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. So it made sense that a medical student just starting an internal medicine rotation would be assigned to such a classic presentation.
A digital illustration by medical student David Yu.
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.
In the five years that have passed since I met the 14-year-old girl who opened my eyes to the terrible crime of sex trafficking in the United States, much has changed. We have made strides in state and federal legislation to protect survivors, national human trafficking prevention months have been declared, and victims are no longer treated as criminals.
At Albany Medical College, upon our orientation to gross anatomy, we are asked to draw our feelings on blank index cards prior to entering the cadaver laboratory. As we progress through the year, our sentiments regarding anatomy may remain the same, or may change, and these drawings allow us to look back at this milestone we crossed as budding medical students.
Debate about some of the most pressing issues facing our country were lost in the horse race of the 2016 presidential campaign. Among those issues was healthcare. While millions of Americans received health coverage under the Affordable Care Act, an estimated 30 million remain uninsured and medical bills continue to be the leading cause of bankruptcy in the United States.
An explosion of peaceful energizing love / Hidden sun god and goddesses / Cropping the harvest
For most first-and second-year medical students, residency is only in their imagination, and it is not truly until the third and fourth years that it becomes something they can imagine very well. It is the mystical land of having ‘made it’: getting through medical school, having the title MD or DO finally applied to you, and being thrown head first into the clinical world.
My foray into the wilds of Alaska was part a journey that my classmates and I call “the Safari.” While no African wildlife are spotted on the trip, bears and moose are plentiful, and the journey traverses over a quarter of the United States landmass, from four-room clinics serving towns of a few hundred people to the massive edifices of a level one trauma center and tertiary care university hospital serving five states. For those unfamiliar with the program, the University of Washington is the only allopathic medical school in the “WWAMI” region, comprising of Washington, Wyoming, Alaska, Montana, and Idaho; the school has clinical sites and regional teaching campuses in each of these states. Come third year, students can request rotations in the multiple hospitals in Seattle, or rotate at the regional sites.
Black hellebore, a flower of the deepest black and with petals the sinister shape of blunted arrowheads, grows wild in the cool, mountainous regions of the Balkans. Despite its unintimidating label as the “Christmas rose,” the hellebore has a much darker history, one bespoken more by the flower’s ebony hue than by its innocuous nickname.
The considerations in choosing a specialty are multiple. There are matters of lifestyle and compensation, of competitiveness and rigor. There is the push-and-pull of breadth versus depth, of procedure versus prose.
One of my bucket-list goals before I die is to climb Mount Everest and Mount Kilimanjaro. Where did this come from? I’m not entirely sure. Yet something about climbing the tallest two mountains in the world has always appealed to me; I like challenges, and I can see no greater challenge to my physical and mental fortitude. However, even though I try to work out regularly, I’ve never gone rock climbing in my life. Therefore, keeping this bucket-list goal in mind, I decided to grab some friends and go rock climbing for my next adventure.