Open sewage ran beside homes made of handmade brick in Pau da Lima. My path to this favela, like my journey in medicine, felt unconventional. I realized microbes may have coincidentally been the root of my decision to pursue a career in medicine.
I remember hearing an important piece of advice: “If you are passionate about something, you will make time for it in medical school.” This advice, however, was soon countered by a snarky follow-up: “It is not that you did not have time for it; you did not make time for it.”
It was 5 p.m. on a Thursday and I had just finished my first preceptorship session with my fourth-year medical student preceptor. That afternoon was one of many firsts, as it was also the first time I conducted a patient interview. My first-ever patient was a middle-aged woman in the emergency room talking to me through Zoom. I remember introducing myself nervously, stuttering on the few syllables that make up my name, and then asking what brought her to the hospital.
For many of the elderly and their families, the COVID-19 pandemic has been a scary and trying time. A major concern has been the physical health and safety of this vulnerable population. In addition to community infection control measures like social distancing and avoidance of public gatherings to slow the initial spread of the outbreak, public health officials have also endeavored to protect high-risk populations by recommending electronic visits with loved ones, whether they are at private homes, nursing homes, or in the hospital.
I hope my classmates, communities, and I all dance far more often with health than sickness. I pray that soon the last hospital bed holds the last patient with COVID. I hope justice and truth prevail. I hope we hold onto what we carry: the love of friends and family, a resilience tried and true, bravery unbridled and faith that we will persevere among the challenges life affords. I hope that after long days of caring for others, we care for ourselves and call a friend, a loved one, a therapist — and remember how far we’ve come. We have been patients, and we will be patients, even as we care for patients.
On July 27, 2020, I began the first day of orientation week at the Medical College of Georgia (MCG). After over four years of living in Atlanta, the initial 25-minute drive from home to school threw me back to my high school days of having to wake up at six o’clock in the morning. The entire first week was a bit of a blur, and I do not remember much aside from getting my stethoscope and helping draft a class oath.
This feeling of loss and subsequent reflection revealed to me something fundamental about how I experience time in my own life. As I depart the anatomy lab, I stand on the shores of time’s river and gaze into the clear water’s surface. In it, I see a reflection of growth and of internal transformation — a reflection not of who I was but of who I have become. I emerge not only learned in anatomy but also with insight into the impact that individuals can have on one another.
On the first day of anatomy, we were reminded that this course was a once-in-a-lifetime experience and that we were privileged to be experiencing it. For those of us first-year medical students who might not pursue surgery nor experience physically interacting with and entering the human body again outside of surgical clerkships, the professors said this would be an intense time. We would peer into the spaces and structures that — on some level — make up every human being.
I was patiently sitting in the lobby at Quest Diagnostics, waiting for the staff to slowly let people inside in adherence with the new social distancing guidelines. I waited for about ten minutes before a man in his mid-50s called my name and led me into a patient room.
I no longer feel alone the way that I did the first few weeks of dissections, because now I recognize that my peers were sectioned off at their tables also worried that they were losing their sensitivity, that they weren’t good enough to belong, and they didn’t know how to cut into a person. I wish that I had known what my classmates were thinking and feeling during the anatomy course.
Why would someone choose to donate their body to medical education? We have a dishonorable history in medicine of illicitly sourcing cadavers for dissection: robbing corpses from graves, murdering people for their bodies and salvaging the unclaimed dead from city hospitals and morgues. Today, we call the bodies we learn from “donors” instead of “cadavers” to honor their autonomy and personhood, their choice to be in the room.
It is the day before the first anatomy lab for the first-year medical students, and a single professor walks alone, up and down rows of tables laden with 26 naked, embalmed bodies. He silently shares a few minutes with the donors, a private thank-you. Soon the donors will be covered in white sheets, and the students will tentatively spill through the locked wooden doors of the labs, a rush of anticipation, teamwork, questions and learning.