Contributing Writer
INOVA Children's Hospital
Dr. Kenneth Lopez is a 1st-year Pediatric Resident at INOVA Children's Hospital in Fairfax who is experienced in multiple fields, including medicine, chemistry, biology, public health, sociology and mathematics. He has trained in multiple industry-standard lab techniques in immunology and microbiology, as well as clinical and epidemiological translational research within multiple disciplines. His diverse experiences, leadership skills and consistent compassionate and curious approach towards tasks, allow him to contribute dynamic ideas to organizations and produce high-quality work within multiple stages of project development and implementation.
“That doesn’t happen often,” I quietly but excitedly say to myself while discussing our consult from the PICU. My attending hesitates, pondering the precarious balance between encouraging my medical curiosity and protecting me from the horrors of child abuse and mistreatment that still haunt her to this day. That day, I was a first-hand witness to the necessary but horrible clinical task of a brain death exam. This task is a rite of passage for …
“Patient is a 34-year-old male with a nine-month history of rheumatoid arthritis-associated interstitial lung disease who is currently being treated with mycophenolate and rituximab. He remains on high-flow nasal cannula with oxygen saturations of 84-87% overnight. Transplant team signed off as the patient did not qualify for transplant. He reports feeling well this morning and that he learned a great new magic trick with a disappearing card.”
Oh God, what time is it? I stumbled over to my bedside table in pitch-black darkness, thanks to my new blackout curtains, which continue to be the best financial decision I have ever made, and checked my phone that was blasting my alarm.
At the start of clinical rotations, we are urged by preceptors to immerse ourselves in the experience, advocate for our patients and strive to understand them better than the rest of the team. I could not, however, shake an underlying thought: Why would any patient divulge their most intimate details to someone so inexperienced? After all, I was just a medical student.
I do not know what to say or feel when I first meet you. My first instinct is to introduce myself, but you can neither hear me nor reply.
During my family medicine clerkship in medical school, I worked with a free mobile primary care clinic dedicated to serving uninsured patients. Parked outside a church in a large city, the clinic was a large blue bus standing in stark contrast to the gray asphalt parking lot around it.
“How’d you land in medical school?” Whenever someone asks me this, a family of frogs almost always immediately hatches in my throat. My long-winded journey itself doesn’t jerk tears, but the question always reminds me of the day I applied. The same word, like clockwork upon the inquiry, flashes from my heart like it’s a bat signal. “Widowmaker.”
I placed the first pill on my tongue, opened my mouth so the nurse could see, closed my mouth, swallowed the pill, and opened my mouth again so the nurse could confirm that I had swallowed it. I had to repeat this for nine more tablets and this drill continued for seven days a week and for seven more months of the treatment.
As we got closer to the ED, the excitement evolved into a feeling of discomfort. It was uncomfortable to feel even briefly excited by another person’s misfortune. I felt a sense of disequilibrium as I realized I had strayed from the delicate balance medical students and physicians continually try to find.
The once-sterile hospital room had become a sacred space, where the raw emotions of love and loss hung in the air. The young daughter, vibrant in her essence but tethered to life support, teetered on the precipice between existence and the inevitable.
We are given tools to imitate their behavior, in hopes that we ourselves will one day embody that behavior. Mechanical checkboxes on the standardized exam with standardized patients. Cannot forget a single step. But life is not standardized, is it?
Skepticism of health care is widespread throughout some of these communities — rightly so due to historical mistreatment, discrimination and lack of representation along with cultural differences. This distrust may be further strengthened by a patient’s own personal experiences. I respected this wariness, but I had yet to witness it firsthand.
Contributing Writer
Florida International University Herbert Wertheim College of Medicine
Lauren is a medical student at Florida International University Herbert Wertheim College of Medicine in Miami, FL, Class of 2025. In 2019, she graduated from University of California, Santa Barbara with a bachelor of science in cell and developmental biology and a minor in religious studies. After graduating medical school, Lauren hopes to pursue a career in anesthesiology and then pain management.
