Contributing Writer
Florida International University Herbert Wertheim College of Medicine
Samantha is a fourth-year medical student at Florida International University Herbert Wertheim College of Medicine in Miami, Florida class of 2022. In 2016, she graduated from Florida International University with a Bachelor of Science in Biology. She enjoys yoga, going to the beach, and reading in her free time. After graduating medical school, Samantha plans to pursue a career in Pediatrics.
Patient 15 was a fit 38-year-old female with a past medical history of dilated cardiomyopathy who presented for follow-up on her most recent echocardiogram results. Flipping through the past notes, prior echos, family histories, I was captivated. A previous echo revealed an ejection fraction of about 50% — her heart was already revealing its impending fragility. The most recent echo, just five months later, revealed an ejection fraction of 20% — her heart was failing!
In the neuro intensive care unit, I took part in a meeting with my team to update a family on the status of their loved one. It was my first time in this type of meeting, especially for a patient that I was directly involved in caring for. To our team of medical professionals, he is our 51-year-old male patient with a 45-pack-year smoking history, but to his family, he’s a son, a husband and a father.
so one day / i can translate to my patients / what my family missed.
A picture is worth 1,000 words, and the world today is full of symbols. Emojis share paragraphs of information. Logos inform us about what a company represents or does. Shapes and colors share messages of safety or caution on the road. Symbols are everywhere and understanding them brings deeper understanding to the world around us. Medicine is a field of precision, and that is precisely why it is so strange that such confusion exists as to which symbol should represent it.
Engaging strangers with kind eyes rather than tender faces, / Air hugs rather than warm embraces, / Family Zoom calls rather than face-to-face visits.
I actually don’t remember his name; he wasn’t my patient. I just saw him during rounds every day during my internal medicine clerkship. He was in his late-80s, and he was very ill. He had a long history of COPD, most likely attributed to his even longer history of smoking. He had been admitted to our service for a severe respiratory infection a few days prior to me starting the rotation. This was my last rotation of my 3rd year, and I walked in thinking I had seen enough COPD patients to know exactly what to expect.
I have learned that patients seek health care services at free clinics for a myriad of reasons and some are atypical. There were specific populations I expected to see: the uninsured, underinsured, undocumented, and those without access to transportation. Yet there were other populations I was more surprised to see, namely patients who had insurance but preferred their experiences at free clinics.
And with scientific advancements came cures and treatments that the healers of antiquity could have never imagined. However, these advances came at the cost of appreciating a holistic approach to health. How pitiful is it when a profession which was once completely focused on healing the whole person must now devote entire conferences and countless seminars to finding ways of injecting that back into both its practitioners and the people they serve?
You call me on a Thursday to tell me / You were diagnosed with leukemia in October.
We’re overloaded with so much advice, so many ideas on how to be a better doctor, / how do we decide what to follow and what to ignore?
This is a space / between you and me / where you can simply be
Allowing natural death gives the elderly and terminally ill the opportunity to control the end of their life, providing empowerment and a sense of peace during their time of uncertainty. This patient and her family’s forethought allowed us to provide medications to ease her pain and discomfort. When she closed her eyes for the last time, her body relaxed into the sheets, and I pulled the blanket up to her shoulders. Her family said goodbye, and then I began to perform post-mortem care.
Columnist and Medical Student Editor
Philadelphia College of Osteopathic Medicine
Coco Thomas is a medical student at the Philadelphia College of Osteopathic Medicine in Philadelphia, PA, class of 2024. In 2016 she graduated from The University of Scranton with a Bachelor of Science in nursing. In her free time she enjoys traveling, going to the beach and hanging out with her dog, Zoey.
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.
