The Weight We Carry
“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.
From the Wards
Contributing Writer
Saint Louis University School of Medicine
Mackenzie is a fourth-year medical student at the Saint Louis University School of Medicine in St. Louis, MO, class of 2024. She is currently obtaining an MBA from the Saint Louis University Chaifetz School of Business. In 2019, she graduated from Saint Louis University with a Bachelor of Science in biology. She enjoys lifting weights, baking cakes, doing yoga, and travelling the United States in her spare time. Upon completion of medical school, she would like to pursue a career in dermatology.
Maintaining Thick and Thin Skin
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.
Uninterpreted
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.
Still
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.
Humanity in Medicine
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.
Small Differences in the Face of Death
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.
An Overstuffed Backpack
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.
I Should Call My Mom
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.
Reflections On Resilience
In early spring, amid the earlier quarantines, I watched dandelions grow outside my window. At first, subtly and hidden among the blades of grass. Then budding, bursting yellow amid green galaxies. These tiny suns danced in April’s wind and their scent carried morning’s dew and earth-like warmth into midday, until the smells of grills and barbecues took stage.
The Myth of the “Difficult” Patient: A Lesson in Empathy
Soon after I began my clinical rotations in medical school, I started to see it. It was subtle. At first, I didn’t even notice it. It usually happens during hand-over, when the night team fills in the day team on overnight events, including any new admissions.
Words Unspoken: Overcoming Challenges in Patient Communication
There I was, face to face with a middle-aged Korean man, blood still dripping from a gash in his forehead. Disoriented, erratic, agitated … and rightfully so.
My Journey Through Psychiatry
At the start of my psychiatry rotation, I was most apprehensive about performing the “bread and butter” exam of the specialty: the psychiatric interview. I was not afraid of forgetting which questions to ask, but rather how to ask said questions.
Contributing Writer
Oregon Health and Science University
Jeffrey is a third year medical student at Oregon Health and Science University in Portland, Oregon class of 2023. In 2014, he graduated from New York University with a Bachelor of Science in nursing. He worked as a registered nurse from 2014 until 2019. He enjoys gardening, mushroom farming, and spending time with his pets. After graduating medical school, Jeffrey would like to pursue a career in emergency medicine and toxicology.