Through the course of medical education, students learn to call for “consults” from various medical specialties. Yet, consults can come in many forms — from social work, nutrition, law, ethics and policy. There is also much to be learned from premedical and post-bacc students, who may be walking into medicine with a fresh set of eyes. “Consults” invites experienced non-clinicians and undergraduates to contribute pieces relevant to the medical student community.
Pre-Medical Guest Writer
Tulane University
An undergraduate senior based in New Orleans, Hanan Rimawi studies neuroscience and public health. She and a few friends started a running project at Tulane called Bridging Generations to foster connection between the young and old.
“That’s rubbish.” My new friend — I’ll call her Sylvia — lay supine on her bed, staring bleary-eyed at the ceiling. White bedsheets swathed her long, gaunt limbs, and her sickly pallor startled me.
“Knife.” One of the surgical nurses slapped it into his hand, and Dr. James drew the scalpel quickly down the woman’s betadine-covered belly. So little fanfare preceded that moment that I almost missed it.
My palms were sweaty as I slid on my blue gloves and boot covers, feeling excited and anxious at the same time. “I’ve delivered hundreds of babies,” Dr. Johnson said. “I think I can give you this one.”
As future doctors, we must advocate for a more integrated nutrition and lifestyle medicine education, one that is based not just in healthy eating, but also in the reversal of this global chronic disease epidemic. Let healthy food be thy guide to a happy body and soul.
When Jerry Sandusky, the former Penn State football coach, was convicted of 45 counts of sexual abuse, few could foresee that he was about to hurt thousands of students, future physicians and aspiring scientists across the nation.
Her agitation was clearly apparent, plastered to her face like the smile she had worn moments ago. The phone was still clenched tightly in her hand as she paced the narrow hallway, muttering under her breath how travesties like this would not occur back in her native Ghana.
The elegant sport of tennis has evolved over numerous decades, from using wooden rackets to the graphite rackets of today. The historic grass-court stages of Wimbledon have also undergone changes as champions were crowned. Likewise, medical innovations have advanced greatly.
When pre-med and medical students think about where to attend school or where to apply for residency opportunities, they also undoubtedly consider the hard work, dedication and sacrifices required along the way. But how often are they thinking about location in this process?
The future of American health care remains uncertain. It was only a few weeks ago that the Affordable Care Act narrowly evaded the congressional guillotine a mere seven years after its installation.
In medicine, there is a saying that the training is onerous but the rewards are many. More often than not, these rewards come coated in a myriad of shapes, including lucrative incentives, personal gratification, warm contentment and sated joy. For some physicians, a last wound-closure of the day, a smile on their patients’ faces, or warm, heartfelt regards from the people they care for carry immense significance. Yet, for many others, lucrative incentives seal their fate, becoming a bane to the integrity of the medical profession as a whole.
In December of 2014, one week after the non-indictment of Michael Brown, in-Training published an article entitled “A Lack of Care: Why Medical Students Should Focus on Ferguson.” In it, Jennifer Tsai argued that the systemic racism rampant in our law enforcement and criminal justice systems also permeates our health care system, affecting both access to care for black patients and the quality of care black patients receive. Lamenting that the medical community was largely absent from the Ferguson controversy, she cited startling statistics of disparities in health and health care as part of her call to action. In light of the events last week in Louisiana, Minnesota, and Texas, it’s time to revisit this message.
A very simple but interesting phenomenon in health care is the concept of “white coat hypertension.” Initially, if you take a patient’s blood pressure, it may be abnormally high. This is simply because they’re nervous about the situation. If you just wait a few minutes and then take the patient’s blood pressure again, it has often decreased a fair amount. It’s a simple enough concept — the patient is worried that something is wrong and this makes their blood pressure increase. However, this leads me to the question: why do we make our patients so easily nervous? That is not our place in the health care equation.
Guest Writer
University of Kansas School of Pharmacy
P3 student at the University of Kansas School of Pharmacy.
