Columnist
Philadelphia College of Osteopathic Medicine
Coco Thomas is a second-year medical student at Philadelphia College of Osteopathic Medicine in Philadelphia, PA class of 2023. In 2016 she graduated from The University of Scranton with a Bachelor of Science in nursing. She works per diem as an ER nurse at Morristown Medical Center. She enjoys traveling, trying new foods, and research in her free time. After graduating medical school, Coco would like to pursue a career Emergency Medicine.
Switching Stethoscopes
After working in the Emergency Room as a registered nurse for three years, Coco made the transition into medical school at Philadelphia College of Osteopathic Medicine. The column Switching Stethoscopes describes a medical student's journey from nurse to doctor, while reflecting on the "non-traditional" path some students take to become a physician.
His parents attended a parent-teacher conference with the hopes of encouraging his teachers to transfer him to the gifted track. After their inquiry, the principal explained, “It would be better for Chris to be in the remedial track, so he can see people who look like him.” This instance of racism would be the first of many for Chris, whose journey to medical school required him to rise above institutionalized racism and implicit biases.
Mercedes drove two hours to the nearest healthcare clinic to get her first physical exam in ten years. I met Mercedes while shadowing a primary care physician, Dr. L. In the clinic, Mercedes divulged to me how nervous she had been driving in – she knew what the meeting held in store. Her fears were confirmed: just five minutes into her exam, Dr. L advised her, “Mercedes, you have to lose weight.”
Send us the broken, the battered, / “give me your tired, your poor,” / your torn and tattered.
Moreover, homelessness and COVID-19 both disproportionately burden marginalized populations — in particular, Black communities and Native Americans. When COVID-19 began spreading through the community, it came as no surprise that it would disproportionately impact those living in congregate homeless shelters. Overcrowded shelters, the inability to physically distance, and poor access to handwashing and hygiene facilities are coalescing for an unsafe environment that could accelerate disease transmission.
A man sleeps in the sun on a bench across from the hospital. On the bench
diagonally opposed, across and beside him, an almost doctor eats cold noodles.
The man has his pants low, half cracked, and his hands on his genitals. We all
sleep sometimes with a hand in our pants.
It was a Saturday morning and there were close to fifty volunteers who gathered at a homeless shelter in Riverside, CA ready to give out hygiene care packages and offer free showers, haircuts, clothes, and food. Eager medical students and physician assistants provided free health care screening and visits. Efforts like these are fairly common — nothing groundbreaking.
As stressed medical students looking for an eventful destination to spend our spring break, my friend and I chose to take a trip to America’s Big Apple, New York City. On a sunny day in NYC, I remember enjoying our morning cups of coffee and walking into a subway station when, suddenly, an older man shouted at us, “Take your Corona and get out of my country!”
I am worried that these stories of heroism are harming the very people they celebrate. By creating an ideal “health care worker” as an endlessly altruistic individual, it stigmatizes the medical workers who refuse to take on these risks — even though there are many legitimate reasons not to.
It is not uncommon for transgender and gender non-binary individuals to be misgendered by health care providers or in the health care setting. This negatively affects their health and their relationship with their providers. Leaders in the field of transgender and non-binary health care recommend asking about a person’s pronouns and integrating pronoun introductions into the clinical setting.
President Trump signed an executive order this past June that directs the Health and Human Services Department to develop a rule requiring hospitals to disclose online the prices that insurers and patients pay for common items and services. The rule also requires hospitals to reveal the amounts they are willing to accept in cash for an item or service. However, hospitals not complying only face a civil penalty of $300 a day, giving them latitude to effectively ignore the executive order.
So, what is planetary health? It refers to a burgeoning field focused on understanding the health impacts of human-caused disruptions of Earth’s natural systems, including climate change and environmental pollution. This also encompasses the immediate and downstream health threats from such disruptions, which have impacts on communities at the local level — Philadelphia is no exception.
As many urban academic medical centers have become the world’s leaders in research and patient care, their bordering neighborhoods have suffered through decades of disinvestment and economic blight. Medical students often receive their first years of training in hospitals that serve these disadvantaged populations. While the current focus on social determinants of health represents a rising cornerstone of medical education, what else do medical students need to know about inner city poverty?
Contributing Writer
University of Texas Southwestern Medical School
Reilly is a fourth-year medical student at the University of Texas Southwestern Medical School in Dallas, Texas. He has taken a leave of absence to pursue a Master of Science in clinical investigation while working as a translational research fellow at an academic medical center in the Midwest. He received a Bachelor of Science in biochemistry and a Bachelor of Arts in English literature from the University of Texas at Austin in 2017. In his free time, Reilly enjoys running, backpacking, reading, and music composition.
