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.
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.
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.
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 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.
“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 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.
“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.”
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.
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.
“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.