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Laundry On Sundaes

Every beginning is only a sequel, after all, and the book of events is always open halfway through.

Tag Archives: dental school

I really should be studying for a final next week but I really don’t want to so I’m writing this instead. Thanks to the magic of social media I’m reminded that 9 years ago I was also at Columbia studying for finals of my first semester in college. I don’t think my 19-year-self would be too impressed to know that this is still happening almost a decade later.

As the end of the year approaches, I’ve been looking back and reflecting on everything that’s happened in the last year. More specifically, everything that’s happened since the start of the residency application cycle last year. Having just experienced the interview and match process on the other side has brought back a lot of memories, and honestly not very good ones.

When I applied to ortho last year, the hope was to stay in SF, or at least California, since both my parents and Yufei are pretty established in the Bay Area and it would be nice to stay somewhere for longer than 5 years for once in my life. I worked really hard in dental school and naively thought that I had a pretty good chance of achieving this. However, it soon became apparent that life had other plans. With each passing interview notice received by classmates and strangers on the internet but not me, my heart sank a little. No SF interviews. No California interviews. Only 1 west coast interview. It was like watching your dream fade away piece by piece yet there’s nothing you can do about it. I was watching my future slowly diverge from my carefully planned tracks. When match day came and I matched at Columbia, I it wasn’t unexpected but it still stung. I knew I should feel happy that I matched at all but I wasn’t. I tried my best to come to terms with it but the following weeks and and months weren’t any easier. First I find out that I would be going to NYC by myself and have to be a long distance relationship for at least a year. Then I find out that my housing application for a studio didn’t pan out and that I would instead be living with 2 randomly assigned roommates. Then 2 days after moving in I find out that housing made a mistake and gave me the wrong room and I had to move everything again by myself. It felt like every little concession I was willing to make in my plans was still not enough and life was just playing a cruel joke on me.

I remember sitting in the theater watching La La Land, a couple of weeks after match day, and sobbing uncontrollably at the epilogue where Mia imagines what her life would have been like had she stayed with Sebastian instead of going to Paris to pursue her acting career. I felt like I was at a similar crossroads in life, where I was forced to choose my career over love. While I knew that my relationship would be fine in the end, having to live on opposite coasts for a year was still a daunting prospect. Was it going to be worth it? Would I regret my decision down the road? There were so many regrets and doubts in my head. What if. If only. Maybe things would have turned out differently.

(At this point in my writing this, I went back and checked my past post almost a year ago and realized that I had already shared much of the same sentiment back then. I guess I’m still processing everything.)

As for how I’m doing now, well, I have good days and bad days. On the good days I’m happy; happy with my residency program, happy to be back in NYC, happy to have friends old and new in the city. On the bad days, sometimes bad in the way that only NYC bad days can be, I’m reminded again and again of everything that had led me here, so far away from where I thought I would be today, and my old wounds would be opened again. But the wound is getting smaller, and the good days outnumber the bad. I hope to one day look back and say to myself, everything happened for a reason, and things turned out the way they were meant to. I don’t feel remotely close to reaching that point yet, but one day, one day.

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I haven’t written about my dental school journey in a while because honestly, I’ve experiencing a lot of doubt, disillusionment, and uncertainty again. I debated whether or not to share my thoughts, but I’ve never shied away from being completely honest about my feelings, so here goes. At the time of my last post, I was feeling pretty good about dentistry. I had gotten over the giant hurdle of transitioning to clinic, and I was looking forward to graduating. Over the past summer I was busy working on my applications to orthodontic residency programs, and in the fall I was busy interviewing. It felt good to be working towards something I really cared about. Then on December 1, match day, I found out that I had matched at Columbia. I was going to be an orthodontist! Great news, right? All my hard work over the years was all for this. So why have I been living in a constant state of existential crisis since that day?

I know how lucky I am to have gotten accepted into any ortho program. It is extremely competitive and I should feel incredibly grateful. But the truth is, I’ve been having a hard time feeling truly happy about it. I know this is what I wanted all along, and that hasn’t changed, but once it actually happened, the reality facing me finally revealed itself in its stark nakedness.

For one thing, I know before I applied that I needed to apply widely and that it was a real possibility that I could end up anywhere in the country. I ended up applying to 10 programs (a very small number compared to the average number of programs most people apply to for ortho), in California, Washington, Oregon, Boston, and the New York area. Since I consider the Bay Area home now, I had hoped that I would be able to stay at least in California. With 4 of the programs I applied to being in the state, I thought I had pretty good chances. However, with each passing interview invite that didn’t end up in my inbox, it became clear that it wasn’t going to happen. I was going to have to leave my family and boyfriend and go to a different state. With the University of Washington being the only west coast program I received an interview at (in addition to being an amazing program), I ranked it as my first choice. But you already know that this story didn’t end the way I wanted it to. I got my second choice. Even though Columbia is an excellent program (and my alma mater) and I love New York City, my heart still aches knowing that I would have to leave the city I’ve called home for the past 5 years be apart from my loved ones. It didn’t help that halfway through my interviews, when it had become clear that I had to leave California, I had a big fight with my parents, who thought I should give up on ortho and just stay in the Bay Area to practice instead. I was already disappointed in myself for not getting interviews closer to home, and I felt like I had let my parents down. And even now, sometimes I still catch myself wondering what if. What if I had tried harder? What if I had done better at my UW interview? What if I had emailed the program directors saying how much I wanted to attend their program? What if I had gotten to know the faculty better? IF ONLY I had done these things, then maybe things would have turned out differently. But I know that such thinking is futile and destructive. I try my best to push these negative thoughts out of my head when they rear their ugly heads, but they still nag me from time to time.

On a more fundamental level, I’ve also been having second thoughts about the future of dentistry and orthodontics in general. Most people don’t realize how exorbitantly expensive the training in dentistry is. And now I was about to take on yet another 3 years of schooling to become a specialist, while having to pay even more. My med school friends couldn’t believe that many dental residencies not only do not come with a salary but require high tuitions. High levels of debt coupled with increasing saturation of dentists and dental specialists in most cities does not bode well for our future. And with more and more general dentists doing ortho via Invisalign, the growth of corporate dentistry, new services like SmileDirectClub, and even people who try to DIY their ortho treatment, it seems like the slice of the pie for actual orthodontists is ever shrinking. It all leads me to ask: would this enormous investment, not just of money but my time, my energy, and the bulk of my twenties, pay off in the future? Which feeds back to my second guessing myself and wishing that I had applied to more programs that cost less or paid stipend. All of which is further complicated by the fact that as a Canadian citizen, it is extremely difficult to obtain student loans in the US (that’s a whole other can of worms).

You may know that once again this year dental professionals made the list of 100 Best Jobs, with dentist coming in at #1 and orthodontist at #5. In previous years when dentistry made that list, I felt proud and confident that I had made the right choice for my career. But now I couldn’t help but feel cynical. A more realistic picture is painted in this article instead. I know that it was written by someone who runs a business helping people with student loans, but it makes a lot of valid points. I wish I knew all of this before deciding to go into dentistry, and I sincerely hope that every pre-dental student do as much research as they can to get a realistic picture of the future of the profession. Honestly, if I were to go back in time knowing what I do now, I’m not sure if I would choose dentistry again. Don’t get me wrong, I really love what I do and I’m passionate about orthodontics. I think it’s an incredibly rewarding job that fits well with my personality and skills. But it doesn’t change the fact that it is such an enormous investment, all the while it’s losing prestige and respect in the eye of the public due to the various recent developments I outlined in the previous paragraph.

I guess it all comes down to one question: did I make the right choices in life to take me where I want to go? It is such a big question and I don’t know if we ever find out the answer until we get there. It seems to me that the older I get, the more doubts I have about my choices (I guess it makes sense in a purely statistical sense: the further you progress the more branches there are on the decision tree of life). So far in my life, everything has pretty much gone “according to plan”. I’ve always more or less gotten what I wanted, and I believed that if you put your mind to it and work really hard, you will get what you want. But I think this whole experience of applying to residency has been a kind of wake-up call. Even if you do your best, you still might not get what you want. I’ve always lived by a personal rule: there are no such thing as regret if I’m happy with my life in the present, because everything that’s happened and every decision I’ve made had lead me to this point. Recently it’s become more and more difficult to live by that rule because I’m no longer so sure if I’m 100% happy with where I am right now.

To end this post on a somewhat positive note: there are certain truths I know. I know that I love orthodontics. I know that I’m intelligent, hardworking, and kind. I know that life is unpredictable. And there are certain hopes I have. I hope that I will become a great orthodontist because of my passion, intelligence, hard work, and kindness. I hope that I will achieve success despite life’s unpredictability. The future is still a scary and uncertain place, but armed with these truths and hopes, I approach it with a cautious optimism.

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I didn’t think anybody still read this blog, but more than once over the past year I’ve learned that some D1 at UCSF knows me from here. So I feel some kind of professional obligation to at least update it with some dental school insights. I remember as a pre-dent who used to follow several blogs by dental students, I would get frustrated that their posts would become increasingly sparse over time. Now I understand how hard it is to find the time and energy to do ANYTHING, much less keep up with a blog, when you’re in clinic.

The transition into my clinical years of dental school was not an easy one. In fact, it was probably one of the hardest times I’ve ever had to go through in life so far. I shared my thoughts about this in a lengthy Facebook post earlier this year, which was met with tremendous support. I will share it here:

“As I’m about to began my final year of dental school, I want to share something about my experience with clinic this past year. This message is especially for the incoming D3’s who are about to enter clinic. Some of you will be instantly awesome at clinic, and some of you will struggle. I was one of those who struggled last year, and I struggled hard. For the first time in my life, I felt like I was doing poorly in school. More than that, for the first time in my life, I was not enjoying school. What happened? I wondered to myself. I loved the first 2 years of dental school and felt like I was prepared, but now that I was in clinic, everything felt 100 times harder. The amount of paperwork and administrative stuff was overwhelming, and I felt like for the first time, the amount of success I was getting was not directly correlated with the amount of effort I put in. I look around and see a lot of my classmates excelling, some already doing their third crown and 7th filling when I was still struggling to get patients in my chair. I hear them tell me how much they loved clinic, how much better it was than simlab, but I could not relate at all. I wished so desperately that I felt the same way, but I didn’t. I woke up every day dreading the thought of having to get out of bed to go to clinic. I had so much anxiety about everything clinic-related. I felt overwhelmed all the time. I lost count of the number of times I cried. I began to seriously doubt my decision to go into dentistry, then felt immense guilt over the thought because I, and more importantly, my family and loved ones, have already invested so much time, energy, and money to get me this far. Just weeks ago I was presented with an award at our clinic induction ceremony, and now I felt like a fraud, like any day now they are going to realize that they’ve made a terrible mistake. Things got so bad that I even sought professional help. Over time though, things started to get better, slowly. Fall quarter was still hard, and it wasn’t really until winter that I finally started feeling more comfortable in clinic. Don’t get me wrong, there are definitely still tough days (see my post about my last day of D3 as an example), but now things are so much better than they were a year ago. And from speaking with classmates over the past year, I now know that I wasn’t the only one who had felt this way at the beginning of clinic. But we so often only share stories of our successes and don’t hear about the struggles. So I want to put this out there for all the D3’s: if you ever feel any of the feelings I described above, you’re not alone. It’s completely normal. Don’t give up. If you don’t immediately fall in love with clinic, it doesn’t make you any less of a great future dentist. The transition to clinic is not easy for everyone, and it’s ok to struggle. If you do find yourself struggling, please talk to someone, a classmate, a friend, a family member, a mental health professional. And I will be more than happy to listen too, so feel free to reach out any time. And remember, as you begin to take care of patients, to take care of yourself. We’re all in this together.”

So many of my classmates told me that they felt the same emotions and went through the same struggles as me. So many of the incoming D3’s told me how thankful they were for publicly sharing my thoughts. The truth is, dental school is really, really hard. Caring for patients is an enormous responsibility. It’s completely okay, even normal, to struggle through this transition. But it is also true that I sometimes felt very alone in my struggles last year. That’s part of why I shared my experience, so that others can feel less alone. Mental health is so important, especially for health professional students, and the more candid conversations we can have about it, the better things will be for everyone.

Despite my initial struggles in clinic, third year of dental school was also full of rewards. So moving on to happier things, here are some of the highlights of D3 year in photos!

My clinic partner Kathleen and I at our clinic induction ceremony! We might be smiling but I was definitely internally panicking about actually having to treat patients. It’s so important to have a good support system in dental school and I’m so fortunate to have an amazing clinic partner by my side!

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My big and beautiful Delta Sigma Delta family at the initiation dinner last year:

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Once again, support system!

Me and my wonderful D2 assistant Wendy at Give Kids a Smile Day this year:

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Joining ADEA (American Dental Education Association) at UCSF and exploring my interest in academia is one of the best decisions I made in dental school. This year, I went to the ADEA Annual Session in Denver with a large group of UCSF students and faculty. Here are some lovely members of the UCSF student delegation:

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I also participated in the ADEA Academic Dental Careers Fellowship Program this past year, and as a part of it I conducted a research project on dental students’ perceptions of and satisfaction with faculty diversity. Here I am presenting my research poster with my incredible mentor, Dr. Gwen Essex:

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I was also honored to receive one of two ADEA/Crest Oral-B Laboratories Scholarship for Predoctoral Dental Students Pursuing Academic Careers:

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I’m so glad for the opportunity to attend the conference this year, which left me feeling inspired and grateful and made me realize 2 things: 1) that dentistry is so much bigger than what you experience at your dental school, and 2) we truly are surrounded by the most brilliant and supportive faculty and students at UCSF. A word of advice to all dental students out there, if you ever have the chance to attend meetings and conferences on a national/international level, do it. There are so many opportunities out there: ADEA, ASDA, AADR/IADR, etc. Don’t worry about missing classes or clinic or exams, those things will seem so inconsequential in the future. But the experiences you gain, the people you meet, and the things you learn at these meetings will stay with you for far longer.

Here’s a photo of some of my wonderful classmates in my clinic coaching group, with our coach Dr. Shek:

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I feel so lucky to be in my coaching group. Everyone in my group is so nice and helpful and supportive and funny that it’s one of the things that make me look forward to coming to clinic every day.

I had the privilege to attend the annual UCSF Omicron Kappa Upsilon (OKU) convocation dinner again this year as a scholarship recipient. Here I am with my Delts big sib Jenny, who has been a role model and inspiration for me since day 1:

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And with my amazing classmates/fellow scholarship recipients:

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And lastly, I volunteered for and attended the class of 2016 graduation this past June. It was my first time attending dental school graduation, and I got strangely emotional (right when pomp and circumstance started playing and the grads walked in). I think was partly because I got to see that all the hard work finally paying off, and also because – gasp – this will be me next year. Here I am with Matt, Delts fam and maker of the most wonderful review notes that I would not have been able to survive dental school without, and his adorable baby daughter.

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As I’m writing this, there are 266 days left until my own graduation. Still a lot to accomplish before the big day, but onward and upward!

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I left out one big part of my D2 year in the last post about dental school life, and that’s because it deserves its own post! As someone who conducted research over the summer between D1 and D2 year, I, along with a large group of classmates, went to the American Association for Dental Research/International Association for Dental Research conference in March. The event was held in Boston, and despite the cold, we had a ton of fun there.

Me and my good friend/clinic partner/ortho buddy Mychi at the UCSF reception the first night of the conference:

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Presenting my research poster next to my classmate Mona! This was such a cool experience not only because I was able to talk about my research to a bunch of new people, but presenting next to Mona was a bonus because we had first met in Boston when we interviewed for Harvard together! Funny how life works out sometimes.

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Me and my poster!

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D2 girls manning the UCSF booth at the exhibit hall!

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We had some free time to explore the city and I took full advantage of it! I really didn’t like Boston when I went there for my Harvard interview a couple of years ago, but this time I found the city quite charming! On my last morning there, I took a walk by myself to Boston Common. It was a cold but clear morning and it was just lovely.

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Then I met up with friends for some delicious seafood at Neptune Oyster! We had oysters, lobster roll, and clam chowder:

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For dinner we hit up Giacomo’s for some Italian food – with more seafood of course!

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I’m so glad that I was able to attend this conference during dental school. There are so many opportunities to get involved in dentistry on a bigger level, be in with research, organized dentistry, academia, and more, and having the chance to travel and meet students and professionals from other places in the world is so enriching. So advice for current/future dental students: take advantage of these opportunities!

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I’m solidly into my D3 year now, but I guess it’s never too late to share some tidbits and highlights from D2 year at UCSF!

Presenting my poster for my summer research project at UCSF Research and Clinical Excellence Day 2014. It was my first poster presentation ever! Had a really great experience.

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My dental frat family at the annual Delta Sigma Delta initiation dinner! We welcomed 4 new D1’s into the family. We’re a good looking bunch if I do say so myself.

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Fun girls night in with classmates. We cooked fresh mussels that were harvested illegally on Ocean Beach earlier that day!

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Group photo after doing dental education, screenings, and fluoride varnish applications at an elementary school in the Mission. For one of our classes last year, we went on 3 outreach events like this. Very rewarding even though we had to get up very early those days.

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Halloween last year! A classmate and I dressed up as Kevin and Russell from the movie Up!

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One of the best things I did last year was to join the board of ADEA (American Dental Education Association) at UCSF. I got to be a part of an amazing group of people and we put together so many great events. Here’s our board photo last year.

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And here we are again at the annual High School Outreach Conference!

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The theme of the conference last year was social media and we had this Instagram photo frame for the participants (and us) to take photos with!

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Another student group I’m a part of at UCSF is the Chinese Health Professional Students Association (CHPSA). Here’s the board at the annual Chinese New Year celebration!

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PaintNite with dental school friends!

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Delta Sigma Delta family dinner!

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CHPSA dental outreach event in Chinatown!

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Last year I had the honor of receiving a Craig Memorial Scholarship from Omicron Kappa Upsilon (OKU), the national dental honor society. Here I am with 2 of the other scholarship recipients in my class at the convocation dinner at the Cliff House.

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And one more DSD photo: me with my big and little at senior dinner:

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D2 year was definitely the best year in dental school! Not as much work as D1 year, much more free time, and before the stresses of clinic!

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I’ve been baking a lot this summer since my schedule was so flexible with studying for boards and research, so I wanted to share some of my sweet creations as well as their recipes here on the blog. Get ready to drool!

1. Hot chocolate cookies

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I found this recipe when I searched for something that had marshmallows as an ingredient because I still had a lot left over from the last time I made fondant. These cookies used mini marshmallows and hot chocolate packages! I also used a mixture of regular and white chocolate chips. These turned out amazing, and they’re best eaten when fresh out of the oven, when the marshmallows are still gooey! Recipe here.

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2. Salted Nutella peanut butter thumbprint cookies

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Made these for 4th of July with red, white (sea salt), and blue sprinkles. They were really ricj and creamy tasting! Recipe here.

3. Nutella marshmallow fruit toast

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I invented this super easy and delicious snack when I was studying for boards. Makes a great nutritious snack or even breakfast! I simply spread Nutella on a slice of toast, topped it with strawberries and banana slices, sprinkled some mini marshmallows on top, and put it in the oven under the broiler for like 30 seconds until the marshmallows are golden and melty. So good!

4. Devil’s food cupcakes with Nutella filling and toasted marshmallow frosting

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Starting to see a theme in the ingredients? Yeah… I had a lot of marshmallows and Nutella to get rid of. For the cupcakes I just used a cake mix, and then I filled them with Nutella, and the recipe for the frosting you can find here. I made these for Yufei’s birthday and he took some to work and they were a hit!

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5 & 6. Egg yolk sugar cookies and chocolate coconut macaroons

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I wanted to make my coconut macaroons (i posted the recipe here a while ago) but they only called for egg whites, so I had to find another recipe that used the yolks. These cookies are what I found! The recipe is here. I didn’t have cream of tartar so I substituted 1 tsp baking powder and some lemon juice instead. They turned out really well; slightly crispy on the outside and chewy on the inside, with just a touch of lemon flavor.

I also wanted to share a kitchen gadget that’s made my life so much easier as a baker – a cookie scoop! Well, actually it’s a set of 3 scoops in different sizes, and they can be used for so many things. I use them mostly for cookies, they create such nice round even cookies! Here’s when I used it for the egg yolk sugar cookies:

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I’ve also used the bigger size for cupcake batter (to distribute it evenly among cups), and the smaller size for meatballs. Of course, they can be used to scoop ice cream too. You can find them in any store that sells kitchen stuff or on Amazon.

Lastly, a bit of reflection on baking. I’ve always liked to bake, but since dental school started I’ve been doing it a lot more. I think it has to do with finding a hobby that you can turn to when you’re stressed out, something you can escape to. My classmates are often surprised that I find time to bake during finals, but really, it’s a form of stress-relief for me. I’m just really happy and energized when I’m creating something sweet and delicious with my hands, something that I can then share with my friends and loved ones. During a stressful time like dental school, it’s more important than ever to have that hobby, just so that you feel like you have a life outside of school. For me it’s been baking; for you it could be something else. I’ve seen classmates and upperclassmen turning to so many cool and creative outliets: soap-making, biking, painting, jewelry design…. the possibilities are endless. So that’s one piece of advice I would give to anyone entering a challenging time in their life: just find something you love doing and keep doing it no matter how crazy life gets, because it’s what helps you stay sane.

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Can’t believe my super long summer is almost ending! I’m frantically trying to finish up my summer research project, submit the abstract and finalize my poster… because next Friday Yufei and I are leaving for a week in Iceland! It’ll be my last big summer adventure and I’m so beyond excited for it.

Some other news since last time… I passed boards! I started to get really worried when everyone who took it the same day as me (or even after) started getting results in the mail and I was still waiting, and I called them and found out that it must have gotten lost in the mail. So they had to re-send it and I finally got it 5 weeks after my exam. I felt pretty good about it afterwards so I wasn’t too worried about passing, but the wait was agonizing! It would have been so nice if we got instant results like the DAT (man that was so great). But now that it’s done, I can relax a bit and enjoy my D2 year (supposedly the most chill year at UCSF according to upperclassmen).

We celebrated Yufei’s 24th birthday last month! We had dinner at Hakkasan and then drinks with friends at Local Edition. One of the presents I got him was this scratch map where you scratch off places you’ve travelled to. Since we love traveling together I thought this would be a good way to track where we’ve been together.

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Really puts into perspective how much of the world there is left to see!

What else… we went to the annual Twitter picnic last month. It was such a gorgeous day, and since we don’t get many of those in the summer months in SF, I of course didn’t use sunscreen and got burnt.

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Afterwards we went to check out the Wave Organ, which was nearby.

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There was even this nice little stretch of beach facing the city!

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I also got my first haircut since my perm last year. I went back to Betty at Sally’s Salon since I really trust her. She got rid of my dead ends and got some layers in there, and I asked for side swept bangs. My hair now feels much lighter even though it’s still long. I’ve been putting it up in a ponytail more often since it’s not as heavy and the bangs frame my face nicely.

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That’s about it for now. Some upcoming posts to look forward to include a summer restaurant summary, my recent baking adventures, and LA trip!

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