Contributing Writer Emeritus
The Commonwealth Medical College
Soroosh is a Class of 2015 medical student at The Commonwealth Medical College.
Kyle died early on a Sunday morning. His last meal was vanilla pudding, fed to him lovingly by his grandmother Shirley, while reruns of “Inspector Gadget” played in the background. When Kyle was born 25 years earlier, the family had been told he would not live more than a few weeks into infancy. But Kyle surprised everyone by surviving a quarter of a century with debilitating cerebral palsy. What surprised me most about Kyle was …
After arriving at the hospital, scrubbing in and warming up with a few anatomy questions with my attending, I was relaxed and ready to assist with the upcoming thyroidectomy. My patient, who will be referred to as “M,” was a 17-year-old girl who presented to the office with dizziness. After an extensive workup it was discovered that her symptoms were due to thyroid dysfunction. The surgery was meant to be a straightforward case, but the …
Medical training prides itself on being an art, never simply a black-and-white field where answers to increasingly complex health questions are merely algorithmically derived. It follows then that the only way for medical knowledge to transcend this rigid, computational process is through the accumulation of clinical experience, which over enough time should inform our intuition to the point where we become masters of navigating a sea of grays. This archetype is classically understood to be …
I read the latest progress note: ¨67-year-old male with metastatic lung cancer. Mildly agitated. Pain controlled with morphine.¨ I walk into a single room to see a frail man looking worn beyond his years. I introduce myself and ask if it is a good time to chat. He looks away and tells me that now is not a good time. I can see he has just received his lunch tray. Fair enough. I would not …
The only thing different was the room number and the day of the week. “Hey, our favorite flyer is back,” said my attending as I went to see the patient in room 10 for the first time in my life. The patient was already doomed as I became jaded, cynical and wondered what the health care system or we as physicians could do with patients like this. Let’s be clear, I still had never met …
After graduating from college, I worked at an outpatient oncology facility. I was an administrative assistant, manning the phones, sorting the mail, hounding the doctors to sign insurance forms and complete refill requests—basic, unspectacular stuff. I inhabited the bottom of the workplace hierarchy, beneath the nurses and nursing aids, below the receptionists and medical assistants. They say nurses and nursing assistants are a patient’s first point of contact; in reality, a patient’s first exchange with …
How can doctors-in-training address human rights issues through medical care? Hieu, a first-year medical student at Rush, interested in public health and preventive medicine, shares how his experiences as a community health worker in Uganda propelled his motivation to combat structural violence as a physician. He also reflects on the significant distinctions between treatment and care.
How can doctors-in-training honor their cultural heritage in their practice of medicine? Angie, a second-year medical student in Texas, describes how her Syrian heritage and deep concern about health care in Syria today drives her motivation to become a physician.
How can doctors-in-training discern when it is appropriate to detach in the face of suffering, and when a humanistic approach is needed? Robin, a fourth-year medical student completing a fellowship on the biopsychosocial impacts on health at the National Institutes of Health, describes her strategies for connecting with suffering patients.
“This can be a depressing specialty at times; we laugh to stay sane,” my attending explained as I stared in dismay at the cackling residents and faculty after one of them made a rude comment about their patient. This was the first day of my rotation on this service and I was very disappointed. Still brimming with the ideals of professionalism taught in the first two years of medical school, the scenario I witnessed seemed …
Doing a sub-internship in the ICU is, well, intense. On the first day, I was completely overwhelmed by seeing so many sick patients, most of whom were sedated, ventilated, and on at least one pressor. In just a few weeks, this came to seem perfectly normal. However, what continued to stir me were the extreme emotions I saw patients and their families experiencing. I couldn’t help but feel those emotions myself. The most difficult day—thankfully …
Of all the sounds I expected to hear as I pushed open the thick door of Examination Room 3, the anguished sobs stopped me in my tracks. Wide-eyed and mouth agape, I stared. Agonizingly long seconds passed. “Hello, my name is Jimmy…” My mouth instinctively prattled the standard script I had practiced for the last two years. The woman looked up. Behind a mess of straw-colored hair, her red swollen eyes met mine. Dark streaks …
Columnist Emeritus and in-Training Staff Member
Schulich School of Medicine & Dentistry at The University of Western Ontario
Hey, I'm Jimmy, I'm a member of the Class of 2015 at the Schulich School of Medicine & Dentistry located in the University of Western Ontario. I'm originally from Vancouver, and did my undergrad at UBC in physiology and commerce. I think these bios are a bit too short to really paint an accurate picture so find me on Twitter (@Jimmy_Yan) and we can connect that way!
A Fly on the Ward
The clerkship experience can be the definition of tumultuous. As we're suddenly tossed into the wards, it's easy to become caught up in the shuffle as we move through our service rotation. These posts try to take a step back and become "a fly on the wall" observing and reflecting on the overall movement through clerkships.
