From the Wards

J. Kai Simmons (1 Posts)

Contributing Writer

University of Kansas School of Medicine


J. Kai Simmons is a fourth-year medical student at the University of Kansas School of Medicine in Kansas City, Kansas. In 2014, he graduated from the University of Kansas with a Bachelor of Science in biochemistry. Kai is currently applying for residency in Otolaryngology. During residency, he hopes to continue his work with underrepresented minorities in medicine with various mentorship programs.




Red Lines, Black Bodies

I entered the office of the Community Health Council of Wyandotte County, Kansas City, on a muggy, late-summer day during my family medicine rotation. The air-conditioned building boasted a large front room with sporadically placed desks, children’s books and toys, and what looked like a large food pantry. I flexed my elbows and wagged my arms to fan out the sweat from my Black body enshrouded in my white coat.

Drivers of Disease, Hidden in Plain Sight

If there is one thing I have learned, it is that what we, the medical providers, think is important may not necessarily be the priority of the patient. We want to know: why are your sugars uncontrolled? How is your diet? Have you been able to take your metformin? However, for the patient, these things are often trivial. The patient wants to know: how will I be able to afford these medications with my part-time job? How am I expected to see a specialist without insurance? Should I be going outside to exercise, or will I contract coronavirus?

Yes, It’s Possible To Have a Baby In Medical School — Here’s How

Having a family, for some of us, is also non-negotiable. We want to be moms, and we have the right to pursue more than just medicine. So let us flip the script in our mind. Our mindset should not be a question: “Can I have a baby during my training?” Instead, let us decide, “I will have a baby during my training, and this is how.” Own it. Do not apologize for it.

Strength

She was a woman in her early twenties accompanied by her husband. She was a first-time expecting mother at 19 weeks gestation with twins. They had received regular prenatal care and had been doing everything as the doctor had instructed to ensure a healthy pregnancy. She made this appointment because she felt something was off, her motherly instincts already keen.

Ouroboros

I have become, in these last six months, a twisty little ouroboros. I eat my tail because it’s all I know, and I savor my pain and confusion. I am always full and always empty and a little twitchy from all the coffee. We are one of the few medical schools in the country to push ahead early with in-person rotations during the pandemic.

Patient 15

Patient 15 was a fit 38-year-old female with a past medical history of dilated cardiomyopathy who presented for follow-up on her most recent echocardiogram results. Flipping through the past notes, prior echos, family histories, I was captivated. A previous echo revealed an ejection fraction of about 50% — her heart was already revealing its impending fragility. The most recent echo, just five months later, revealed an ejection fraction of 20% — her heart was failing!

A Clarification: Reducing Patient Fear

In the extremely efficient and fast-paced environment of health care, the emotional needs of patients and their families may become secondary to their medical treatment plan. But emotional stressors may be directly associated with poor outcomes in regards to the healing process and overall quality of life. Thus, these needs may be addressed by face-to-face communication that allows for better patient education. Such investment of time is most rewarding when both the patient and family members have the opportunity to explain their fears and worries regarding treatment.

The Family Meeting

In the neuro intensive care unit, I took part in a meeting with my team to update a family on the status of their loved one. It was my first time in this type of meeting, especially for a patient that I was directly involved in caring for. To our team of medical professionals, he is our 51-year-old male patient with a 45-pack-year smoking history, but to his family, he’s a son, a husband and a father.

The Vulnerability of Our Patients and Ourselves: A Parallel Chart Reflection

I actually don’t remember his name; he wasn’t my patient. I just saw him during rounds every day during my internal medicine clerkship. He was in his late-80s, and he was very ill. He had a long history of COPD, most likely attributed to his even longer history of smoking. He had been admitted to our service for a severe respiratory infection a few days prior to me starting the rotation. This was my last rotation of my 3rd year, and I walked in thinking I had seen enough COPD patients to know exactly what to expect.

Buddy

You were my first patient on my first inpatient rotation as a third-year medical student, which meant that I had absolutely no idea what was going on. I was mostly concerned with trying not to faint during presentations on morning rounds. I stared at your bowl of Cheerios, the cereal beginning to turn the skim milk a pale yellow. Your brow furrowed in annoyance behind your thick glasses.

John Carlo Pasco John Carlo Pasco (1 Posts)

Contributing Writer

Boston University School of Medicine


John Carlo Pasco (he/him/his) is a fourth-year medical student at Boston University School of Medicine in Boston, MA class of 2021. In 2013, he graduated from Stanford University with a Bachelor of Arts in human biology, and a minor in creative writing and poetry. He graduated from Columbia University in 2015 with a Master of Science in narrative medicine. He has had work published in McSweeney’s Internet Tendency and Medical Humanities Blog. In his free time, he enjoys reading and writing poetry, humor, and personal essays. After graduating medical school, Carlo would like to pursue a career in pediatrics and use his training in narratives in palliative care.