Tag: doctor-patient relationship

Holly Ingram (11 Posts)

Medical Student Editor and Contributing Writer

East Carolina University Brody School of Medicine


Holly Ingram is a fourth-year medical student at the East Carolina University Brody School of Medicine in Greenville, North Carolina. In 2016, she graduated with a Bachelor of Science in biology with minors in chemistry and anthropology from the University of North Carolina at Chapel Hill. In her free time, Holly enjoys playing soccer and visiting waterfalls. After medical school, Holly would like to pursue a career in pediatrics.




Self-Reflection: Defining Resilience in the Elderly

With a growing interest in geriatrics, I began to wonder what resilience looks like for elderly patients, who unlike children, present their life trajectories to physicians much later. This is perhaps challenging and even uncomfortable to discuss for those who perceive resilience as a long-term goal — overcoming significant barriers in order to improve over time. Resilience may not seem as relevant for elderly patients who may be nearing the end of their lives. 

The Interview as an Invitation

Freud supposedly understood himself as a surgeon of the mind, dissecting his patients’ mental anatomy through the process of psychoanalysis. I found this comparison appealing, so when I started the psychiatry clerkship in my third year of medical school, I approached the interview in psychiatry as analogous to a surgical procedure — efficient, scripted, precise.

Prescriptive Autonomy

An anxious, 36-year-old Hispanic female lays on the exam table, her feet in stirrups. A sleeved arm juts out between her tented legs as she stares resolutely at the ceiling. I wonder if she is afraid of what the amorphous black and white structures shifting on the ultrasound monitor may reveal.

A Moment to Reflect

The first thing I notice are his boots. He’s still in his street clothes, having just been admitted. He looks thin, emaciated — his clothes hang off him, shirt collar drooping down from his neck like peeling paint. His boots, however, seem to fit him properly. They look warm, well-worn but sturdy, like they have weathered a hundred bitter winters and could withstand a hundred more. For some reason, this comforts me.

The Fallacy of Shared Decision-Making

I took a quick trip to Target a month ago and browsed for new jeans. I approached the clothing section and was suddenly struck by the overwhelming challenge I had undertaken. From rack to rack, I had to choose from a multitude of different brands (Levis, Wrangler, True Religion and more), different styles (skinny, bootcut, tapered and more) and different colors (blue, black, tan and more). I had to figure out my current exact size and, even then, there are many different ways to size jeans (small-medium-large, waist-by-length and others).

Imagine

Upon arriving at the room, we learn that the nurse continued trying to speak to this patient in English despite the patient’s evident inability to speak the language. Following her half-hearted attempt at “patient education,” she proceeded to lift the patient’s gown and attempts to strap on the monitors. As a result, the woman is frightened by her nurse because she is unaware of what this foreign nurse is doing to her and her unborn child. One week out from detention. She is scared. Imagine.

Beyond the Bottle

“We are taking him to rehab,” she said. I could hear a faint sigh of relief and happiness permeating her voice, which had been distinctly absent for the last few months. I could also hear wind whooshing in the background and a distant trail of her voice, which meant they were already on the road.

Emma Fenske Emma Fenske (2 Posts)

Contributing Writer

Burrell College of Osteopathic Medicine


Emma is a fourth-year medical student at Burrell College of Osteopathic Medicine in Las Cruces, NM class of 2022. In 2016, she graduated from The University of New Mexico with a Bachelor of Science in medical laboratory sciences. Prior to beginning her formal graduate medical education, she worked as a Medical Laboratory Scientist at Johns Hopkins Hospital in Baltimore, MD. She loves her rambunctious dogs and enjoys coaching soccer, running, traveling, cooking and reading in her free time. In the future, Emma would like to pursue a career in Internal Medicine.