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Manik Aggarwal Manik Aggarwal (7 Posts)

Columnist Emeritus

Texas A&M Health Science Center College of Medicine

Hi! I am an Internal Medicine resident at Georgetown University Hospitals. I graduated medical school from Texas A&M Medical School and Baylor University Medical Center in Dallas, TX. I went to Case Western Reserve University where I did my bachelor's in medical anthropology and a masters in public health. Life is good. I am an inherent optimist who simply enjoys life. Avid Dallas Cowboys fan! In all my free time (ha ha), I enjoy traveling and spending time with friends and family.

Storytellers

Patients are the true storytellers. They come in with pathology, we interpret physiology and prescribe pharmacology, but their stories are what we remember. They shape our experiences and how we practice medicine.




My Path Towards a Career in Internal Medicine

Published by Manik Aggarwal

As our friends finish undergrad, apply for jobs, settle down and develop a lifestyle, we are preparing for the next standardized exam, writing that catchy personal statement and requesting another set of recommendation letters on our journey towards residency. Although medicine is not for everyone, for whom it is, it likely is the only choice. After completing three years of medical school, the time finally comes to choose what we will do for the rest …

Getting it Right

Published by Christopher Hudson

Pharmacology is over. I sit in my house with the post-test buzz still ringing in my ear amid a rhythmic background of raindrops striking windowsills and cars sliding past outside. I doze, and the rain conjures afternoons in Borgne when the clinic visitors had slowed to a drip after the morning hubbub. The end of summer happened fast. At times I have to catch myself to remember that I am back in Rochester since the …

Don’t Stress Eat!

Published by Madeline Haas

Last night I had one of those horrible nights where bacteria- and virus-laden nonsense raced through my head as I lay in bed, in powerful mockery of my lame attempts at meditation and mind-clearing. Once an hour this was punctuated by becoming fully awake, getting up, and then laying down once again to the same as soon as my head hit the pillow. I’ve been trying to do everything right, too: yoga, running, studying, dinner …

Choosing General Surgery: Reflections from a Fourth-Year Medical Student

Published by Valentina Bonev

Why do I want to become a general surgeon? The real question is why wouldn’t I want to become a general surgeon? I enjoy the operating room, I find the cases interesting, and I couldn’t see myself doing anything else. Even more than all the usual reasons, I feel like there’s something so unique about surgery that is almost indescribable. Being a surgeon is unlike any other career: you get to operate on people. You improve and …

Juggling

Published by Madeline Haas

For 24 years I lived in Cambridge, Mass. with or near my parents. I was in high school when my maternal grandfather died, and I remember when my mom and brother met me at a dress rehearsal one evening to share the bad news. I was a few blocks away, living at Harvard summer school, when my dad was briefly hospitalized with an ulcer. I lived just one zip code over when my brother was …

How Much Salt?

Published by Madeline Haas

When my dad went on medication for hypertension—despite his near-religious routine of daily running and a diet rich in fish and vegetables—I stopped buying cheese, reduced the amount of soy sauce in my stir-fries, and gave up my weekly jars of pickles. Studying the mechanisms of hypertension during our renal theme last year—learning how the kidney adjusts to higher levels of sodium over time—only increased my determination to follow a low-salt diet. All this until …

Life Among the Zebras

Published by Jennifer Yang

[ca_audio url=”http://in-training.org/wp-content/uploads/2013/07/03-Young-and-Beautiful-1.mp3″ width=”500″ height=”27″ css_class=”codeart-google-mp3-player” autoplay=”false”] We’re all familiar with those epidemiology pie charts that preface most of our pathology lectures. They’re the slides that everyone tunes out and gleefully skip over when reviewing for the exam, minus the few pertinent buzzwords: risk factors, mean age, gender and common symptoms. After all, “think horses, not zebras” is one of the most famous adages in medicine and rightfully so, because biology operates on efficient systems in …

Model Patients

Published by Madeline Haas

Last year, my grandmother, who was 83 and dying of everything, was my model patient for each theme. In the order of molecular biology, musculoskeletal, nervous system, cardiovascular, respiratory and renal, endocrine systems and microbiology, she had or had had a melanoma, osteoporosis, hypertension, atrial fibrillation and blood clots, emphysema, renal failure requiring dialysis, hypothyroidism and C. diff. She actually did not acquire the hyperthyroidism until the month we began the theme. It was not, …

Third Year and Tacos

Published by Haritha Sishtla

The excitement of third year of medical school was upon us while we were in orientation. No more spending hours in the library, listening to boring lectures all day, or reading about cases in textbooks. It was time to actually see real patients, work with great doctors, and actually be hands-on while we were on the floors. However, going from the optional class attendance at 9 a.m. to reporting on the floors by 6 a.m. …

That Uncomfortable Moment…

Published by Manik Aggarwal

Our threshold to admit a patient into the hospital is high. They must be sick—really sick!—and therefore once they are admitted, worked-up and treated, their prognosis is inevitably better. Ultimately, that is the point of our health care system. Enter sick, leave healthy. A recent patient encounter made me question this basic premise. Here was a 56-year-old white female with a past medical history of chronic obstructive pulmonary disease (COPD) presenting with increased shortness of …

Women Warriors: Time Spent at a Breast Cancer Clinic

Published by Valentina Bonev

The woman sits anxiously in the exam room, fidgeting with her green clay necklace. She was referred because of an incidental finding on a physical exam mandated by her insurance company. Another woman in her 50s, with streaks of gray hair, calmly sits in the room next door with her head held high, preparing herself for the worse. She had felt a lump on her breast while showering. The corner room contains a young Mexican …

The Good in Good Work

Published by Ravi Katari

In my previous column, I touched on the American role in the Syrian civil war by pointing out that, at the time, we were lending financial assistance to rebel forces opposed to the Assad regime. State-sponsored violence including the targeted eradication of women and children served as strong justification for the call to oust President Bashar al-Assad from power. Indeed, the figure that was most quoted in the press was 70,000 lives claimed in less than two …