Tell me about yourself?
a. Well I am an only child, I was born and raised in Los Angeles California where my parents immigrated in the early 1980s. I was raised with humble means, my dad was a pizza delivery driver and my mom was a cashier at a grocery store, grew up in a one bedroom apartment my entire life. I was the first person in my family to graduate highschool. My route to medicine was an interesting one, I have always been involved in a field that surrounded medicine initially they were just positions of employment, for the longest time my goal was to be an executive chef, but as my parents got older they experienced multiple medical problems, my mother specifically is a survivor 2 different types of cancer, in the beginning education for me was put on the backburner because I had to work to help with finances, but having to take care of ailing parents I got further drawn into medicine, and with the positive interactions I had with physicians and various other members of their health care teams, around my early 20s is when I realized that my path was leading me to be a physician, and more specifically I was drawn into family medicine. I have worked in many facets of medicine, volunteering at a free health clinic, working as a pharmacy clerk, research industry and most recently prior to beginning medical school I worked at a home health and hospice agency. I finally got married this past Summer to the woman of my dreams, after covid postponing our wedding 3x, weve been together for 8 years and we have 2 kids, which she had from a previous marriage, she just finished my LVN/LPN degree a year ago and is now in school for her RN, my daughter is also in nursing school to get her BSN, and my son, he is a freshman at the local community college and is interested in real estate and law. Some of my hobbies include; I am a huge DIYer, I have a little bit of experience in auto mechanics, woodworking, plumbing, knife sharpening, I love to build and tinker with things, most recently I built my wife and daughter a bedroom vanity for the TONS AND TONS of creams and makeup they have. I also love to cook and try out new recipes, I a whiz on the grill, one of my dreams is to make a steak for Gordon Ramsay to make him jealous, I am also an avid baker, I have a cheesecake recipe that will get you a guaranteed second date. And lastly a fun fact about me is, my name in Armenian translates into “lightening and thunder”, and my last name means “from the soul of man”, so I am basically Thor.
2. Why family medicine?
The short and simple answer is, I love it and it matches my personality. I am a very calm and easy-going person, and I enjoy talking with people, I like to talk out problems, and work on a collective plan with my patients so we reach a reasonable and preferred outcome. I want to build long lasting relationships with my patients, I want to treat them their parents, kids, relatives, friends etc. Part of this stems from my beliefs of what a family physician is. To me a family physician isn’t just “your doctor” they are your friend, your coach, your advisor, and your counselor. When you are coming to me, you are coming to me with a problem. My job and goal is to be next to you as we navigate this path together. For example if a patient comes in newly diagnosed with diabetes, I have the expertise and knowledge to steer them down the correct path. Ok, so I know what the path of diabetes is, I know how we treat it, I know what happens when we don’t treat. And as we are going down this path, I can help my patients navigate the path with out falling into the traps, making a wrong turn, and eventually getting lost. Going back to the diabetes example, when they come back for follow up and I see their A1c has gone up, ok time to change direction we got to go this way now, why because if we go down this path it will lead to heart disease, and nephropathy etc. With that being said, I am a huge proponent of patient advocacy, patient education, and continuity of care. One of my pet peeves is disruption to continuity of care, because I do not like when patients fall through the cracks. I did quite a few inpatient rotations and I did not enjoy the “lets treat and street” fast paced tempo of inpatient medicine, and I always found myself being the medical student saying wait shouldn’t we do this or do that, and the answer I always got was “this is acute medicine.” For example I had one patient come in with pyelonephritis and on the chest x-ray they found a lesion, which prompted a CT chest and the results showed an incidental finding for a concerning malignaly in the left lower lobe. When I would ask hey shouldn’t we get pulmonology involved, CT surgery etc to identify this malignancly, the answer I got was that it is not an acute problem and it needs to be evaluated outpatient. But the issue with that is who knows how long until the patient can be seen outpatient, or will they be lost to follow up. Which is why one of my goals in FM is if a patient of mine is hospitalized, I would like to be the primary, because that way I know what happened, what is going on, and what my plans are when this patient is discharged. In addition, yes I am very calm and collected, but at the same time, there is a fire that burns in me that will burst into an inferno, if my patients are not cared for up to my standards. For example I had a guy come in with priapism and this guy suffered for 6 days, urology kept dropping the ball, casemanagement was slow on working on a transfer, and finally he got fed up and left AMA. But in the background the FM team I was on was fighting for him, calling up urologists, calling up hospitals to se if they will take a transfer. And me being just a med student with not much power, I did not want to stand by and do nothing, I ended up calling my dad’s urologist in Los angeles and seeing if he could do something or knew someone, I ended up calling my friend at USC (he is an interventional radiologist fellow) and I asked him if there was anything he could do. At the end it was decided he was going to go to a university hospital, but at the same time the family med team, we weren’t going to let him go in pain, so the chief resident called in a prescription for a narcotic for the patients significant other to pick up and with my pharmacy experience, I mentioned hey they may not dispense, so we called different pharmacies around and we found that no one would dispense the medication. I called my friends who were pharmacists at Costco and see if they had any connections to the Costco where we were at to get him medication. I am also a huge proponent in education, in the Armenian community, especially pertaining to women sex before marriage is extremely taboo, but at the same time teenagers and people in their early 20s are having sex, sometimes protected sometimes not protected. So when they come in for their annual physicals or hey when did you have your last pap smear. “OMG NO THAT’S EMBARASSING, THAT PLACE IS PRIVATE, IF I AM NOT A VIRGIN MY PARENTS ARE GOING TO THINK POORLY ABOUT ME” so, there is that stigma I have to battle along with educating, saying things like look, its okay your having sex, its not a big deal, I just want to make sure your safe, because if your bf or whatever has been with someone they can give you an STI, specifically HPV. Also, since part of my dream is to treat families and their loved ones, I want to treat and care for kids as well. I loved my pediatrics rotation, when I would walk in, kids would see this big giant tall guy and they would scream bloody murder, but when I would start smiling and make my voice really high pitched and I would sit on the floor with them and play games, most of the kids ended up climbing me like I was a jungle gym. Also, I love peds because I get to be a kid myself, I get to talk about video games.
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