A New Friendship
It’s okay that you forgot who I am. My name is David, and I was the student doctor that made the orthotic you wore on your leg for a year. Do you remember where we were when we met?
It’s okay that you forgot who I am. My name is David, and I was the student doctor that made the orthotic you wore on your leg for a year. Do you remember where we were when we met?
In undergrad chemistry lab, you likely were introduced to the terms accuracy and precision, often represented visually by the spread of darts on a dartboard. You were told to keep track of significant figures based on how well the various graduated cylinders and titration pipettes could measure volumes. The goal was to express the answer with as much certainty as possible, given the tools at your disposal.
There is little doubt that many in the world lack access to adequate public health systems, and we know that good global health work can help these individuals. Fortunately, institutions and individuals are becoming increasingly interested in contributing to the field of global health. In fact, global health has become increasingly integrated into medical schools, so even tertiary care centers with little-to-no public health offerings afford their students opportunities to go abroad.
“Race is a social construct.” This is a statement that we hear frequently but don’t fully believe or understand. In the United States, we may superficially state that race is a social construct, but in reality, we understand it as genetic underpinnings. In medicine especially, race and genetics are often understood as interchangeable.
“Puedo tomar su presión? Puedo tomar su pulso?” I butchered in Spanish, over and over again. Sometimes I received a smile and laugh in return, sometimes a look of confusion, sometimes a placid unfolding of the patient’s arm. I pumped the cuff up repeatedly and listened intently over the screams of playing children and the chatting of a long line of patients.
How can doctors-in-training build relationships with patients despite language barriers? Chelsea, a fourth-year medical student who will soon begin family medicine residency training in Boston, recalls the lessons she learned about the power of nonverbal communication from a patient she met while working in Rwanda.
Sitting across the table from me was a woman with four children, whose hesitancy towards their foreign doctor mirrored my own. I still wonder sometimes how I ended up in that tiny cinderblock-and-corrugated-metal church in Bolivia, not even finished with my first year of medical school. At the time, I felt frantic.
A poem from our writer-in-training Brent Schnipke about his experience abroad.
The gray pickup truck rattled along the rocky path, careening back and forth on a steep incline that reached for the snow-capped peak masked by clouds. While tires slid and kicked up trails of dust that diffused into the mist surrounding us, I was still able to catch a glimpse of Chimborazo, a volcanic pyramid of Ecuador, through pockets of clarity in that atmosphere. Soaring at breathtaking elevations of over 20 thousand feet, Chimborazo is a point near the equator where one can be closest to the sun while standing on Earth.
Belize for the summer, Africa for spring break, the Philippines during winter break, and the list of medical mission opportunities goes on and on at most medical schools. Now, don’t get me wrong; I absolutely love mission trips and all of the great work that certain groups like the Christian Medical and Dental Associations and other mission-oriented organizations do for the cause. However, I feel that one vital area that definitely qualifies as a “medical mission” …
In times of medical ailment, individuals desperately seek medical attention — in particular, a cure or treatment to alleviate their illness. In these times of need, patients turn towards physicians for a diagnosis and effective treatment plan, relying on the latest technologies and therapeutic modalities to jumpstart a return to a normal lifestyle. However, what happens when there is no treatment, no cure and no therapy? When modern medicine no longer has anything to offer, patients …
“Is the pain sharp or dull?” I say to the teenaged translator next to me. Rolling her eyes, she quickly mutters something in Spanish to my distressed patient and then relays his response back in English. As she returns to texting on her cell phone, I make the final notes for this patient. Although I have reached the end of an extensive two-page history, I can’t help but feel completely unaccomplished. I’ve been told this …