Contributing Writer
INOVA Children's Hospital
Dr. Kenneth Lopez is a 1st-year Pediatric Resident at INOVA Children's Hospital in Fairfax who is experienced in multiple fields, including medicine, chemistry, biology, public health, sociology and mathematics. He has trained in multiple industry-standard lab techniques in immunology and microbiology, as well as clinical and epidemiological translational research within multiple disciplines. His diverse experiences, leadership skills and consistent compassionate and curious approach towards tasks, allow him to contribute dynamic ideas to organizations and produce high-quality work within multiple stages of project development and implementation.
“That doesn’t happen often,” I quietly but excitedly say to myself while discussing our consult from the PICU. My attending hesitates, pondering the precarious balance between encouraging my medical curiosity and protecting me from the horrors of child abuse and mistreatment that still haunt her to this day. That day, I was a first-hand witness to the necessary but horrible clinical task of a brain death exam. This task is a rite of passage for …
Septic shock. Liver failure. Kidney cancer.
This was my patient. I sat with her, held her hand, coaxed her to share pieces of her life story from underneath the covers.
“Patient is a 34-year-old male with a nine-month history of rheumatoid arthritis-associated interstitial lung disease who is currently being treated with mycophenolate and rituximab. He remains on high-flow nasal cannula with oxygen saturations of 84-87% overnight. Transplant team signed off as the patient did not qualify for transplant. He reports feeling well this morning and that he learned a great new magic trick with a disappearing card.”
As patients moved in and out of the modest office for their appointments, their duffel bags and luggage in tow containing all their personal belongings, the day unfolded in typical fashion. Yet, within the confines of this psychiatry office catering exclusively to the local unhoused population, “normal” took on a unique meaning.
At the start of clinical rotations, we are urged by preceptors to immerse ourselves in the experience, advocate for our patients and strive to understand them better than the rest of the team. I could not, however, shake an underlying thought: Why would any patient divulge their most intimate details to someone so inexperienced? After all, I was just a medical student.
“Could you water my plants?” I asked my roommate when I was out of town. They say it takes a village to raise a child, make it through medical school, to do anything worth knowing. When I started medical school, I had a village: parents, friends, family, a partner and my plants.
As the hands of the large clock on the wall turn to 8 a.m, a wandering medical student strolls through the intricate hallways of the pediatric intensive care unit (PICU) at Nicklaus Children’s Hospital. Her eyesight shifted to various places in the unit as she struggled to find the so-called “fishbowl,” an office space where residents station themselves to work.
A light knock at your hospital room door and my introduction: “I am a first year MD-PhD student. Thank you.”
During my family medicine clerkship in medical school, I worked with a free mobile primary care clinic dedicated to serving uninsured patients. Parked outside a church in a large city, the clinic was a large blue bus standing in stark contrast to the gray asphalt parking lot around it.
On the fifteenth day that Marietta had not eaten, the psychiatry team knew they could no longer take care of her. With each day, her body grew weaker, her blood pressure softened, and her heart beat faster to keep her alive. By the time the medicine team was consulted, her heart was laboring at 130 beats per minute.
We lug our oversized backpacks into the van and climb in, slamming the doors with such haste that the chaos mere feet away is smothered instantly. What had just been a moment of mayhem dissolves into one of pure silence. Ben doesn’t start the car. I don’t need to ask him why. This group has never been short on chatter, but for once the outreach team is resigned to stillness.
Writers-in-Training Intern and Contributing Writer
Geisinger College of Health Sciences
Kaitlin is a medical student at Geisinger College of Health Sciences, class of 2027, interested in primary care and addiction medicine. She is from Malvern, PA and attended Northeastern University for undergrad. Outside of school, Kaitlin loves running, volunteering, cooking, reading/writing, and playing piano!
