Contributing Writer
University of Southern California Keck School of Medicine
Erica Patel is a third year medical student at the University of Southern California Keck School of Medicine. She studied Narrative Studies at USC as an undergrad, and loves the intersection of stories and medicine. Erica is a board member and medical director of Wema Children Center Inc, a non-profit she started that provides education, housing, and medical care to orphaned and low-income children in rural Kenya. She plans on pursuing a primary care field and working in developing countries while writing about her experiences to increase awareness.
One after the other, day after day it seems, I find myself in a room where the resident is breaking the news of terminal cancer to my patients and I feel an overwhelming sadness belied by numbness. It has only been a week and a half on internal medicine and we have already diagnosed three unsuspecting patients with cancer.
Last Saturday evening I was on the admitting team in Orange County. We got a call about a hematology/oncology admission that we would later pass off to another team in the morning. We were told “fever with an ANC <500.” That admit, was Ronaldo, a young male with acute lymphocytic leukemia.
An indulgent gasp / grasps the molded corners / dry tongue to chipping paint / searching for a word to say
In the rest of the house, the noise of the party is deafening: the clink of glasses, the sizzle of burgers on the grill, the excited cries of relatives reunited after long absences. But in the bright light of the kitchen, Mark is talking to me without sound. He presses his right hand over his left then moves up its length, separating his thumb from the rest of his fingers as he goes replicating the open and shut motions of a jaw. “This is the sign for cancer,” he says.
I’ve come to realize having an automatic word filter is one of my greatest blessings. It becomes quite useful when, in the middle of rounds, a patient’s single, monosyllabic response inspires such a flurry of mismatched curse words that only a properly formed filter can save my dignity. What exactly did this patient say that stunned me so violently? My attending had asked him a straightforward, albeit grim, question. “Do you know you have cancer?” …
A leading expert on language and the mind, cognitive psychologist Steven Pinker suggests in his book “The Stuff of Thought” that “conceptual metaphors point to an obvious way in which people could learn to reason about new, abstract concepts,” as well as provide the imagery and substrate to help store and share knowledge. The metaphorization of illness allows us to describe it in easily-digestible forms which have relevance and relation to our everyday speech. The …
Standing at the foot of her hospital bed, it was clear to me — as it was to the attending physician — that my grandmother was suffering from a disease: an obvious structural disorder identified by scientific medicine as negatively impacting her health. Hilar mass, cavitation, hypercalcemia. Keratin pearls, intercellular bridges. Hemoptysis, dyspnea, edema. It was also apparent to this eight year-old, however, that she was burdened by an illness, or an impaired sense of well-being. …
How can doctors-in-training honor the voices of their patients, especially children’s voices? Trisha, a first-year medical student who aspires to become a pediatric oncologist, discusses her mission to give children with cancer the opportunity to be heard. She describes a project she developed inviting children to tell the stories of their illness, which she compiled into her book, “Chronicling Childhood Cancer: A Collection of Personal Stories by Children and Teens with Cancer,” that was published this month in honor of National Childhood Cancer Awareness Month.
How can doctors-in-training allow their personal experiences with the health care system shape their own practice? Kalla, a second-year medical student in New York, describes how witnessing her father benefit from the addition of meditation and acupuncture to his cancer treatment inspired her to incorporate an integrative approach to her own self-care and future practice.
The wonderfully cheery 66-year-old woman sitting in the conference room with her family listened to us explain her diagnosis – ovarian cancer – the first occurrence. We explained that ovarian cancer tends to appear suddenly with non-specific symptoms preceding it. Its prognosis can be quite good if treated aggressively with surgery and chemotherapy, but recurrence rates are very high. We told her to be positive because her 5-year survival looked quite good. “Oh, I’m a …
After arriving at the hospital, scrubbing in and warming up with a few anatomy questions with my attending, I was relaxed and ready to assist with the upcoming thyroidectomy. My patient, who will be referred to as “M,” was a 17-year-old girl who presented to the office with dizziness. After an extensive workup it was discovered that her symptoms were due to thyroid dysfunction. The surgery was meant to be a straightforward case, but the …
I read the latest progress note: ¨67-year-old male with metastatic lung cancer. Mildly agitated. Pain controlled with morphine.¨ I walk into a single room to see a frail man looking worn beyond his years. I introduce myself and ask if it is a good time to chat. He looks away and tells me that now is not a good time. I can see he has just received his lunch tray. Fair enough. I would not …
Contributing Writer Emeritus
University of Tennessee Health Science Center
I am a Class of 2014 medical student and I am applying to radiology residency programs. My hobbies include coding HTML5 apps, staying up to date with technology trends, and playing tennis.
