Deceased Note: Facing Death as a Medical Student
I opened their chart and scrolled to the recent notes section. A new title I had never seen before popped on the screen. There, at the top of the chart, “Deceased Note” was written in bold letters.
I opened their chart and scrolled to the recent notes section. A new title I had never seen before popped on the screen. There, at the top of the chart, “Deceased Note” was written in bold letters.
The beauty of medicine is that we are trained to see each person as an individual, not as a victim of their stereotypes. We are taught that we are more than our skin color, our religion, our clothing or our gender. But even though I see more than a patient’s demographic on static paper, those same patients, and sometimes even colleagues, fail to see me as more than just a woman.
As I completed my residency interviews, I recognized that we are hard pressed to find a better way to match burgeoning physicians with training programs searching for their next class of interns. Yet I also knew that neither I nor any other applicant could fit into a preconceived box or several sentence summary. I could not simply market myself as a humanist or an artist, or an activist or a researcher.
Upon reflection, my actions and feelings in caring for this patient reveal how truly afraid I was to be wrong; not necessarily about the diagnosis, but rather about whether the patient would be okay. Maybe coming in daily and opening her chart for good news was just me hoping that my initial impression was still right instead of coming to terms with the fact I was very wrong.
The crumpled old gentleman nestled in the armchair of his hospital room, bundled in blankets from the warmer down the hall, cards from his family propped up like a miniature Stonehenge on the table beside him. I listened closely to his heart and lungs, eyed the half-full urinal hooked onto his bed frame, and drew my fingers along his shins.
She asks me if I can speak Spanish, to which I regrettably deny, stating I can understand it well, but my ability to communicate in my mother tongue is lacking. Her eyes catch my sight, this time not projecting annoyance, but now disappointment, with her head shaking and her uttering, “That is an absolute shame. You should know how to speak Spanish. You are Hispanic and do not know Spanish? What a shame.”
Pink playdough littered the exam table, sink, counter and floor. In a flash, a thin child, all elbows and knees, jumped athletically from the sink counter to the exam table and then to the floor, stomping over my feet in the process.
I would be lying if I said I remember every single patient that I have seen in the past almost two years of clinical rotations. However, each of my core rotations has become defined by one or two patients that most stood out to me.
She had her head bowed over her sleeping newborn, and her perfect plaits of braids were blanketing her shoulders, cascading calmly despite the insurmountable turmoil clearly manifesting on her face.
The following infographic is the result of my goal to create a resource, backed by literature, from the perspective of a medical student to help other students become fluent in the “language” of oral case presentations at the start of any clerkship rotation.
During my pediatric rotation, a little girl was brought to the ED the day her family was set to leave for vacation. Her physical exam and imaging confirmed a ruptured appendix that would require surgery and almost a week of IV antibiotics, meaning our patient would miss her family’s forthcoming vacation.
It was the first day of my inpatient internal medicine rotation and I felt as excited as ever to be in the hospital, participating in rounds. “How’s your day going?” I asked automatically in a cheery tone as I entered my first patient’s room.