Medical Student Editor and Contributing Writer
Emory University School of Medicine
Jen is a fourth-year medical student at Emory University School of Medicine in Atlanta, Georgia. In 2016, she graduated from Emory with a Bachelor of Arts in English concentrated in multi-ethnic contemporary American literature and a minor in Music. Jen is passionate about addressing healthcare disparities, highlighting intersectionality and patient-centered care, narrative medicine, and mentorship/education. Aside from medicine, she also enjoys poetry, piano, tennis, indie concerts, Asian-American media, and spending too much time in coffeeshops. After graduation, she aspires to pursue a career in Internal Medicine.
Each morning, Mr. E had a new concern — too hot, too cold, too dizzy, too stiff. He was admitted for what seemed to be a straightforward heart failure exacerbation, but his echocardiography showed severe hypertrophy in both sides of his heart that the cardiologists described as “concerning for infiltrative cardiomyopathy.”
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.
Until recently, vulnerability meant weakness, allowing oneself to fall behind without a chance for recovery. Courage, on the other hand, had the opposite meaning: betting all my chips on prevailing at any cost.
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.
“Could you please hand Eric the needle driver?” As the scrub tech loaded up that blessed golden tool, I knew that I had just ascended within the realm of surgery.
I commented to the resident how satisfied the attending would be with the efficiency of his work. He just laughed and said “look” as he gestured down to his list of patients. I saw the name, and a sense of dread sank in during the rest of the silent walk down the hall.
Our patients deserve to have their battles acknowledged. That means believing your patients when they implore, “I am trying” and appreciating that we may encounter people at different phases of recovery.
“There’s a great neuro exam in room 5147,” my resident said as I dropped my bag in the call room. “Why don’t you go check it out?” I clutched my reflex hammer in one hand and googled the components of a neuro exam with the other as I headed towards the stairwell.
A hospital bed rolled in. It was Marvin. His last walk. On rounds we would say, “Twenty-two-year-old with gunshot wound to the head. Waiting for organ donation.”
Doing my elective at Klerksdorp-Tshepong (K/T) Hospital Complex in my hometown of Klerksdorp gave me the opportunity to become familiar with the health system, the medical personnel and health-related issues that are prevalent in my community. It also allowed me to draw comparisons between my home country of South Africa and the United Kingdom, where I have undertaken the clinical years of my medical degree.
I proposed a deal to my fellow student on our surgery rotation. “You can have all the other cases today if I get the laryngectomy.”
My agitation grew as I realized I needed to do something. I was a medical student training to be a doctor after all, right? Wasn’t I supposed to help alleviate the burdens of others?
Contributing Writer
University of Central Florida College of Medicine
Tryphina Mikhail is a third year medical student at the University of Central Florida College of Medicine in Orlando, FL class of 2021. In 2016, she graduated from the University of Central Florida with a Bachelor of Science in biomedical sciences and a minor in health sciences. She enjoys crocheting, playing volleyball and lindy hop swing dancing in her free time. In the future, Tryphina would like to pursue a career in primary care and academic medicine.
