

* Essential amino acids, (Arginine is debated).
PVT TIM HALL - Essential Amino Acids



Aspartic acid, Asp (D)
  • Acidic → if deprotonated, (-) charged side chain
  • Aspartate = deprotonated aspartic acid

Glutamic acid, Glu (E)
  • Acidic → if deprotonated, (-) charged side chain
  • Glutamate = deprotonated glutamic acid

Lysine, Lys (K)
  • Basic → if protonated, (+) charged side chain
  • Cationic @ physiological pH

Arginine, Arg (R)
  • Basic → if protonated, (+) charged side chain
  • Cationic @ physiological pH



Histidine, His (H)
  • Possible Basic → if protonated, (+) charged side chain
  • Possible acidic → if deprotonated, (-) charged side chain
  • Side chain close to physiological pH → "His goes both ways," Acid/Base

Glycine, Gly (G)
  • Nonpolar → hydrophobic
  • Aliphatic side chain → Only H atom as side chain

Alanine, Ala (A)
  • Nonpolar → hydrophobic
  • Aliphatic side chain → Methyl side chain 

Valine, Val (V)
  • Nonpolar → hydrophobic
  • Aliphatic side chain → Isopropyl side chain
  • V similar in shape to isopropyl 

Leucine, Leu (L)
  • Nonpolar → hydrophobic
  • Aliphatic side chain → isobutyl side chain



Isoleucine, Ile (I)
  • Nonpolar → hydrophobic
  • Aliphatic side chain → secbutyl side chain
  • Not sure why this one was called iso when sec would have been a more appropriate side chain name.

Phenylalanine, Phe (F)
  • Nonpolar → hydrophobic
  • Aromatic side chain → phenyl
  • Easy to remember this one: alanine structure + phenyl group

Tryptophan, Trp (W)
  • Nonpolar → hydrophobic
  • Aromatic side chain → indole side chain

Methioine, Met (M)
  • Nonpolar → hydrophobic
  • Sulfur containing amino acid
  • Thioether side chain
  • Related to the start codon AUG → codes for methionine

Serine, Ser (S)
  • Polar → hydrophilic
  • Hydroxyl side chain

Cysteine, Cys (C)
  • Polar → hydrophilic
  • Sulfur containing amino acid
  • Thiol side chain

Tyrosine, Tyr (Y)
  • Polar → Hydrophilic
  • Aromatic side chain → Phenol

Threonine, Thr (T)
  • Polar → hydrophilic
  • hydroxyl side chain

Asparagine, Asn (N)
  • Polar → hydrophilic
  • Amide side chain
  • Amide derivative of aspartic acid



Glutamine, Gln (Q)
  • Polar → hydrophilic
  • Amide side chain
  • Amide derivative of glutamic acid

Proline, Pro (P)
  • Nonpolar → Hydrophobic
  • Unique b/c covalently bonded to nonpolar side chain
  • Has α-amino group

I will need to really mesh these structures together and test out what works best for memorization.

So far the 4 easiest to remember are aspartic acid, glumatic acid, glycine, and proline. The acids have the almost the same structure, but missing one extra carbon (w/ hydrogens). Glycine has only the H atom for its R group, while proline has a unique pentagon ring. 







Friday, February 11, 2022

Old attempts for keeping records for transactions. New attempts for money management, back to software

 When going through the Google Drive files, I found the old files that I used to keep track of transactions. I will post them here so that I can keep these memories. Plus, I get to reminisce on the embarrassment of having such mediocre financial record tracking. 

First up is the expenditure tracking:

Month (Interval from 1st of the month to the 1st of the next month (not included the 1st of the 2nd month)MET$0.99 storeChinese SupermarketTargetKeyfoodsEating OutBCHome improvementTransportationEntertainmentTotal
February 201611.885.456.8519.2031.520.9151520185.74
March 201628.67000028.5005062.17
April 201614.470020.79065.311000101.57
May 201607.622642.95012.494.700093.76
September 201600076.315.8929.5155.12000276.81
October 201602.947.46110.28060.622.01590197.31
November 2016013.25112.09053.8220.83000190.99
December 201606.256.2349.91057.80000120.19
February 20178.9824.425.49205.6416.0916.8554.4000331.87
March 20170047.1608.1616.844.500076.66
April 20170
May 20170
0
0


Expeditures
Month (Interval from 1st of the month to the 1st of the next month (not included the 1st of the 2nd month)MET$0.99 storeSupermarketTargetFood vendorFastfoodBCHome improvementTransportationTotal
November19.9815.1112.050111210.57205105.71
December13.150025.215015.490058.85
2015 Totals33.1315.1112.0525.21161226.06205164.56

As seen above I spent too much time trying to separate the expenditures based on company name.

My other obsession at the time was trying to figure out the best "deal" that I would be getting when buying from different stores. I tried to use net weight vs price to avoid the fancy sales tags that the stores like to put on their stuff. The problem was that I never had the excel chart hand when actually going shopping and in the end, I never actually used it much beyond self-confirming my own purchases.

MET FoodsTop-oldest Bot-presentOnly for weight priced items
DATEItemCompany nameQuantityPrice ($)Price per weight ($/lb)(solid) Net Weight (g)Price per mass ($/g)(liquid) Volume (mL)Price per volume ($/mL)Sale?
Eggs (1 dozen)NELM Jumbo13.29NO
Baking Soda boxArm & Hammer11.094540.0024NO
TilapiaStore brand1 - Set3.006.00NO
Chicken TightsPerdue1 - Set3.722.09NO
YogurtLayog$5$3YES - 5 for $3
ChipsHerr12184.30.0109NO
Canned CornDel Monte11.894320.0044NO
MandarinsCuties12.9913600.0022YES - 1 for $3
WholeGrain BreadWonder12.295670.0040NO
DonutsEntenmann's82.994390.0068YES
SodaPepsi23.1020000.00155YES - 2 for $3
Honey HamBudding13.492550.0137NO
Turkey BreastBudding13.492550.0137NO
BrocolliNone21.980.49
YES - 1 bunch for $1
PineappleStore brand1 - container2.483.3340.19430.0073NO
OnionsOnions1 - bag4.994535.920.0011NO
PotatosIdaho1 - bag2.9922700.0013NO
Basa FilletStore brand1 - Set3.844.99349.26610.0110NO
Italian SausagePREMIO1 - Set3.99453.5920.0088NO
BananaDole1 - Bunch$1.520.691002.4390.0015NO
Penne RigateVitale5 - bags5453.5920.0110YES - 5 for $5
Started Fri 4/8/16MushroomsGiorgio1 - box1.992270.0088NO
4/8/2016Spaghetti SauceWhite Rose1 - Jar1.996730.0030NO
4/8/2016Chicken LegsPerdue1 - Set3.72843.68180.0044NO
4/8/2016Chicken ThighsPerdue1 - Set3.431.291206.5560.0028NO
4/8/2016Pork ChopsMET Brand1 - Set3.362766.57110.0044NO

The sad part is that I still struggle with managing money well. I am trying not to rely on using software to keep track, but when I use handwritten records the accuracy is all over the place. Currently going back to electronic records because paperless has become king for a lot of billing platforms.


Two possible software to try out is

- You need a Budget → Bought the program via Steam, but have not utilized it fully yet.

- Quick books → Heard this program's name through a lot of business-oriented people. It would be great to learn, but I have yet to see how it could help a salaried employee like me.

- Mint → New subscription-based service for money management (Hard pass if possible I hate subscription-based stuff)