Residency Interviews + Baby

4:00 AM

Hi guys! It’s that time of year again when fourth years are getting ready to submit their ERAS applications and begin interviewing for residency spots across the country. Having gone through the process last year I know how insanely tiring and stressful it can be. But my heart goes out to all the mamas with babies out there getting ready for this crazy adventure. I hope I can make it easier on all of you by sharing what I learned along many, MANY trips. I will preface this by saying that Noah has flown on 40+ flights in his first year, the majority of those being for residency interviews. I will attempt to offer advice and share how we could have done things better, but mostly I will share what worked for us in the hopes it helps one of you! Honestly, looking back, it was a crazy experience but each step worked out. 
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Traveling for interviews would have not been possible without my husband, J. I know it’s not possible for everyone, but he had a very flexible job last year that allowed him to work remotely during our travels. Basically, he worked in the office for a few weeks out of the entire 4.5-month interview season. We went everywhere together. It was amazing, sometimes stressful, but always memorable. Traveling solo with a baby is possible, but when it comes to interviews someone has to be with the baby while you’re away interviewing & at the interview dinner the night before. Basically, we would arrive at our destination the day of the interview dinner with enough time to settle in before I had to leave. J and Noah would then hangout together (dinner, a walk) before bedtime. Once J got Noah into bed, he would get work done / watch NBA games. When we visited Detroit, J waited until I got home from my interview dinner and then met up with some of his friends! For the actual interview day, I would get up really early and leave Noah & J in bed. I’d pump while I got ready and I’d sneak back in the room to leave the fresh milk for when Noah woke up, I’d put on my suit (it’s key to leave it out and ready so you don’t wake the baby lol) and get all of my gear – my purse, my milk cooler, my jacket. I was always the one with the most stuff. Then I’d either take a Lyft or Uber to my interview. At the end of the day J and Noah would pick me up.
Noah’s very first flight was at 8 weeks old. It worked out that his first set of vaccinations were literally a couple days before. Nothing can really prepare you, or the baby, for the chaotic schedule of travel. At six weeks we started a nap schedule & bedtime routine with Noah. We did our best to stick with it and did a pretty good job through it all. I will say this: good flight times are worth the money and convenience. You will not regret it. Pick flight times that get you to your destination early in the day, that way settling into bedtime is easy for baby (and you!) and jet lag is less likely to an issue for baby. At the end of the day no baby asks for the stress of travel, so we did our best to make it as easy as possible on Noah.

Essentials:
-       AirBnB is your best friend when it comes to accommodations. You will need a full apartment/house wherever you go so that you have at least a kitchen, bathroom, and bedroom. Make sure you’re looking in safe areas, it can be hard to tell from pictures but do your best to Google the neighborhoods.

-       Nursing cover. I love the ones from Copper Pearl. They’re quality, stretchy, opaque and breathable. Most importantly you can wash and dry them with the rest of the baby laundry and the material keeps its integrity very well. I still use this cover but during airplane travel it was essential because 1. It gives the baby a darker place to nurse + nap on the plane, 2. Protects baby as much as possible from people’s nasty coughs and recycled airplane air, 3. Keeps baby warm so all you need is a light travel outfit. Each time I’d pull out the cover Noah knew what time it was: boob & sleep. Often he would be asleep for 2+ hours before we even took off. Also, nursing your little one for take off and landing will also keep their ears from hurting! 

-       Solly baby wrap / ergo baby wrap. You cannot travel without a good baby wrap. A stroller is necessary but at some point you’ll need to get the stroller through security and take the baby out, or you’ll have to check the stroller at the gate. Noah fit in the Solly until he was about 5 months old, then it was always the ergo baby. Another thing about the Solly wrap that I love so much is that it keeps people’s wandering hands away from your baby – people are less likely to touch the baby when they’re so close to your body. There are always those who don’t care though, sigh. And that’s what hand sanitizer and a polite mom glare are for lol.

-       Sleeping. Noah was 8 weeks – 4.5 months during the interview season and he loved to be swaddled / didn’t roll over that frequently until almost five months. So it was easy to put him down, swaddled, on the bed without worrying about him falling off. We also coslept, Noah in between us, at night. You will need to bring your baby monitor and sound machine as well – we love our sound machine because it’s a huge part of Noah’s “sleep associations” and when he hears it he automatically knows it’s time to get cozy and sleep. Plus, it will keep baby sleeping soundly even if you’re in a noisy neighborhood.

-       Travel light & with plenty of time. Seriously, only the essentials. Our very first trip was to Chicago, through phoenix. So we had to drive from Tucson to Phoenix before dawn, we packed way too much, Noah had a blow-out in the security line, and we were generally a hot mes. After that we always gave ourselves at least 2 hours before our flight to get through security and settled in. Avoid checking baggage whenever possible and use carryon bags instead, especially for baby’s things!

-       Rental cars. We rented a car in every city except for 1. With a baby, we felt more comfortable being able to drive ourselves. Though we did use Uber or Lyft as a family a few times.
-       Cleaning & bath time supplies. As you pumping moms already know, cleaning pump parts and bottles is no easy feat. So for the interview day I used medela pump wipes. I’d also travel with a travel-sized bottle of baby safe dish soap (Honest/Puracy/etc) and a bottle-brush, as well as a sterilizing bag (Dr. Brown / Medela) for extra sanitizing. As for baby’s bath time, we used the sink wherever we stayed but I would have loved to buy one of those inflatable tubs I’ve seen on Amazon. Noah was also small enough that we could shower with him which as always so sweet. 
-       Stroller & Carseat. If you get any stroller/carseat for interview travel – or any travel - let it be the Doona. You can travel without the base, it’s sturdy and feels safe, and it’s SO light. I cannot say enough good things about it. It’s a stroller that becomes a car seat with a simple button. And you can use your nursing cover to use as a car seat cover when the baby is sleeping.
-       I never once considered my status as a mom, a nursing mom at that, to be detrimental to my application or competitiveness. That’s because I figured if a program sees that as a negative, then I don’t want to be at that program. You will learn quickly what programs are more welcoming to mothers. One way I got a feel for it was by sending out an email to the program coordinator a couple days after I accepted the interview invitation. It went something like this: “Hello xxx, I’m really looking forward to my interview day. I’m a nursing mom and will need to arrange for a time (/times) to pump (~20 minutes) at some point in the middle of the interview day. I hope this isn’t an inconvenience and I appreciate your help!” All programs (except one – message me for info about that one, lol) were very accommodating and even encouraging.
The logistics of pumping & storing breast milk on the “trail:”
As far as experts go, I’ve proudly become one on this subject. I’ll take you back to the first time I flew with breast milk. At 6 weeks postpartum I traveled to LA to take Step 2 CS, which means I was engorged every 2-3 hours. At the exam, I got to pump during the half-way point which was already an hour longer than I could wait. But I pumped nonetheless, as well as the night before. I froze all the milk I pumped during the night my test, took it with me to the testing center and asked for more ice to keep it frozen. When I got to the airport that afternoon I had frozen milk from the night before, and cold milk from that day – like 32 ounces. The TSA is good at many things, but dealing with breast milk is not one of them. They started handling my frozen bags as well as the bottles. I cringed every time they touched it and could not wait to sanitize them. (mom anxiety). Then they let them sit at room temperature for 10 minutes while they even called their “explosives squad” to come test the condensation outside of the bottles. I started crying. I couldn't help it, it felt like they were ruining my baby’s nourishment. As soon as they saw tears they apologized and let me pack it all up. It was all very dramatic lol.
So when we traveled for our first interview when Noah was 8 weeks old, I was more prepared. We bought a big cooler (can’t find it online, but any with good insulation will do) to put about 8-12 ounces of frozen milk in. I did this each time we traveled, so it would be frozen when we got on the plane: TSA-approved! Basically this milk would be used for bedtime / wakeups after I left for the interview dinner (I’d nurse Noah before I left so he usually didn’t drink much) and during my interview day when Noah and J were out and about. I would also pump the morning of my interview while getting ready and promptly bring that bottle bedside for J to feed Noah when he woke up. Often there would be some milk left at the end of the day that would get wasted, but better more than not enough!
I would also pump once during the interview day. I’d store this milk in my little medela cooler. Some programs were nice enough to let me keep it in a secure refrigerator during the day. The timing worked out such that I was engorged right when Noah and J would pick me up and I’d nurse Noah right away, usually in the parking lot. The milk I pumped at the interview stayed in the individual bottles. Since we’d usually fly out right after the interview, I’d just put them in the cooler with the cooler packs and when we went through security I’d let them know I had breast milk. If they asked to pass it through any scanner, I’d politely refuse and ask for whatever the alternative was. To my surprise I didn’t have much trouble with breast milk in airports.
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Final blurbs: You will feel like you can’t do it. You will question if you have any energy left. You will question if it’s all worth it in the end. You do. It is. It will be okay. No parts of this post are sponsored, just my honest recommendations. How did we pay for it? After every few interviews I submitted budged reevaluations to my financial aid office and got “reimbursed” in the form of federal loans for my tickets (not J’s), accommodation, and transportation. As for J’s tickets, the credit cards we used to pay for everything before reimbursement would give us points for travel. Soon there were enough points to fund all or most of J’s ticket costs for subsequent flights. Also, I had to start my frozen milk supply EARLY. That meant pumping at night on top of regular feeds as soon as my milk came in aka week one. It was rough, but it also helped me establish a really great milk supply. When we finished interviews (11 total, trust me you won’t want to do more) in January, J, Noah & I sat on the bed and honestly felt like we had the flu or something. We were just exhausted. But we survived and got to see a lot of cool places together and make so many memories. I apologize if this post is a bit rambly and a lot of random advice, but I know you fellow mamas out there will understand. For fun I’ll include some restaurants we loved:

Chicago:          Wildberry Café, Café Monsivais
Cincinnati:       Pho Lang Thang at Findlay Market (the best spicy beef pho we have ever had and great vegan options), Dusmesh Indian Restaurant
Los Angeles:   Tatsu Ramen, Open Sesame
Norfolk:          The Handsome Biscuit
And because we miss the food in Tucson, these are our favorite places: Miss Saigon, Samurai, Chars Thai, Café Poca Cosa, Tucson Tamale Company


Please email me with any questions or ask on insta!

Listening with Sudio Sweden

8:38 AM

I remember spending hours converting youtube vidoes to MP3s in middle school just to create the perfect playlist. Paying cash for a Linkin Park CD – my first CD ever. And carefully curating songs onto CDs to listen to in the car. Music used to play a bigger role in my daily life growing up than it has in the last several years. At some point I just got too busy with life to spend time on crafting my music library and instead switched to listening services that mixed songs for me, which has been enjoyable and let me explore new genres. When Sudio reached out to me for a collaboration I started to miss my individual music style. But what is my style now? A little bit of everything actually, even podcasts. And a part of me is really itching to get a good audiobook. My life looks a lot different than it did even 4 years ago. The truth is I’m really busy. The compact, chic design of the våsa bla Sudio headphones fits my needs perfectly. I’ve made an effort to listen to music while walking to / from my car, though most days I use them for hands-free phone calls with the hubby. And they’re great for studying (!!) I won’t have to worry about pulling my corded headphones out of my computer jack ever again when I’m in a studying daze forget I have something plugged in.
As far as technical stuff, the package comes with a felt-lined carry case which makes storing them in your purse (or backpack in my case!) really easy. There are also multiple silicone tips that let you size the headphones to your ear for the best seal and sound quality. The headphones charge via a micro USB and the battery lasts for about 8 hours.

I really love these headphones. And I’m so glad I got the opportunity to try them. Use my code midfulofmed for 15% off! Find them on IG @sudiosweden.


The Puracy Life

5:31 AM




Last Spring, I was halfway through my pregnancy, in full nesting mode, and juggling a busy rotation schedule as a third year medical student. I was determined to get everything ready for Noah's arrival, preferably online. I was looking at Amazon (typical), scrolling through tons of "natural" baby products but most of their ingredient lists seemed a little suspicious for my comfort. Babies have such sensitive, absorptive skin and I didn't want to pollute his little body because it can have lasting consequences.

In my search I luckily came across Puracy brand products. What first drew me in was that the products were formulated by doctors! That, and the whimsical artwork on the label. The more I researched Puracy, reviewed the ingredients, and checked the reviews I knew I had found a brand I could trust. What's more, Puracy products are non-toxic, free from harsh chemicals, animal-based products and are sustainably made in the USA.

I’ve been using Puracy products for almost a year and I love them so much that I reached out to them to create a giveaway (check out my Instagram to enter!) and a review of some products. I’ll share my thoughts on each one below! Have you used Puracy products? What do you think?



Natural Baby Shampoo & Body Wash


A baby's first bath at home is really special. And so is every bath after that. I love bath time because it can be fun and relaxing at the same time! My favorite bath memories were when Noah was 5 months old and he first started reaching out for the stream of water. He was mesmerized but not nearly as mesmerized as I was with him. The shampoo and body wash has evolved with Noah, now gives him fun bubbles to play with – the bubbles will build slowly, give them some time. When he tries to inevitably eat the bubbles I feel confident in knowing that it won’t harm him at all. The soap itself is mild and conditions his skin gently. It’s also tear free, which we love. I also have to share that I used this soap as face wash during all of my interview travels so I only had to pack one carryon bottle. I know it’s not a conventional use of the baby shampoo but it worked for my skin, never broke me out, and was #efficientmom approved!




Organic Baby Lotion:
We really wanted to establish a bedtime routine with Noah pretty early on. Along with a bath, Noah has gotten a lotion massage every night since about 6 weeks and it’s become an established sleep association for him. I waited until 6 weeks to start using lotion given the sensitive, absorptive nature of infant skin and wanted to avoid irritation or rashes. Bringing Noah into the dry, hot heat of Southern Arizona meant keeping his skin moisturized was a huge priority. It kept his skin soft and nourished through winter, while traveling the country during interview season, and into the spring. When we moved to coastal Virginia earlier this month,  I was so happy to see that he () is a wonderfully creamy lotion that moisturizes in dry environments but isn’t too thick in super humid weather (my glasses get foggy when I walk outside, really). I also want to mention the calming lavender and chamomile touches in the lotion. When Noah smells it he relaxes and is ready for his bedtime massage!

Natural Dish Soap:
What is more important than what your baby is eating and taking into their little bodies? Not much. For this reason, making sure I wasn’t exposing him to any residual toxins while washing my pump supplies, his bottles, pacifiers, and his plates. I experimented with one other popular natural product and found that it was too strongly scented. Since I loved the Puracy baby lotion & baby shampoo I decided to try the dish soap as well. I was so pleased with the simple ingredients, how mild it is, and its cleaning power. I trust it to clean my pump supplies – a pumping mama’s lifeline! – without putting my baby at risk, Noah’s bottles, and even use it to wash my hands. It's a green tea & lime formulation, but is not strongly scented at all. It also forms pretty good suds!

Natural Enzyme Stain Remover:
Any parent of an infant (or child in general) knows how messy they are. Right now, Noah loves to play with his food and experience different textures and tastes! And we are all about letting him enjoy that rich sensory experience. That also means that the food all over his face and hands finds its way onto his shirt, shorts, surrounding objects, our dog haha. I had the opportunity to try the natural enzyme stain remover and I’m so glad I did. The first time I used it I only let it sit for 15 minutes before throwing the clothes into the wash. It lifted the stains just fine. But the second time, I followed the instructions on the back more closely and left it for longer, this time 1 hour. As you can see from the picture it lifted the stains from a very fun, peach-filled fathers day. I’ve used it on a bunch of Noah’s stained clothes and lot it so far. It has a spray dispenser that hits your target areas exactly. It doesn’t have any strong smells and wipes clean off surfaces where you may have accidentally sprayed it on.
 
Puracy Natural Bug Spray
When we arrived at our new house, I was waiting for the realtor to open the door when a large bug flew near my face. “Woah, is that a wasp,” I asked? “No, those are our mosquitos, welcome to Norfolk!” chimed my realtor. LOL. Back in Tucson, our mosquitos were really small and were almost never an issue for me in my 26 years. Now, however, that’s not the case at all. I was so glad I had this bug spray to try. One of the best things about this spray is that it is 100% DEET free and contains 99.9% active ingredients (which is the most out of any natural insect repellent). The botanical, food-grade, plant and mineral based ingredients make this a product I feel very safe using on the whole family.  I’ve used it for our many walks through high grass and trips to the park where there are lots, and lots of bugs. I haven’t gotten bit once which I think is a win. It’s mild and I hardly notice it when it’s on  - the key is to rub it in! Noah is so close to walking that he’ll be using this a lot on our park treks too!

Natural Multi Surface Cleaner
I’ve never been a fan of commercial, heavy-duty surface cleaners because of their ingredients. After all, these are the surfaces we live, eat, and work on so why must they be covered in toxins to be considered clean? Formulated with biodegradable, plant-based ingredients, and hints of green tea & lime this cleaner was welcome in our home. One of my favorite surfaces to clean with this product is Noah’s high chair seat (I clean the eating surface with the Puracy dish soap!), which never seems to be clean for more than an hour because of our messy, chubby little man. I spray this on the seat, wait 30 second and even stuck on banans/yogurt/beans/younameit comes off. It has a mild scent that doesn’t linger. And it’s also streak free so I like to use it in Noah’s room windows.
  
Some things that stand out to me about Puracy are that there are no sulfates, triclosan, formaldehyde, parabens, phosphates, SLS, SLES, MEA, DEA, TEA, petroleum-based ingredients, animal-derived ingredients, chlorine, dyes, or caustics. It’s cruelty free, affordable, and available on Amazon.
Thanks for reading! Go check out that giveaway :)

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