Columnist Emeritus and in-Training Staff Member
Loma Linda University Medical Center
A Taste Of Your Own Medicine is a column that gives you a taste of medicine. It focuses on important and interesting topics relating to medicine and being a medical student.
Valentina is a general surgery resident at Loma Linda University Medical Center. She graduated from University of California, Irvine School of Medicine.
When most people think of the labor and delivery department (L&D), they probably have thoughts of babies, laughter, tears of joy, happiness, and pink and blue onesies. My experience on L&D was quite different. A woman who was 26 weeks pregnant walked into the hospital at 10 p.m. on a Monday night, claiming that her water broke. But how could that be? She was only 26 weeks along. It was determined that she had preterm …
Tonight is not any different. A list of twenty-five patients to be seen. A standing room full of eager volunteer medical students — who just can’t wait to do some doctoring — and a lone attending physician, a family physician who probably enjoys seeing the medical students acting important, walking around with their shiny stethoscopes around their necks, more than anything else. On second thought, maybe the doctor is here every week because he wants …
Not everyone has the pleasure, or should I say honor, of being a part of the miracle that is life; even fewer get to say that they witness and influence that miracle every day. As a medical student, I have been privy to a whole new world of opportunities that have opened my eyes to how fragile life truly is and how much of a difference one person can make to affect the life (or …
Though I am currently a second year student at University of Vermont, I actually started medical school back in the ’80s in an ancient and venerable school in England, granted the royal seal by Henry VIII. Even just twenty-five or so years ago, the nurses still wore uniforms not significantly different from that worn by Florence Nightingale herself, and they kept their heads bowed and eyes demurely averted on ward rounds. I remember that there …
Scene I: 7:30 a.m. in the OR at the VA [Elderly gentleman with too many comorbidities to be induced into sleep. He is given local anesthesia and lies draped on the operating table. General surgery is suctioning a fluctuant mass from his upper left thorax. Case has been opened.] Patient behind curtain: Oh, God. Oh, God! Errrgggggh! Anesthesiologist: We’re just gonna give you some more medicine. Chief Resident: It’s right around your broken rib. There …
I’m sitting by the window in a hospital room with my eight-year-old sidekick who is being treated for rhabdomysarcoma, here for chemotherapy. Sidekicks is a student-led initiative at UMass Medical School that matches medical students with pediatric oncology patients in order to build long-term, non-medical relationships. He is watching his favorite cartoons and so he is unresponsive to my attempts at engagement. My own five-year anniversary of being in remission from Hodgkin’s lymphoma just passed …
In histology, we are taught that ‘structure dictates function.’ It is a simply stated phrase that tells medical students to think about how the structure of a tissue determines what its role is in the human body. Does it secrete substances? Is it involved in mechanical abrasive stress? Does it have a large layer of muscle? Of collagen? Many ducts? Extensive folding of the epithelium? These questions, answered entirely by staring at a slide of …
When he visited UAB last year, Abraham Verghese opened his talk with the statement that if one no longer read fiction, the brain would die. His strong words offered reassurance that at least some medical professionals value literature. Further, the statement suggested that he makes time for it and would allot time for it for others. Indeed, at Stanford, he spends his afternoons brainstorming within a thinking room instead of a laboratory. Verghese’s declaration also …
I wrote this reflection several months ago when I was working at a health nonprofit serving the Vietnamese community in San Jose, California. Though at first glance it may not relate directly to medicine, a lot of the things I was ruminating on apply to our work as future docs. Plus, this publication is sort of new, so I thought I’d stretch the scope of what is considered “relevant” or “appropriate,” both on in-Training and in medicine …
Yes, medical students have limited technical skills. Yes, they have limited knowledge. But despite these limitations, a medical student can comfort the patient as no other individual can. Many people base their success on what they have accomplished in work, school or family life. However, people rarely achieve this success without developing strong team-working skills. Achieving success on a team enables a person to acquire new skills and work on existing skills. In no other …
I met a patient at preop for an elective sigmoid resection for a malignant mass in her colon. She had no previous surgical history. Unfortunately the patient was widowed and lived alone and had some understandable concerns about her recovery. She seemed anxious and a bit nervous about the procedure. I introduced myself before the surgery and tried to the best of my current ability to answer any questions she had. As we spoke, I …
The night flow team had picked up a woman in her late 60s with a history of diverticulosis presenting to the ED with bleeding from the rectum. She was scheduled for colonoscopy the next day and orders were placed for NPO (nothing by mouth) after midnight and GoLytely (bowel cleanser) to be finished within three hours before midnight. As a third year medical student, I picked up this patient the morning of her colonoscopy. She …
Editor Emeritus: Former Medical Student Editor (2012-2013) and Former Resident Editor (2013-2015)
Wayne State University School of Medicine
My name is Kimberly Ku, and I am a member of the Wayne State University School of Medicine Class of 2013. I graduated from the University of Michigan Ann Arbor with a double major in biology and anthropology. Since the start of medical school, I have been a fervent advocate of patient safety and quality improvement, founding the WSU Chapter of the Institute for Healthcare Improvement (IHI) as well as the WSU SOM student organization, Wayne IHI. Through the IHI, I have written multiple quality improvement projects, including a grant award-winning project at the Barbara Ann Karmanos Cancer Institute in Detroit. I work closely with WSU's Vice Chair of Medical Education as well as many other faculty to promote greater patient safety and quality improvement mindfulness in the clinical curriculum of both the WSU SOM and the residency programs at the Detroit Medical Center.
Outside of patient safety and quality improvement, I contribute widely to authorship and co-authorship of clinical research projects at the DMC. As a member of the Gold Humanism Honor Society, I am a strong believer of volunteerism and dedicating spare time to the creative arts. I am applying for an Internal Medicine residency program with specific interest in Oncology/Palliative Care. I also plan to pursue an MPH or MBA after residency in order to incorporate public policy/business management into my work as a future academic physician.
