A letter from Mar 22, 2025

Dear FutureMe, How is life going? Assuming everything is going to plan as of yet you will currently be a Noble Peace Prize winner, with a house in Mayfair and another in Northumberland. Oh and cannot forget about the Land Rover Defender out front with a black lab called Tabby can we. Right now lets get back down to Earth, your hopefully 2ish weeks away from your final exams of year 4. Can you believe it year 4 all ready. Now I know you will probably be stressed and this might be incredibly unhelpful but go on.....Give me the first line management for a STEMI??? 300mg aspirin, 10mg IV morphine titrated up, GTN spray, O2 if needed Presented within 12hrs of symptoms onset and PCI can be delivered in 2 = do that with Prasugrel If PCI not possible within 2 hours or presenting later than 12 hours from onset of symptoms = Thrombolysis using alteplase and ticagrelor as an antiplatelet BOSH knew you knew it! See you pass these exams easy Right so back to me now not you over there. So right now not going to sugar coat the world I am having a bit of a tough time. I basically feel as through I am just good at nothing, not good at the degree, not good with my diet, not good in the gym, with my friends and all of this is just mounting up and making me highly unmotivated and feeling like **** and what do we do when we feel like **** ahh yes our very unhelpful coping mechanism of habitual piggy eating. Like do not get me wring we have been doing a lot better that first and second year probably only having maybe 1 pig sesh every 7-10 days where back then it was what every 5-7 days. So hopefully next year we can be down to once a month or even better actually just not at all would be brilliant. I think the thing is just I want to be better at everything and I am not in fact I am just getting sacred and running away form everything which is not helping anything at all. I am planning today taking the day off work and sorting my life out a bit and by that I mean properly this time or at least I hope I am otherwise this is going to be a highly depressing letter to read in a years time... I think I need to start small, I always start really over the top trying to match people I see online and that just is unattainable, I also try to do focus on too many things at once. I need small goals I can have multiple but I need smaller ones because otherwise I get scared and then sad and then enter this ****** cycle again. Then lets talk about the fact I am so motivated to do all this other stuff I just cannot even fathom having a boyfriend, like every time I thing ooh I could like him or whatever, its broken by my commitment issues in my head before it even started or I just choose someone I know deep down it will never work so then technically I can tell myself I tried right. At this rate I will be living alone with just Tabby in the future. I wonder what your current plans for the future are right now min flit between these few, don't worry though all entail be still becoming a dr 1. do year 4 and then take the year off completely maybe travel ?ski season, do some volunteering, start to plan roughly my year 5 MLA prep and try get some experience in sports medicine 2. do year 4 and then intercalate in something to do with public health, global health, or womens/****** health with the aim to have a special intreats in that as a dr in the future Then bottom line where do I want to work, well at present I do love the North but I have an itch for London or Scotland. I do not really know why I just do. Then beyond that I would love to either go abroad and live and work in Canada or Australia or get into more public health based medicine working for NGO or UN kinda vibe. Or get seriously into sports medicine and expedition medicine; closest thing to the army I'll get thanks to my silly little brain. Anyway bottom line is I hope that by the time you read this you are feeling somewhat more content with life, yourself, your body and your future and if your not well hey you haven't regressed any further back than what we are now. All my love to my fav boss queen. Lily