Writer-in-Training
Loyola University Chicago Stritch School of Medicine
Sahr Yazdani is a fourth year medical student at Loyola University Chicago Stritch School of Medicine in Maywood, Illinois, and is a member of the Class of 2022. In 2018, she graduated from University of Michigan with a Bachelor of Science in Neuroscience and Evolutionary Anthropology. She enjoys exploring new cities on foot, watching reality TV, and baking ginger cookies in her free time. After graduating medical school, Sahr would like to pursue a career in pediatrics.
As a high school volunteer in my local hospital’s oncology unit, I remember the sinking feeling in my stomach every time I saw the bright “Contact Precautions” sign on the door. I would begrudgingly don a flimsy plastic gown, fix a tight surgical mask around my ears, snap on a pair of gloves and proceed into the patient’s room.
It is morning outside, the sun barely kissing the horizon. The curtains have been drawn in an attempt to force any lick of light from the room. But one slim shard cuts through the drapes, illuminating John’s face.
Over the next few days, workup revealed she was experiencing paraneoplastic cerebellar degeneration, a manifestation of her occult cancer. In a matter of three days, a patient who had come in for seemingly benign constipation was told she had metastatic lung cancer.
There has recently been an increasing appreciation for social determinants of health. The term encompasses the circumstances in which people live, including factors such as income, race, food, housing, transportation and environmental conditions.
“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.
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.
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.
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.
Blue, white, red, yellow, pink, brown. These are the colors of the ties and strips of fabric around the scrub pants and tops indicating their size. At the start of medical school, I would squeeze into a red top and red pants: these were the larges.
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.
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.
In my white coat, / I ask for forgiveness. / Forgive me, / to the weary homeless man
Contributing Writer
UCLA David Geffen School of Medicine
Qiang Zhang is a first year medical student at UCLA David Geffen School of Medicine in LA, CA class of 2025. In 2019, she graduated from Duke University with a Bachelor of Arts in political science. She enjoys yoga, playing music, and reading books in her free time. After graduating medical school in 2025, Qiang would like to pursue a career in Internal Medicine.
