Wednesday, February 10, 2016

go with your gut

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So I started my GI rotation this week and I am loving it. The doctor I'm with is amazing - she's so sweet and kind, and she just shows so much compassion for her patients - it's truly inspiring. I know I'm going to learn a lot from her, and I'm just excited to see the real life side of GI versus the book.

On a personal level, it also gives me a bit more of a flexible schedule. Some days I don't have to be at the hospital or clinic until later in the morning, which means I have more time in the morning for reading...and taking pictures once in a while. I repeated an outfit I wore a few weeks ago just because I liked it so much the first time. It's nothing too fancy, but it was comfortable and warm, which is great because it started snowing about five seconds after I finished pictures.
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Sweater: Everlane [exact]
Blouse: Loft [similar]
Pants: The Limited [exact]
Shoes: Target [save | splurge]
Bag: J.Crew [similar below]
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My red tote was my Christmas present from my parents and I'm obsessed  with it - it's the perfect work size, plus it has my monogram :) The red version is sold out now, but the blue version is still available and on super sale if you are interested. If you'd rather have a red tote, below are a few options at different price points. Plus Madewell just came out with a red version of the transport tote if you want to spend a little more (it's seriously gorgeous)
under $50: one | two
under $100: three | four
under $200: five | six 

Tuesday, February 9, 2016

beauty tuesday: origins drink up intensive overnight mask

Origins Drink Up Intensive Overnight Mask

Over the past year, I've really expanded my face masks collection. For most of my life, I did occasional exfoliation and left it at that. I'm getting a bit older and experiencing different skin concerns than I have in the past, so I'm looking for new options to help. Jessica from Bedknobs and Baubles raved about the Origins overnight mask, so I was more than willing to get it a try. 

what it promises:
Put dry skin to bed with this ultra-rich, hydrating overnight mask. Avocado and Apricot Kernel Oils deeply and instantly quench compromised moisture reserves and help build a reservoir for tomorrow. While Japanese Seaweed helps repair skin's barrier to prevent future dehydration and signs of premature aging. Skin awakens comfortable, refreshed, supple.

how I use it:
At night after removing my make-up and washing my face, I lightly exfoliate with an enzyme mask or konjac sponge, and then put on a medium thickness layer all over my dry face. Then I wait at least a few minutes to go straight to sleep just because I sleep on my stomach/face. I do this 2-3 times a week, usually the night after using my tretinoin cream

what I like:
My first impression was that it smells amazing. It smells just like apricots, but it's definitely a natural smell, not artificially sweet. Second impression is that it feels really nice going on my skin - especially if your skin is pretty dry and sensitive, it just feels nice to put on this smooth, soothing mask. It's not oily or greasy at all and doesn't leave any residue on my pillows. I love that I can put something on my face at night that works throughout the night. 

The best part is the results in the morning. My skin is softer, more moisturized, and almost has like a blurred look to it - like you can't see the little red lines and patches on my face. 

what I don't like:
I personally can't see anything wrong with this product or something I would want to change. I checked out the Beautypedia review after using it for a few weeks just because I was curious what they had to say, and they did not recommend it for sensitive skin because of the fragrant oils used. If you have very sensitive skin, this may not be for you. While I usually trust the beautypedia reviews, I was already liking the mask so I wasn't going let that sway me. 

would I buy this again: 
Definitely. This is my first time trying out an overnight mask, so I'm open to trying other masks as well, but I will definitely be repurchasing the Origins Drink Up Overnight Mask. I love how my skin looks and feels, especially now during the colder months. 

Sunday, February 7, 2016

top three [02.07.2016]

when in doubt, go with stripes

  • A recent study has shown that the fiber intake during early adolescence is associated with a lower chance of developing breast cancer. The full study can be found here, but this article on NPR condenses it for an easy read.
  • My friend Lizzi sent me this article the other about a woman and her intuition about her labor and delivery. I can't stop thinking about her story, and it will make me think differently in the future if a patient presents similarly. 
  • While we get our "normal" DNA from both of our parents, there is a small amount of DNA in our mitochondria that we only inherit from our mothers. There are certain diseases called mitochondrial diseases that ethic committees are now discussing if they can't be prevented by doing mitochondrial transplants, so that an embryo would technically have genetic materials from three different people. 

on the internet


ask me anything
  • Why are you studying in America and your Sister in Germany? Are there major differences between medical school? 
    • The major difference between American and German medical schools is that in America, you go to college first, and then go to four years of medical school. In Germany, you start medical school immediately after high school, and you go for six years. I've always felt more American than German, and I knew that I would spend the rest of my life living in the US, so it made the most sense for me to stay here. My sister always felt more connected to Germany, and she may eventually move back to Europe to work, so those were two big draws for her. 
  • I'm an MS3, and with the long hours of rotations, I find it hard to cook food and not end up eating unhealthy cafeteria food. Have you been able to keep your 4 hour body diet or do you have tips for food/snacks that you bring on rotations? 
    • It's been a bit hard to stick to the Four Hour Body diet now that we are on rotations. It was so easy last year because I was home all day long, so I could cook for every meal. Now that's not always the case, and honestly, it's just easier sometimes to eat in the cafeteria instead of making and bringing lunch every day. We do still live by a lot of the rules though - we don't have carbs for breakfast or for dinner, and don't really keep many sugary items or bread in the house. My go to snacks on rotations are carrot sticks, packets of peanut butter, protein bars, and hardboiled eggs. I try to choose the healthier options from the cafeteria, or have a salad. It's definitely not easy to always eat healthy, but it is doable. Like I've mentioned, I put on weight very easily, so not sticking to a strict diet has made me gain a few pounds over the past 7 months, but I know that eating healthier overall and keeping my sanity is more important than five pounds. 
  • What do you wear while running errands, having coffee with friends or whatever you do during your of time.
    • I am actually pretty lazy when it comes to what I wear at home - I'm almost always wearing yoga pants and my LL Bean fleece. When I'm out running errands....I may just wear that. If I'm actually doing something though, I wear dark jeans with an everlane tee and cardigan. 

on franish

notable sales

  • I spent Friday night celebrating my bff's birthday as she was back in the area for school, and it was SO good to be reunited with my friends. It was great just to talk, play pool, and cuddle dogs for the night :)
  • My trusty first generation iPad was no longer really doing too well, so finally upgraded to an iPad mini this week. I'm very excited about it because it's the perfect white coat size, so now I just need to find the right case for it. Does this dachshund case scream professional? I love it. 
  • My IM sub-speciality in GI starts tomorrow and I'm so excited. Have any of your medical students done a month the service/do you have any tips for me?

Friday, February 5, 2016

out of the loop

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I have felt soooo out of the blogging loop these last few months. Between wearing scrubs all day, and being sick the past few weekends, I haven't had any opportunities to take blogging pictures ( / even wear real clothes). I know many bloggers hire photographers and take a bunch of pictures at the same time, but a part of me is just way to lazy! It's hard enough to come up with one outfit, much less five at a time. How do you do it, bloggers? 

Anyway, today is officially my last day of wearing scrubs for the next four weeks! I'll miss ya, adult pjs for work, but I have found they make me exponentially more lazy - I wash my hair at most twice a week, I wear less make-up, and I maybe eat a little more just because who notices when you wear baggy mens clothes all day? attending on the next rotation is always really well dressed and put together, so I'm excited to feeling a little bit more put together myself. Maybe I should start by getting those roots fixed...yikes! Let's just pretend I did it on purpose, mmkay? 

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Vest: J.Crew Factory [exact on sale!]
Shirt: Loft 
Pants: Express [exact - review here]
Scarf: Ann Taylor [exact]
Boots: Vince Camuto [love this similar pair - that back!]
Watch: c/o Larsson & Jennings [exact]
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Wednesday, February 3, 2016

how to: tie an oversized scarf

Back when I didn't wear a white coat most days, you were more than likely to find me wearing a scarf between the months of October and April. I just love having something warm around my neck, and I find it's the easiest (and comfiest) way to complete an outfit in the colder months. Now that I wear my white coat, I don't wear scarves during the week as often, but still wear them all weekend long. How I tie my scarves is one of my most frequently asked questions, so today I'm sharing alllll the secrets. 
how to tie an oversized scarf
It's really not difficult at all - it's actually stupidly simple. The real secret is finding the right kind of scarf. While blanket scarves are still the scarf du jour, I really prefer oversized scarves - the fluffy kind that are warm and comfortable, but don't take over your entire body. Mine above is from Ann Taylor, and is the perfect example of what I'm talking about. Similarly, my tan scarf from Nordstrom is also the perfect size. 

To tie your scarf, hold it at one corner of the scarf - this stretches the scarf to its longest length, and makes it so your ends won't be as bulky. Loop it around your neck once, so that the ends are even on both sides. Then take the top half of the tails and tuck it up into the loop. That's it! 

Simple stupid, and works every time :)

Tuesday, February 2, 2016

beauty tuesday: my current skin care routine

skincare routine
I'm sort of at an impasse at the moment when it comes to my skincare routine. I have some holy grail items I've used and loved for a long time, like my coconut oil + Paula's Choice cleanser combo, that won't change any time soon. There are some new found loves, like my First Aid serum, that I know will be a part of my routine for a long time, and then there are certain new items, like the Belif moisturizer, Origins overnight mask, and Glossier cleanser, that I really am enjoying but haven't used long enough to have a full review ready (I like to use something for at least a month before doing a review). Therefore, today I'm sharing what I'm currently using and testing daily (or weekly, when it comes to treatments and masks!).

As just a bit of a disclaimer about my skin: I'm not one of those lucky people who naturally have really great skin. I have pretty dry skin that is still fairly acne prone (that also scars easily). I also have a fairly patchy complexion and dark eye circles, so I've been looking for products over the years to help me with these issues. I'm not necessarily complaining about my skin, because overall it isn't that bad at all, but just to share what my skin concerns are and why I chose the products I did. 

AM routine
  1. Glossier Milky Jelly + One Love Organics Sponge: I saw the press release for the new Glossier cleanser, and some of the original reviews, and was intrigued. I either use it by itself, or put it on my cleansing sponge when I need a bit of gentle exfoliation (especially after a night of using my tretinoin cream). I am really really enjoying this combo!
  2. Paula's Choice Skin Perfecting Liquid: I dab a few droplets on a cotton pad, and then onto my acne prone areas. Read my full review here
  3. First Aid Hydrating Serum: I use about half a pump, and rub all over my face. Still loving this product - full review here
  4. Belif Moisturizing Bomb: I had previously been using CeraVe's AM moisturizer with SPF, but since I need a bit more moisturizing in the winter (and since I don't actually see sunlight during the day), I recently made the switch. This is very hydrating, but my skin has really felt much more hydrated recently - review coming in a few weeks!

PM routine
  1. Coconut Oil: For years I used those Neutrogena make-up remover toilettes, but I never thought they did that great of a job on actually removing my make-up, and I hated spending $6 every 20 days on a new package. Then Pinterest came along, and taught me the magic of coconut oil, and I haven't looked back since. I melt a little between my finger tips, and rub onto my eyes, and then rinse with water. 
  2. Paula's Choice Cleanser: I love this cleanser - I'm on my fourth bottle! It is the only one I've found that removes the coconut oil and remaining make-up, it doesn't dry out my skin, and a little bit goes a long way. Worth every single penny. 
  3. Retin-A Micro gel: After making sure my skin is completely dry, I use a chickpea amount all over my face. My experience (with pictures) can be found here. I use this every other night. 
  4. Vanicream: Recommended to me by my dermatologist, this is a very heavy moisturizer, but without any of the "bad" stuff. Apparently many patients with eczema have great results with this cream as well, so if you struggle with either eczema or dry skin, it may be worth checking out since it is so inexpensive. 
  5. CeraVe Eye cream: I started using this a few months ago - I haven't really noticed a difference one way or the other with it, but it makes me feel proactive about the skin around my eyes so whatever, I'll keep using it for now! But I'm definitely open to suggestions if someone has an eye cream they've had noticeable results with.

Masks & Treatments
  • Kiehl's Acne Spot treatment: I don't really think there is a big difference between these different salicylic acid spot treatments, but I've been using the same tube of this for over a year, and it works fine. Recently, I've been using this at night with a dab of Glam Glow cleansing mask on top of it, and it actually has worked really well (future post planned for that as well). 
  • Glamglow Supermud Clearing Treatment: I got this as a part of the holiday gift set (which seems to still be available), which includes the normal large size of the black jar + a smaller size of the white jar + a cleanser + brush, for the price of the larger black jar, and it really was a great deal! Like I said above, I've been using this as a spot treatment and it's been working really well in reducing pimples before they even show up. 
  • Glamglow Youthmud: $70 is a lot of money to spend on one skincare product, which is why I spent literally years asking for samples of this every time I went into Sephora. I finally bit the bullet over the holidays with the giftset, and don't regret it for one minute. I use this about once a week now - I leave it on for about 20 minutes, rinse, and follow with the Origin's overnight mask since it does dry out my skin a bit. I love using the brush to apply it evenly to my face (+ it keeps it out from under my finger nails), and with a little bit of water added before screwing the lid on as tight as possible, I haven't had any issues with it drying out. 
  • Origin's Overnight Mask: Jessica recommended this to me a few weeks/months ago, and I've really been enjoying it! More thorough review to come soon, but if you've been eyeing it, definitely give it a shot. It smells amazing and my skin feels so good in the morning. 
  • Tony Moly masks: These were recommended to be by another customer in Sephora, but I ended up finding them a bit cheaper on Amazon. I've used two so far, and like them! Full review coming once I've actually used them all, but the price really can't be beat. 

So that is my current skin care routine! Any suggestions, tips, or product recommendations? I'd love to hear what some of your holy grail skincare items are!

Sunday, January 31, 2016

top three [01.31.2016]

one of my favorite purses doesn't get the love it deserves
  • The "breath of death" is a late sign of liver disease and a clinical sign of hepatic encephalopathy. I personally have not smelled this, but apparently it has a "sweet, fecal" smell. Hmm. 
  • Pre-eclampsia is a complication of pregnancy that is defined by high blood pressure and a large amount of protein in the urine. Experts believe that vessels in the placenta are the reason for these changes, but exact mechanisms are unknown. Interestingly, one of the risk factors for pre-eclampsia are if the baby's father's mother had pre-eclampsia in her pregnancies. 
  • The advancement of pharmaceuticals over the last few decades has been amazing, but as it turns out, the number one thing you can do to lower your blood pressure if you are overweight is to lose weight. The boring, and hardest, answer to what you can do for your heart. Here are 21 other, probably more interesting, facts about the heart

on the internet
  • Weight gain is something that happens to most women, but few openly discuss it. I know that personally as someone who has PCOS and has a really hard time losing weight, it isn't something I like to discuss either, so that makes me even more proud of Alissa for opening up about her struggles. In addition, and the best part of the post, is that she discusses ways to still work on your style and love clothing with those extra pounds. 
  • How cute is Merritt's all neutral look? Makes me want a pair of gold sneakers real bad. 
  • Morgan and I worked together the summer between first and second year, and she is seriously one of the best people I've ever met. Reading her latest experience in the ICU made me cry and want to hug her - she's going to make the best doctor. 
  • Bonus: Alyssa's post about Switzerland officially moves it to the top of my MUST GO NOW travel list. 

  • Do you really love Valentine's Day, or have a fun Galentine's Day party to go to? Please wear this heart covered dress - it's so freaking cute!
  • OTK boots are all the rage this winter, but I can't bring myself to spend $700 on a pair. These look alikes are on sale now, are maybe even cuter than the original, and are under $100!

ask me anything
  • I am a 2nd year pharmacy student and your posts are my favorite study breaks. Do you interact with pharmacists much? If so, what are your interactions like? 
    • I'm doing most of my third year rotations at a smaller community hospital, so unfortunately I personally don't get a lot of interaction with the pharmacists. We do have pharmacy students round with us occasionally though! I know that at larger hospitals that many times they have pharmacists on rounds with them, which I think would be such a great experience since you guys know so much more about dosing and drug interactions. We do occasionally have to call our pharmacist though for questions, especially for our patients who are on many different medications, and they have always been so helpful and knowledgable! 
  • My husband are loving the show Code Black, and while watching it last night I wondered what people in that field thought of the show. So, my question is, If you watch any shows that take place in hospitals, what is your favorite? And which show do you feel is the most realistic? 
    • I'm actually a pretty big fan of medical shows - I have watched Grey's Anatomy from the beginning, I've watched almost all of House, I've seen some of Code Black, and I recently started watching Nurse Jackie. I've really only been in the clinical setting for seven months now, and only in my limited role as a medical student, so I can't really say how realistic the life of a surgeon is portrayed on Grey's or what an emergency medicine residency is like, but I can tell you that much of what goes on in the hospital is fairly mundane - a lot more charting and a lot less on call room romance ;) That's not to say that some of the situations haven't happened, but showing residents putting in orders is a lot less thrilling to watch on TV than a patient with a bomb in them, so I guess it's a tiny bit realistic, but not in the moment to moment, hour to hour life that is portrayed on television. 
  • I start PA school in May and have been so inspired by your style to build up my own wardrobe for school. I was wondering if you have any suggestions for a handbag I could use for school, preferably under $60 since I'm on a budget. Thanks so much! :)
    • Yay - congrats on getting accepted, that is so exciting! There are definitely a ton of bags at the price range, it all just depends on what you are looking for. This Phase 3 tote is the most classic black tote you're going to get (bonus is that it's currently on sale for under $40!). Sole Society has a really cute structured option that is just a few dollars over your limit. I found myself using a leather tote during the week while at school, and then using a bookbag on the weekends since I always took that much more with me to the library. I'd recommend this minimalist version from Everlane - large enough to fit allllll those textbooks, but sleek enough to look like you aren't on your way to kindergarten (and again just a few dollars over the limit!) 

on franish

notable sales
  • Gap: 35% off
    • These simple cut blouses are always my favorite - they go with everything! If this particular style works on, you it comes in a bunch of cute patterns so you can grab a couple - my favorite is the cherry print!
    • I don't own many shorter skirts, but I'd reconsider for this cute sailor inspired navy version! It would look so darn cute with a striped tee or v-neck, with a jean jacket. 
    • And speaking of jean doesn't get more classic than this version, does it? 
  • J.Crew: 40-50% off sale items
  • Loft: 40% off new arrivals (+ 60% off sale items)

  • I know it's called "the common cold" but damn does it knock you down! I had to take my first sick day this week since starting rotations just because I felt so awful. I slept all day, coughed all night, and am just now starting to feel better. 
  • 14 months ago I started with my invisalign braces, and this week I finally finished the "fixing my teeth" process by getting my front tooth redone (it was no longer the right shape and color). Let me know if you'd be interested in a full post dedicated to the process - I'm more than willing to share my experiences but don't know if anyone is actually interested in teeth ;)
  • It's my last week on the general internal medicine team, and I'm actually pretty sad to see it end - I have learned so much in this time! Next is GI, which was one of my favorite subjects during second year. The doctor I work with seems really great, so I'm excited to learn from her!