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Articles on this Page
- 01/10/17--21:00: _Crow’s Feet
- 01/16/17--20:45: _Dotting I’s
- 01/19/17--20:23: _A Third Year Opus —...
- 03/27/17--21:00: _Transitioning to th...
- 03/28/17--21:00: _A Lesson in Hope
- 05/25/17--21:00: _A Third Year Opus —...
- 05/31/17--21:00: _Second Day as a Sur...
- 06/15/17--21:00: _Where Are You From?
- 06/07/17--21:00: _Transformation from...
- 08/18/17--21:00: _Differentials
- 08/10/17--21:00: _403
- 08/16/17--21:00: _An Apology to Medic...
- 11/06/17--21:00: _Smile
- 11/28/17--21:00: _Stairwells and Stet...
- 12/28/17--21:00: _The Victim of an An...
- 01/28/18--21:00: _Her Wardrobe
- 02/22/18--21:00: _Ready to Go
- 03/04/18--21:00: _Outside the Room
- 03/06/18--21:00: _The Testing Epidemic
- 04/16/18--05:46: _The Glamorous Life ...
- 01/10/17--21:00: Crow’s Feet
- 01/16/17--20:45: Dotting I’s
- 01/19/17--20:23: A Third Year Opus — Chapter Three: The Tenant
- 03/27/17--21:00: Transitioning to the Clinical Years: Be A Duck
- 03/28/17--21:00: A Lesson in Hope
- 05/25/17--21:00: A Third Year Opus — Chapter Four: A Walk on the Ward
- 05/31/17--21:00: Second Day as a Surgery Student
- 06/15/17--21:00: Where Are You From?
- 06/07/17--21:00: Transformation from md to MD
- 08/18/17--21:00: Differentials
- 08/10/17--21:00: 403
- 08/16/17--21:00: An Apology to Medical Students
- 11/06/17--21:00: Smile
- 11/28/17--21:00: Stairwells and Stethoscopes
- 12/28/17--21:00: The Victim of an Angry Attending: Five Ways to Deal with Criticism
- 01/28/18--21:00: Her Wardrobe
- 02/22/18--21:00: Ready to Go
- 03/04/18--21:00: Outside the Room
- 03/06/18--21:00: The Testing Epidemic
- 04/16/18--05:46: The Glamorous Life of a Medical Student in the Operating Room
There was an elderly man suffering from late-stage Parkinson’s dementia. There was a patient with schizophrenia experiencing a COPD exacerbation. Then, there was Mrs. G, who was admitted for immune thrombocytopenia. She was a retired teacher who spent her time volunteering at her church and caring for family members.
For the smaller challenges of medicine, like fitting an entire person's pertinent medical status in the half-inch gap between names on the patient list.
Delirium is a bread-and-butter presentation. The differential writes itself -- stroke, infection, intoxication, electrolyte imbalances, shock, organ failure. The intellectual exercise this invites was practically invented for medical students, even if the final diagnosis (dehydration secondary to gastroenteritis) and its treatment (fluids) were relatively mundane.
“Be a duck,” became my mantra throughout medical school, so much so that my mother had it printed onto a canvas and has it hanging on a wall at home in my honor. As a medical student you might think I would be more interested in having the prowess of a lioness, the elegance of an eagle, the speed of a cheetah or the energy of a dolphin. A duck, as most envision it, does not have much appeal; except, however, when swimming. The quote that led me to emulate the duck is Michael Caine’s, “Be a duck, remain calm on the surface and paddle like the dickens underneath.”
I spent the first week of my outpatient experience in Internal Medicine working with the nurses at Hospice of the Red River Valley in Fargo, ND. Besides being incredibly nervous to begin my third year of medical school, I was anxious about what I might encounter on my week at Hospice. I was naive to end-of-life care; I was under the impression that Hospice was emotionally distressing, that all patients were dying from cancer, and that there was little that providers could offer patients besides Ativan and morphine. My week with Hospice fortunately rid me of those misconceptions. These brief stories emphasize the small details that ended up having a profound impact on me.
Sunrise on the psych unit. A tentative, yawning flicker, a wash of tired fluorescence, and the hallway shudders to life—or something approximating life anyway.
The post A Third Year Opus — Chapter Four: A Walk on the Ward appeared first on in-Training.
“There must be a better way to make a living than this!” / Slam. / Silence, except for the persistent heartbeat. / The beat of the ticking time bomb, the dying heart.
"Where are you from?" A question that I am asked many times during the course of my day. But the answer has never been clear nor concise.
First year of medical school: / Don’t remember much. / MD/PhD students, you know what I mean. / Learned how to use a stethoscope.
“From now on,” our deans told us at orientation, “society will see you as a doctor. Sometimes you may not feel like one, but that is what you are becoming. This week marks the beginning of that transition, which will continue in the months and years to come."
During the team huddle I was assigned to Room 403, Bed 1. “There is a lot you can learn from this patient. You should see him.” I got the one liner and was off.
Dear medical students, I’m sorry. You had just finished two years of didactic learning and couldn’t wait to feel like a “real” doctor. You were finally starting your clerkships, that is, finally working with patients and getting deep in the trenches.
The entirety of the third year of medical school is an act. If you want to be a good medical student, you are what your team wants you to be. Amenable, pliant, easygoing -- even when inside you are a bitter angry little thing who’s tired of being pushed around.
“No, no, no,” I repeated, first silently and then as a whisper, as I frantically pushed the elevator button. The reliable elevator chime did not ring, and the button light would not stay on. "Great. Fantastic," I sarcastically muttered.
The point of my story is to outline a scenario that many of us as students have probably experienced: being the target of a superior’s anger. This isn’t the first time that an attending or senior has treated me poorly and unfortunately, it won’t be the last.
The post The Victim of an Angry Attending: Five Ways to Deal with Criticism appeared first on in-Training.
In high school, I was obsessed with wearing only vintage clothing. After hours of painstakingly searching every clothing rack at Goodwill, I would find a well-worn baseball jersey or an elaborately bejeweled Christmas sweater. I felt a sense of immense pride in reclaiming someone else's memories -- their winning games, their holiday parties - in an attempt to express my “uniqueness”.
The very first patient I ever met on my internal medicine rotation was someone who hated being in the hospital. He took every opportunity in the following ten days to remind us that he was waiting to be discharged.
I was called to a code the other day. Now I should probably clarify: as a medical student, I don’t actually do anything (unless they really need people for compressions). In fact, I wasn’t even in the room.
Daily labs are commonly ordered on hospitalized patients. While such tests may be indicated when patients are acutely ill and the clinical picture is unclear, there are many times when this is not the case.
Some of my friends and family are really fascinated when I tell them I'm on my third-year surgery rotation. It is hard to convey how glamorous and inspiring it is, so I've written a short summary of a morning in the operating room.
The post The Glamorous Life of a Medical Student in the Operating Room appeared first on in-Training.