Columnist
Icahn School of Medicine at Mount Sinai
Katie is a Class of 2016 student at the Icahn School of Medicine at Mount Sinai, in New York City.
Pleural Space
Pleural Space looks at the experiential curriculum of medical school, the many things that are taught and learned that aren’t listed in a syllabus.
A few weeks ago, I was describing my team’s discharge plan to the patient I had been following all week. We had found an anterior mediastinal mass on imaging, and the pulmonologist wanted to follow-up in a week after immunohistological staining came back. I told him we felt he was now stable, and that we would like him to follow up with the lung doctor as an outpatient within the week. He asked me if he should return to the ER to get his appointment.
One of my friends told me today that she shadowed in the emergency room on Friday night. She told me they had a patient who was pronounced dead on arrival after being shot 24 times. Unfortunately, this is a typical narrative for our emergency room on a Friday night. I wish I was surprised, I wish I didn’t already know the story, and I wish the news of another young life prematurely and senselessly erased from this earth even made the news.
In the past few weeks, there has been considerable press surrounding needle exchanges and the recently declared HIV epidemic in Indiana.
The first time I talked with my friends about needle exchanges, I had a visceral reaction. “Why would you give people new needles?” I asked, completely outraged. “Isn’t that enabling and therefore doing a disservice to the very people you’re trying to help?”
A torrential thunderstorm forced nearly the entire homeless population of Tampa Heights out from under their tents and awnings in favor of the more generous cover of a highway overpass. It was the closest Tampa had come to a publicly funded homeless shelter.
“Hello there,” I thought upon meeting my first patient in medical school. I did not get a response. Not that I was expecting one; my first patient was, as are most medical students’ first patients, a cadaver. She was draped with a bed sheet. Even when we began making the first cuts on her back, we kept her covered from the waist down.
Connor Forbes, fourth-year medical student and recent matcher out of the University of British Columbia Faculty of Medicine gives us his expert advice on succeeding in medical school and beyond.
The words by now flow off my tongue. “I’m Sarab, the fourth-year medical student” comes off in a rhythmic flow without a second thought. My position is comfortable, even simple. I am expected to be there, participate to some degree and occasionally know the right answer — I am, after all, a fourth-year post-match medical student.
My classmates and professors tell me I overthink it. “You overanalyzed the problem.” “Stop mulling it over.” “Just focus on the buzzwords and you’ll rock the exam.” “Jump through the hoops and move on.”
The subject of mental health is especially close to my heart; my struggle with depression and anxiety has had an immense impact on my experience during medical school. Yet I never realized how utterly commonplace this is until reading a recent piece on Medscape, “Med Student Suicide, Depression: National Response Needed.” I had no idea, none at all, how many others there were struggling just like me. What I do know is, had there been a screening method in place and more than a half-ditch effort to de-stigmatize these problems, my medical school experience could have been vastly different.
On the day of my white coat ceremony, I felt like a pretender. I squirmed in the rigid, wooden seat, staring at the gilded columns and towering proscenium of the hall, wondering when I’d be found out. I imagined them calling me to the stage, slipping on the coat, then seeing me in it and saying, “Well, that doesn’t look quite right.”
In her memoir “The Cancer Journals,” radical feminist and civil rights activist Audre Lorde documented her experiences as a woman with breast cancer recovering from a mastectomy. Lorde was a black lesbian and patient who is “defined as other in every group I am a part of. I’m the outsider, both strength and weakness.”
President Obama’s executive actions on immigration over the past few years have been met with reactions of both jubilation and opposition. At the border in the Rio Grande Valley, the new law’s effects are acutely felt within a community that prides itself on the blending of American and Mexican culture. The new rules will allow countless mixed status families to remain intact without fear of deportation.
Contributing Writer
University of Iowa Carver College of Medicine
Melissa Palma is a fourth-year medical student at the University of Iowa who recently matched to the Greater Lawrence Family Medicine Residency. When not in the hospital, you can find her studying or reading non-fiction while nursing a taro boba tea.
The Aesculapian Advocate
A column reflecting on the privileges and responsibilities we have as physicians-in-training to advocate for those who do not have the power to do so themselves. Devoted to issues of social justice and health equity, this column hopes to spark conversations and inspire action within each reader's community at large.
