Contributing Writer
St. George's University
Michael is a medical student at St. George’s University in Grenada, West Indies, Class of 2024. In 2016, he graduated from College of the Holy Cross with a bachelor of arts in english. Prior to medical school, he worked as a clinical research coordinator in Hematologic Malignancies and Transplantation at Dana-Farber Cancer Institute. Outside of medicine, he enjoys caring for his house plants, browsing med twitter and thrift shopping.
The rectangular device’s intrusive, sudden blare triggers a visceral response as I feel the plastic clip vibrate against my hip. I feel my palms flood like a wetland, sweaty fingers crashing against each other like driftwood washing onto shore. My mind wanders for a moment as I notice the reaction I’m experiencing.
When I reflect on ways to implement holistic care for the patients I work with, I think of the impact of my mother as a primary caregiver for my abuela’s (grandmother’s) medical care, despite not having a medical background herself.
My eyes locked on the upside-down words scribbled on the paper that was torn from my preceptor’s notebook a few moments prior. Dear God, my patient wrote, I am grateful for this life.
One young woman sits and waits patiently, scrolling on her phone to pass the time. A couple sits across the room talking softly to each other. The air feels light in the quiet room. A woman arrives, checks in, walks with heavy steps to a chair and sits down with a sigh.
As a future physician, this experience reminded me to remain empathetic, compassionate and unbiased in all aspects of patient care. By doing so, I can not only improve trust and connection with my patients but also ensure that my clinical judgment remains clear.
Most of all though, I tried to calm my racing mind and remind myself to just learn. And with that, I wondered, “What is the most important thing I can do today?”
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.”
Contributing Writer
Florida International University Herbert Wertheim College of Medicine
Richard is a fourth-year medical student at Florida International University Herbert Wertheim College of Medicine in Miami, FL, class of 2024. In 2019, he graduated from Florida International University with a Bachelor of Science in biological sciences and with a Bachelor of Arts in interdisciplinary studies. In 2020, he graduated from Florida State University with a Juris Masters in health care regulation. He enjoys writing poetry, indoor rock climbing, movies and baking in his free time. After graduating medical school in 2024, Richard would like to pursue a career in Neurology.
