Medical Student Editor and in-Training Staff Member Emeritus
University of Florida Fixel Movement and Neurorestoration Institute
Nita Chen is a current movement disorders fellow at University of Florida Movement and Neurorestoration program. She is Class of 2017 medical student at Albany Medical College. To become cultural, she spent her early educational years in Taiwan and thoroughly enjoyed wonderful Taiwanese food and milk tea, thus ruining her appetite for the rest of her life in the United States. Aside from her neuroscience and cognitive science majors during her undergraduate career, she holed herself up in her room writing silly fictional stories, doodling, and playing the piano. Or she could be found spazzing out like a gigantic science nerd in various laboratories. Now she just holes up in her room to study most of the time.
History and the greater emergence of medical presence in popular media have placed physicians on a pedestal where they command significant power and respect. As healers and scholars who are privy to the secrets of the human body, physicians are often expected to shoulder great responsibilities for their fellow human being while still maintaining their own mental well-being.
Just last month, the Supreme Court issued a ruling declaring bans on same-sex marriage illegal. While many hail this as a major step in the quest for equality, equity in health outcomes is still lacking in the lesbian, gay, bisexual, and transgender community. Many clinicians and prospective clinicians do not receive significant training in how to address the unique needs of members of the LGBT population.
“He’s had enough, you don’t want to put him through any more.” Dr. Acharya’s soft jowls folded into a cool smile, as though he hadn’t thought of acids unfiltered by failing kidneys. I dug my fingernails into my palms. Glancing at the bed where my grandfather lay, I watched his bare, gray skin grip the scar that split his ribcage in two. Behind his parted eyelids were unfocused blue eyes, glazed with whitish film. He hardly knew we were there — hovering over him — deciding whether he would have a chance to live and suffer, or whether he would suffer and die.
As a medical student nearing the end of my studies, I have come to understand many of the challenges and rewards inherent to caring for people at every stage, and every walk of life. I can understand the pain and joy that define the experience of being a physician because I am a member of this group.
There is little doubt that many in the world lack access to adequate public health systems, and we know that good global health work can help these individuals. Fortunately, institutions and individuals are becoming increasingly interested in contributing to the field of global health. In fact, global health has become increasingly integrated into medical schools, so even tertiary care centers with little-to-no public health offerings afford their students opportunities to go abroad.
Inpatient neurology at UAB is a busy service, accepting a variety of calls every day from the ED, inpatient consults, and transfer patients throughout the state. On a particularly hectic Wednesday afternoon during my second week of rotation, our team received a page from the psychiatric ward that one of their patients, Mr. S, was being transferred to our floor after a possible seizure. The residents were busy checking out patients to the night team, so I was sent to see the patient first.
How can doctors-in-training incorporate wisdom from spiritual traditions into the delivery of health care? Rembrandt, a second-year medical student in Chicago, shares his exploration of how lessons from Christianity offer him insight into life’s big questions that arise in medicine.
“Medicine is a team sport,” said one of many administrators who spoke to my class during medical school orientation. This utterance rang true to me, as I have always believed that medicine relies on people working together in a cooperative and respectful manner. Yet, what I never imagined is just how challenging it is to work in a group when you are the most passive person in a room. I came into medical school shy and feeling a little out of place.
“Look, you’re not out on a four-year picnic at that medical school, so stop talking like a disappointed lover. You signed up for a spell of training and they’re dishing it out to you, and all you can do is take everything they’ve got, everything they hand to you, and tell yourself how lucky you are to be on the receiving end — so you can be a doctor, and that’s no bad price to pay for the worry, the exhaustion.”
Every other person in my family assured me I have nothing to fear, that I shouldn’t toss and turn in my bed at night feeling powerless because I’m in Philadelphia, thousands of miles away from India. Most days I reminded myself that to go to India I must first drag myself across the finish line of first year. But late at night alone in my apartment, I was haunted by lab values. I wracked my brain over the latest hemoglobin, sodium, potassium and chest x-ray. What am I missing? Is there something I can see that doctors with hundreds of years of collective experience cannot? The reality is that I didn’t have the answers for the people I love, and that thought terrified me more than anything.
Distilling lengthy science publications into short summaries is challenging. The pioneers at Useful Science have made it their mission to communicate evidence-based snippets of science to the general public.
When I started medical school last August, I arrived on campus excited to fulfill my childhood dream of becoming a doctor, eager to learn more about the body and its mysteries, and more than a bit nervous. “Medical school,” the physicians in my life told me, “is no joke.” But “everyone survives” they assured me. While I clung to this promise as I made my way through the year, I did so perhaps for different reasons than I first imagined.
Contributing Writer
Perelman School of Medicine at the University of Pennsylvania
Dorothy is a Class of 2018 medical student at the Perelman School of Medicine at the University of Pennsylvania. She currently channels her interest in intersectional feminism and social justice by organizing with the medical student activist group, White Coats for Black Lives. When she’s not studying or organizing, Dorothy can be found live-blogging/live-tweeting her favorite TV shows, eating froyo with friends, and playing the guitar (somewhat badly).
