Contributing Writer
Georgetown University School of Medicine
Nikita is a third-year medical student at Georgetown University School of Medicine with an interest in clinical reasoning, medical education, and foreign languages. In 2018, she graduated from Georgetown University with a Bachelor of Science in neurobiology. Her writing touches on narrative medicine, and strives to explore how medical trainees can maintain a humanistic perspective in healthcare.
While the professor moved to the next slide, my face visibly blanched. All I could hear was the drowning sound of my own heartbeat thumping in my ears. Is this true? I thought. Nothing we can do? Only five years of survival? Did this apply to my grandpa Baba? But Baba has been sick for six years!
One inch more than the measure of me, and one inch less than that of my father. It’s been a while since I lined up, back to back. But if I did, the space between us would only read two inches. Maybe less now that he is older. Nearly sixty. Closer to the next decade than the last.
When I began thinking of establishing an elective, I wished there had been a roadmap to follow to understand where to start and how to invest my time. Hopefully, by detailing my own process, which I’ve broken down into three phases, other students may feel that they too can take ownership of their education by developing something rooted in their passions for others to enjoy and learn from.
There were seven of us standing around the table as the attending surgeon debrided the infected fascia. The vascular surgeon came in the room and barked at us to identify the structures before us. “What’s that artery?” he interrogated us. “I’ll give you a hint,” he said, “there’s a deep and a superficial.” We named the sural nerve and iliotibialis band and the great saphenous vein. As we clamored around the table, I suddenly thought of the Rembrandt painting: The Anatomy Lesson of Dr. Nicolaes Tulp.
The incidence of chronic disease is strongly correlated with aging. According to the Information Theory of Aging, aging results from a progressive loss of genetic material due to gradually worsening cellular repair mechanisms. This cellular erosion leads to a nearly interminable list of diseases, including but certainly not limited to cancer, heart disease and neurodegenerative disease.
This is a space / between you and me / where you can simply be
Upon meeting the new children I was babysitting, the little girl Elason immediately asked me if I brought my stethoscope. Her mom had told her that I was a medical student. In the eyes of Elason and Kaje, that made me a superhero. It didn’t matter that I was at the bottom of the food chain in the medical world.
Mrs. H’s story is just one of millions of Americans who have become victims of structural violence and suffered from the social determinants of health. With a clearer understanding of the complex factors that contribute to patients’ health outcomes, I now aim to reunite the erroneously separated domains of medicine and social sciences.
Allowing natural death gives the elderly and terminally ill the opportunity to control the end of their life, providing empowerment and a sense of peace during their time of uncertainty. This patient and her family’s forethought allowed us to provide medications to ease her pain and discomfort. When she closed her eyes for the last time, her body relaxed into the sheets, and I pulled the blanket up to her shoulders. Her family said goodbye, and then I began to perform post-mortem care.
I was anxious because I was used to moving at such a fast pace that slamming on the breaks gave me whiplash. I was desperate for things to do because I had forgotten how to slow down and relax — how to just be. Slowly, I began to see the opportunity that quarantine had presented me with.
I knew I moved through these spaces easily for many reasons, but being White is a big one that needs to be said out loud. And when you look and feel more comfortable in a space, it is easier to perform “well,” or to sound confident. This is directly related to what academic medicine characterizes as “objective” evaluations of students, and there is data to support this.
I applied to medical school twice. In retrospect, I was unsuccessful the first time for a few reasons: my timing was terrible, I had too much humility about my achievements and I didn’t ask for enough opinions about my application from people who were rooting for me. My trauma was also too raw and recent to write in a way for strangers to understand.
Contributing Writer
University of Arizona College of Medicine - Tucson
Brittany D.K. Gratreak is a second year MD/PhD student at the University of Arizona College of Medicine - Tucson. She began college at Portland Community College, then graduated from Portland State University in 2016 with a Bachelor of Science in biology. She is an active leader in women's medical professional groups and dedicated to creating mentorship opportunities for fellow first-generation and low income (FGLI) premedical students. In her spare time, she enjoys cycling, strategy games, and creating art. After graduating medical school, Britt wants to revolutionize the care of patients with traumatic brain injury through neurology and neuroscience.
