Condescending Humor in Medicine and Medical Education
Humor can be a double-edged sword; when used inappropriately in the workplace, it can taint interactions between health care providers and detract from professionalism.
Humor can be a double-edged sword; when used inappropriately in the workplace, it can taint interactions between health care providers and detract from professionalism.
In my white coat, / I ask for forgiveness.
In medicine, very little is black and white. Now, as a medical student who has begun to experience ethical dilemmas in the realm of patient care, I’ve discovered that the ethics of journalists and physicians are more similar than I expected.
My first patient with Alzheimer’s, Sheryll, led me on a journey of questions and self-growth which I had never expected. Until meeting her, I hadn’t thought extensively about how our biology may dictate cognition and free will. While my thoughts on the matter continue to develop as I broaden my clinical experience, these considerations continue to frame my understanding of my patients, myself and the world around me.
The Iranian Consultative Assembly, the equivalent of a parliament, legalized living non-related donations in 1988 and set up a new government-run transplant matching system. Within this novel framework, living donors could choose to have their organs typed and registered in advance. If they are needed, a third-party independent organization, the Dialysis and Transplant Patients Association (DTPA), would set up contact between the donors and recipients. The donors would be compensated by a payment from the government, free health insurance, and sometimes additional payment from the recipient. The payment from the government is said to be in the range of $2,000-$4,000.
This unrest reached a high point in September, when nurse Dawn Wooten filed a formal complaint against Dr. Mahendra Amin, a Georgia physician working at an Immigration and Customs Enforcement (ICE) detention center, who she claims performed mass hysterectomies on detained immigrant women without consent. While the country reacted in shock, the reality is that coerced sterilization against communities of color is not new. The United States has a shameful history of exploiting Black and brown women’s bodies as part of a larger objective for population control rooted in white supremacy — and the medical field is partly to blame.
This piece is focused on the applications of empathy and compassion in decision-making. How can we distinguish between them? In its simplest form, empathy deals with feelings while compassion deals with understanding.
How could I study for my next exam instead of focusing my energy on the crisis around me? Was I selfish for still worrying about doing well in school while others died alone in the hospital on a ventilator? In these moments, I found respite in “Learning in War-Time,” a sermon delivered by C.S. Lewis to the students of Oxford in 1939 just as World War II began. In this timely sermon, Lewis addressed the chief concern on students’ minds: Why continue to study philosophy or science “when the lives of our friends and the liberties of Europe are in the balance?”
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.
Sameera was an Iraqi refugee who had recently arrived from Tijuana, Mexico. She fled violence from what seemed like every corner of the globe, starting with Iraq, then to Yemen, Brazil, Mexico, and now to a small, bare and cold cell somewhere in southern California.
At this very moment, our medical care providers are acting as the heroes we know them to be. They should be celebrated for their steadfast courage and dedication to the community’s safety and wellbeing. Our job as medical students is to support those brave practitioners in the way that most protects their safety and the safety of their patients, which very well could mean (and probably does mean) staying home.
In recent days, some medical schools have begun canceling rotations in the face of a growing pandemic. The halls of my own school have been abuzz with conversations of deans and students alike about how a medical school must operate during an outbreak.