Writer-in-Training
University of South Carolina School of Medicine - Columbia
Lexi Dickson is a second year medical student at the University of South Carolina School of Medicine in Columbia, South Carolina class of 2022. In 2018, she graduated from the University of South Carolina Honors College with a Bachelor of Science in biochemistry and molecular biology. She enjoys trying new restaurants, dancing, and traveling in her free time. Lexi is undecided on what specialty she would like to pursue after graduating medical school, but is interested in emergency medicine.
The 2015 U.S. Transgender Survey conducted by the National Center for Transgender Equality demonstrates the U.S. transgender community’s need for mental health services and unique barriers to care.
The HIV clinic was one of my favorite rotations in all of third year. It was often emotional for me. Many uninsured, low-income patients came to the clinic not only for their HIV treatment, but also for comprehensive primary care.
Asking someone if they want to kill themselves becomes easier every time. The appalling part is how quickly this and other taboo personal questions became a normal part of my routine.
We shuffled out of the room, but before closing the door, I could hear her bangles ringing as her hands fell with defeat into her lap. Behind the closed office door, Dr. Altman gave us his three-word assessment: “She’s just crazy.”
Training to become a physician is not only about acquiring knowledge, but also learning to impart that knowledge upon others — most importantly, our patients. But, in this process of knowledge transfer, is it possible that the information we deliver becomes akin merely to the terms and conditions of a software agreement, the obligatory pop-up hastily scrolled through and accepted by the user — in this case, the patient?
On my first day volunteering in the hospital, my task is to observe Steven, a more experienced volunteer, as he visits with patients. We begin by meeting Amanda, the first patient on our list.
I had not yet guided a ‘goals of care’ discussion. This is the discussion that entails understanding a patient’s wishes regarding end of life care, and it is often in the context of determining what advanced medical interventions the patient might want. That day, my short white coat felt shorter, like it was yelling out to everyone I encountered that I had no idea what I was doing.
I was starting my surgery rotation, the second rotation of my third year, on the colorectal service. It was my first 24-hour on-call shift, which meant that my team would be responsible for multiple surgical services overnight.
I will never forget the patient who shocked my preconceived notions about health care.
If you come into the hospital room before she arrives, you might miss the telltale signs of her existence. They are subtle — a soft sweater thrown over a chair for those drafty hospital wards or an absurdly expensive vegetable tray from the café downstairs on the patient’s table.
One thing bothers me: / Books are most of what we see. / Doctor-patient relationship — / Only mentioned in them, flip by flip.
If a provider cannot understand their patient, they are unable to treat them. Likewise, if a patient cannot understand their provider, how can they possibly adhere to their medical advice? “Getting by” is not enough; patients are entitled to someone who speaks their language, no matter how rare.
Contributing Writer
UC Riverside School of Medicine
Kevin Ha is a third year medical student at UC Riverside School of Medicine.
