Contributing Writer
Florida State University College of Medicine
Hayden is a fourth-year medical student at Florida State University College of Medicine, class of 2023. She graduated from Florida State University in 2015 with a Bachelor of Science in Dietetics and received her Masters of Science in Medical Sciences from the University of South Florida in 2017. She enjoys lifting weights, hiking, paddle boarding and gardening in her free time. Hayden aims to pursue a career in neurosurgery.
Over the next few days, workup revealed she was experiencing paraneoplastic cerebellar degeneration, a manifestation of her occult cancer. In a matter of three days, a patient who had come in for seemingly benign constipation was told she had metastatic lung cancer.
After our first week on clinical rotations, my third-year medical student colleagues laughed about the silly and awkward things that made their first days hard. Someone was shunned for bumping into the sterile field during their first operation. Someone else couldn’t figure out the scrub machines and was stuck mismatching for the day.
When I was growing up, I used to love a particular series of video games called Trauma Center. In 2010, they released a version called Trauma Team where you got to play as various medical specialists, one of whom was simply considered a “Diagnostician.” Dr. Gabriel Cunningham’s “cases” were some of the most challenging because you were presented with an array of symptoms, imaging, and lab work and started ruling in or ruling out diagnoses until you got the right answer.
It was my third day on my home dermatology elective, and I boldly volunteered to see a patient by myself. As a third-year medical student strongly considering dermatology for my future career, I had studied for weeks for this rotation, hoping to make an impression as a confident, knowledgeable and reliable doctor-in-training. Usually, medical students shadow for two weeks before seeing patients on their own, but I was eager to be more independent. This was my chance to demonstrate everything I was working toward.
“You know, not all of us can be small,” the patient, a well-appearing woman in moderate anxious distress, said as she motioned with her hands and rolled her eyes towards me. “It’s disgusting,” she added.
Third-year rotations forced me to reckon with my emotional capacity as a human and future physician. With each patient encounter, I had to decide whether my skin was too thick or too thin.
Three knocks, no answer. “Good morning Mr. Adams!” I call as I peek into his room, flicking the lights on. I am wheeling a small, flailing tablet and it unstably spins left and right, back and forth, until I park it by my patient’s bed.
Mr. Adams had heart; I will give him that. Presenting for ankle pain, altered mental status and shortness of breath, it quickly became apparent that a far more worrisome picture was being painted with each passing day.
During my M3 rotations, I believe I have learned as much about medicine as I have about humanity. I’ve come to appreciate that to perform well in this profession, we must embrace both its scientific and human elements.
Every medical student has felt apprehensive about facing death at some point, right? Maybe you have experienced someone dying before, or maybe it is something you have never seen and only rarely contemplated. Regardless, there is a subtle tension lurking during your first two years of pre-clinical studies, during which disease and death are intellectualized and abstract. Then clerkships start.
It was a Friday morning at 4:30 a.m. and I was rushing to the hospital for pre-rounds. I was on my neurology rotation, and my pockets were heavy and stuffed with tools. My preceptor had texted me the room numbers of the patients I was to visit that morning. I had three patients to see in the hour before rounds — the first two patients I had been following every day this week and a third patient was a new admit from overnight.
Big procedures can be tense, but today’s felt a little different. The atmosphere was relaxed. Then, unexpectedly, a few issues arose. Two of them, to be precise.
Contributing Writer
Brown University
Yonathan is a third year medical student at Brown University. He graduated from The University of Maryland in 2018 with a B.S. in Physiology & Neurobiology and a minor in rhetoric. Prior to medical school, he briefly worked at the office of Sen. Chris Van Hollen in the United States Senate.
