From the Wards

Diane Brackett Diane Brackett (2 Posts)

Medical Student Editor

University of Central Florida College of Medicine


My name is Diane Brackett and I'm a Class of 2016 medical student at the University of Central Florida in Orlando. I'm from Cape Cod, Massachusetts, and spent my undergraduate years in Maine. I love to go for walks, bike rides, and play ice hockey in my free time. I will be doing my residency in anatomic and clinical pathology at Massachusetts General Hospital in Boston.




Darling Baby Boy

During morning rounds, the resident and I stopped by our young patient’s room. He was technically five weeks old, but was born five weeks prematurely, so all in all, he was delightfully newborn-sized. The nurse was sitting in a recliner, holding him. He was well enough to be held. We finished rounds, ate breakfast, and headed to the OR. Our work unexpectedly finished early for the day, and I was free to go. Instead of immediately leaving the hospital, I headed back to our young patient’s room.

Fading Memories of Love and Martinis

“If I begin to repeat myself, just tell me. I have Alzheimer’s. At least, I think I do,” the elderly gentleman said with a smile. This elderly patient of mine was a jovial gentleman and in fantastic shape with unremarkable vitals on physical examination. If it was not for his diagnosis of Alzheimer’s disease, the physical and emotional state of this patient given his age is nothing less than enviable.

Lost in Translation

In the rest of the house, the noise of the party is deafening: the clink of glasses, the sizzle of burgers on the grill, the excited cries of relatives reunited after long absences. But in the bright light of the kitchen, Mark is talking to me without sound. He presses his right hand over his left then moves up its length, separating his thumb from the rest of his fingers as he goes replicating the open and shut motions of a jaw. “This is the sign for cancer,” he says.

F10.23 Alcohol Dependence with Withdrawal

A mere five weeks into my third year of medical school, I met a patient who would leave an indelible mark. Jose was a Hispanic man that teetered between overweight and obese; I am a tall, medium-build Chinese-American who was thin in high school. He struggled with depression during 40 odd years of life; my biggest worry growing up was excelling on the competitive piano circuit. He spoke of a family rife with discord and unhappiness; my family is intact and supportive. He dropped out of college; I want to stay in school forever. He ate rice and tortillas; I ate rice and tofu. We were different but for a moment, our lives intersected.

We Lost It: A Story of Surgical Error

I will admit to being an “OR avoider” — albeit, one who is certainly in awe of the stylized pageantry of sterile armor adornment. In the operating room, safe spaces are demarcated by mere inches. Rest your hand beyond the thresholds monitored by the scrub techs and you are deemed a threat to a clean procedure. Gesturing in ways that are otherwise socially advantageous gives new territory to harmful bacteria that threaten favorable outcomes. As third-year medical …

Clinical Culture Shock: Low Health Literacy as a Barrier to Effective Communication

On a Saturday morning at one of our local safety net clinics, where third-year medical students see patients independently and then present to the supervising attending, a man in his 60s arrived to talk about some lab results he had received and what they meant. This man, Mr. S, had many medical problems, including hypertension, COPD, chronic kidney disease and newly diagnosed diabetes. He came to the office that day wanting to know why he had …

A Patient in Denial: Is the System at Fault?

I’ve come to realize having an automatic word filter is one of my greatest blessings. It becomes quite useful when, in the middle of rounds, a patient’s single, monosyllabic response inspires such a flurry of mismatched curse words that only a properly formed filter can save my dignity. What exactly did this patient say that stunned me so violently? My attending had asked him a straightforward, albeit grim, question. “Do you know you have cancer?” …

Reflections of a Long, Long Longitudinal Clerkship

Once upon a time, in a rural hospital far, far away, a med student began her clerkship. At the University of British Columbia, the Integrated Community Clerkship (ICC) provides an opportunity to spend the first clinical year of medical school in a hospital in rural British Columbia rather than a large academic center. The intent is to provide hands-on education and to encourage physicians to one day return to serve a rural community. Applying to the ICC was …

Code Blue: See One, Do One

I had experienced codes before. Prior to entering medical school, I had worked as an emergency room scribe, charting patient encounters as they unfolded. I considered myself familiar with a code’s whirlwind of action, always one step away from the true pandemonium. After all, I had stood on its borders, plucking shouted orders and silent actions from the maelstrom, weaving them into a coherent, documented clinical picture. Naïve, and all too eager to count at …

Stars, Dollar Bills, and Other Essentials

Ms. Miller is a fading star. At first glance, I begin painting an elaborate picture in my head of Ms. Miller in her brilliant shining glory. Young. Stubborn. Beautiful. Loved. I have no way of knowing if these things are true, but in my head I must believe them because it’s just way too sad to accept the truth. Old. Inert. Defeated. Wrinkled. Alone. Ms. Miller was brought to the ER from her nursing home …

The First Twelve Hours

It is the end of the day. I know this not because I can see the color of the sky, but because the hands of the clock tell me so. My shins ache. My eyelids droop. From an unknown place above, I watch myself join a whirlpool of patients circling the nurses’ desk. I watch as my last my last drop of energy slips out of my body and down the drain. I wonder, “Is …

Morgan Shier, MD Morgan Shier, MD (3 Posts)

Contributing Writer Emeritus

Ross University School of Medicine


Dr. Morgan Shier, MD is a family medicine physician in Colorado and was one of our first in-Training writers in 2014 and a featured writer in our print book in-Training: Stories from Tomorrow’s Physicians.