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.
One eye is open as they velcro her legs into the stirrups. I ask the anesthesiologist why that is. He says he thinks it’s because she’s exophthalmic, the medical way of saying she has bulging eyes. Her hips writhe as they insert the long, slender, metal dilators to force open her cervix. They are reflex movements, they say, she won’t remember it, she isn’t in pain. She lifts her pelvis up and off the table …
Recent fourth-year matcher (and in-Training writer) John Dougherty of the Feinberg School of Medicine provides his expertise on how to succeed — and stay sane — in medical school and beyond: 1. Tell us about yourself: Where are you from? What is your undergraduate degree and where did you receive it? Did you do anything between undergraduate and medical school? John Dougherty: I’m from Valparaiso, Indiana, and went to Northwestern for my undergraduate and medical …
Recent fourth-year matcher (and in-Training editor) C. Emily Lu of the Pritzker School of Medicine in Chicago, IL gives us her expert advice on succeeding in medical school and beyond. 1. Tell us about yourself: Where are you from? What is your undergraduate degree and where did you receive it? Did you do anything between undergraduate and medical school? C. Emily Lu: I grew up in Wisconsin, but have spent most of my adolescent andadult …
It feels like we have been in medical school forever, and the neverending saga continues this spring. Perhaps first semester was a gauntlet of rough rotations and long calls, and now you’re counting on some R&R in the upcoming months. Or maybe, like me, you have already completed the clerkships that interested you, and you’ve found yourself low on enthusiasm for the leftovers. Perhaps your semester is back-loaded, and you’re staring down the barrel of …
The patient was a man in his sixties, sitting in the armchair. His wife was next to him. He was there for his routine appointment with a psychiatrist about his depression, stress and anxiety. A year ago, he had a stroke, followed by a motor vehicle accident. His wife is now his caretaker. “It’s hard to take care of him at home, when I’m at work all day, too,” she said. “And he hasn’t been …
Today was not sunny, but today James got to go outside. James is seven years old. Today, he was allowed to drink ginger ale. He’s never been allowed to drink what he wants. He hasn’t left the hospital in weeks. Since James was born, he has had an array of complications. He’s suffered numerous heart attacks, a nearly fatal hemorrhage, a stroke, renal failure, and has lived most of his life on dialysis. His doctors have tried heroic measures “to …
The medical students, residents and Dr. G stood around the computer with backs hunched. With serious and emotionless faces, we stared directly into the screen. We were taken aback by the MRI results of his brain in front of us. Was this a primary tumor? An AVM? A dreaded metastasis from somewhere else in his body? How long has this mass been in his brain? Look at the size. Look at the calcifications. What did …
Confession One: I am an OR moron. Take me out of the OR, and I’m like any other third-year medical student. High achieving with at least some capacity for normal adult functioning. I study, I cook, I pay my bills. I attend medical school, for goodness sake. Most people in this world would consider that the pinnacle of young adult functioning. But in the OR, none of this matters. In the OR, I’m like half …
Kyle died early on a Sunday morning. His last meal was vanilla pudding, fed to him lovingly by his grandmother Shirley, while reruns of “Inspector Gadget” played in the background. When Kyle was born 25 years earlier, the family had been told he would not live more than a few weeks into infancy. But Kyle surprised everyone by surviving a quarter of a century with debilitating cerebral palsy. What surprised me most about Kyle was …
After arriving at the hospital, scrubbing in and warming up with a few anatomy questions with my attending, I was relaxed and ready to assist with the upcoming thyroidectomy. My patient, who will be referred to as “M,” was a 17-year-old girl who presented to the office with dizziness. After an extensive workup it was discovered that her symptoms were due to thyroid dysfunction. The surgery was meant to be a straightforward case, but the …
I read the latest progress note: ¨67-year-old male with metastatic lung cancer. Mildly agitated. Pain controlled with morphine.¨ I walk into a single room to see a frail man looking worn beyond his years. I introduce myself and ask if it is a good time to chat. He looks away and tells me that now is not a good time. I can see he has just received his lunch tray. Fair enough. I would not …
“Es un milagro, señora.” It was getting late, and the clinic waiting room was almost empty. It was OB/GYN day, and the patients—predominantly Spanish speaking migrant agricultural workers—had all finally been seen. All except Maria, who was still in the exam room. Her six-year-old son, Joaquin, skittered around the outside corridor, under the watchful eye of the nurses preparing to close up shop. I was in the exam room with the doctor and Maria, and …
Columnist and in-Training Staff Member
Morsani College of Medicine at the University of South Florida
Ajay is a pediatric resident and a Class of 2017 graduate of the SELECT MD program at the University of South Florida. He is passionate about delivering primary care to underserved populations—specifically, low-income and homeless patients in urban centers. Ajay will be specializing in pediatrics, with a particular interest in child maltreatment.
M.D. or Bust
Numerous studies have documented that medical students lose empathy during clinical years, becoming jaded and pessimistic. This has been linked not only to diminished enjoyment of our work, but also to worse patient outcomes. My goal is to sustain the humanistic values that drive so many of us to medicine, so that, instead of being quelled by cynicism, our idealism can be refined by wisdom.
