Contributing Writer
American University of the Caribbean School of Medicine
Rohan is a recent graduate of the American University of the Caribbean School of Medicine. He is pursuing radiation oncology at University Hospitals Seidman Cancer Center/Case Western Reserve University. His research interests encompass health disparities, social medicine, medical education, and patient safety. He graduated from the University of Illinois at Chicago with a Bachelor's of Science in biochemistry with a minor concentration in psychology. He enjoys traveling and exploring new languages and cultures, especially in Asia and the Pacific Islands.
The Silver Lining
From the outside, medicine is a grand profession – physicians and trainees work together to help those that are in need while saving lives. However, every day we are faced with darkness that does not get shown to outsiders. How we deal with these obstacles truly shapes our experiences within this profession, often leading to physician burnout. This column will focus on some of Rohan’s personal experiences facing the dark sides of medicine, while shedding light on how one can overcome these challenges, as there is always a silver lining through all the darkness.
Two years of intense studying should have culminated in a feeling of strength. I ended my second year of medical school thinking I was now prepared to do anything. I was excited to be a problem-solver, armed with the mental acuity to recognize diseases from A to Z, ready to proceed with the next step in my clinical training. Now, in my third year, it is finally time to act like a real doctor. But our superiors treat us like their personal assistants.
“Could you please hand Eric the needle driver?” As the scrub tech loaded up that blessed golden tool, I knew that I had just ascended within the realm of surgery.
I commented to the resident how satisfied the attending would be with the efficiency of his work. He just laughed and said “look” as he gestured down to his list of patients. I saw the name, and a sense of dread sank in during the rest of the silent walk down the hall.
Our patients deserve to have their battles acknowledged. That means believing your patients when they implore, “I am trying” and appreciating that we may encounter people at different phases of recovery.
“There’s a great neuro exam in room 5147,” my resident said as I dropped my bag in the call room. “Why don’t you go check it out?” I clutched my reflex hammer in one hand and googled the components of a neuro exam with the other as I headed towards the stairwell.
A hospital bed rolled in. It was Marvin. His last walk. On rounds we would say, “Twenty-two-year-old with gunshot wound to the head. Waiting for organ donation.”
Doing my elective at Klerksdorp-Tshepong (K/T) Hospital Complex in my hometown of Klerksdorp gave me the opportunity to become familiar with the health system, the medical personnel and health-related issues that are prevalent in my community. It also allowed me to draw comparisons between my home country of South Africa and the United Kingdom, where I have undertaken the clinical years of my medical degree.
I proposed a deal to my fellow student on our surgery rotation. “You can have all the other cases today if I get the laryngectomy.”
“We kept him alive to let his family say goodbye, / and sometimes that’s the biggest victory.”
My agitation grew as I realized I needed to do something. I was a medical student training to be a doctor after all, right? Wasn’t I supposed to help alleviate the burdens of others?
Superficial to deep, deep to superficial, / 90 degrees, in and out, / Not too deep, filled with doubt.
A terminology guide to help you become more comfortable and familiar with the operating room. Hopefully this enhances the practical side of your experience!
Medical Student Editor and Contributing Writer
Indiana University School of Medicine
Michael is a third-year medical student at Indiana University School of Medicine in Indianapolis, Indiana, class of 2021. Formerly, he served as an Army Aviation Officer (UH-60 Blackhawk Pilot) in the 82nd Airborne Division at Fort Bragg, North Carolina. He is a graduate of the United States Military Academy at West Point, New York where he earned a Bachelor of Science in economics. In his free time, he enjoys spending time with his wife and son, basketball, endurance athletics, and reading. After he graduates from medical school, Michael would like to practice within the Veterans Health Administration.
