A Funny Story My Favorite Aunty Shared

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Aunty Jean was my favorite aunt on my mother’s side of the family, and she made a tremendous impact on my life from a very early age. I remember meeting her for the first time during my first visit to Hawaii at the age of three. My uncle Tadashi had suddenly died of a heart attack, so my mom flew us both out to Hawaii to pay our last respects.

From the moment I set foot on Hawaiian soil, I was mesmerized by the islands and felt immediately at home. It certainly helped that I was able to meet my mother’s extensive family, and was greeted warmly by them. Jean was especially doting, and spent a great deal of time with me during our week on Oahu. She engaged me in arts and crafts, took me to the garden in the backyard to teach me about tropical fruits, and spoke pidgin English, a weird combination of Japanese, Hawaiian, and English which delighted my young mind.

Aunty also let me tag along and watch her cook. It was on one of those days during which I was watching her that I exhibited behavior which she thought was peculiar and brilliant, and went so far as to share the incident with other family members. The strange thing is that I barely remember the incident, but she remembered it vividly and loved retelling the story.

Aunty was standing in front of her kitchen sink, cleaning a whole fish. I stood next to her on my tiptoes, peering over the sink’s edge to watch her scale the fish.

Then I said, “Aunty, take one eyeball out.” She was alarmed.

“Why do you want one eyeball?”, she exclaimed.

“Please, Aunty, can I have an eyeball?”

She looked at me, impressed by my determination. “Well, okay, but I don’t know why you want it.” She proceeded to enucleate the fish on one side. “Okay, now what?” She looked down at me expectantly.

“Cut it in half.”

“What? Why do you want me to cut it in half?”

“Please Aunty.”

“Okay.” She shook her head in wonder and then cut the eyeball in half. “Now What?”

I held my hand out, palm up. “You can give it to me. Both pieces.”

Aunty obliged, placing two half-orbs onto my palm.

“Thank you Aunty.” I smiled at her, then looked down at the cross sections, studying their anatomy, bringing my hand to eye level to get a closer look. Once I had the anatomy lesson in my hand, I no longer paid attention to the full fish corpse which Aunty was cleaning.

My aunt found my fascination with a sliced fish eyeball completely odd, and was overcome with the strong sense that I would become either a scientist or a physician when I grew up. How right she was. During my entire grade school, high school and college years, I was in large part a science nerd, and when dissections, science experiments or surgeries on small animals were presented to me as class assignments, I dove in with feverish enthusiasm. At one point during college, I held a major in science illustration (I later switched to exercise science and obtained my Bachelor’s degree in that field). Eventually, I endured the rigors of medical school as well as three years of family practice residency, and I have enjoyed a career as a board certified physician for 13 years.

My Education Never Stops

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For those of you who think that physicians are done with educational pursuits once they complete the rigors of medical school and residency, think again. We must complete continuing medical education credits (aka CME’s) for the length of our medical careers. This means that we must attend conferences and seminars, take online courses, complete quizzes in medical journals and take recertification exams to retain our board certification. Such CME’s aren’t cheap either. The average cost of each credit hour is $25, so when you multiply that by the 150 hours required in each three year cycle for board certified physicians like me, $3,750 has flown out of your wallet, and that doesn’t take into account the association dues for the governing sites which offer the most desirable and relevant CME credits.

Today I decided to chisel away at my ongoing requirements and took two online CME courses. The first was on diabetic foot ulcers and was quite graphic and disgusting, but since I am required to know how to treat this condition, I tolerated the images which flashed on the computer screen. I then took a course on gastrointestinal disorders which was far less graphic but yielded valuable information which was a great review for me. At the end of my two hour review, I received two CME credit hours which will be counted toward the 150 total hours I will need to accumulate by the end of 2015. I wish I could do most of my CME credits online, but there are limits on online coursework. What that basically means is that I am forced to participate in live courses, which means that I must figure out what courses my schedule will accommodate. In addition, live courses are significantly more expensive. I was investigating medical conferences yesterday and discovered that one major conference would set me back by $1,400 just for the registration alone! Since I cannot afford that conference, I must get creative and find other options which aren’t nearly as expensive.

I research CME opportunities every few months for the most respected and accessible opportunities, so I feel confident that I will find cost-effective ways of fortifying my medical knowledge while fulfilling my CME credits before the end of the current cycle. Since I also recently obtained an NAFC Nutrition Coach Certification, I will need to keep up on CEC’s for that as well. Oh, the learning never ends!