Tag: mental health

Ajay Koti Ajay Koti (17 Posts)

Columnist and in-Training Staff Member

Morsani College of Medicine at the University of South Florida


Ajay is a pediatric resident and a Class of 2017 graduate of the SELECT MD program at the University of South Florida. He is passionate about delivering primary care to underserved populations—specifically, low-income and homeless patients in urban centers. Ajay will be specializing in pediatrics, with a particular interest in child maltreatment.

M.D. or Bust

Numerous studies have documented that medical students lose empathy during clinical years, becoming jaded and pessimistic. This has been linked not only to diminished enjoyment of our work, but also to worse patient outcomes. My goal is to sustain the humanistic values that drive so many of us to medicine, so that, instead of being quelled by cynicism, our idealism can be refined by wisdom.




Wounded Healers

Kaitlyn Elkins was a medical student at the Wake Forest School of Medicine in North Carolina and a member of the Class of 2015. She excelled academically, named the valedictorian of her high school class and graduating summa cum laude from Campbell University. She wrote poetry in her free time. She had a cat, lovingly named Gatito. On April 11, 2013, just weeks before beginning her clinical rotations, Kaitlyn Elkins took her own life. She left …

Breaking the Barriers to Mental Health Diagnoses

As second year winds down and I approach the ultimate exam of medical school, Step 1 of the USMLE, I have spent a lot of time in reflection, and on one stark dichotomy in particular. The vast majority of medicine that we studied has been physical; we study the art of physical diagnosis in order to best assess our patients’ pains and murmurs and abrasions, leading to verifiable diagnoses. In addition, we have objective blood work showing …

Worry

A frail man leaned against the wall, Gasping for breath, afraid to fall. The rest of him shivered in panic at the thought A heart attack, perhaps or a stroke, blood clot? “I must be going crazy,” repeated his heartbeat. “I must try to calm down and take a seat.”   The doctors marched in with the test results and all, They lined up against the opposite wall. Explained to the patient the source of …

Poor Communication in Multidisciplinary Teams Harms Patient Safety: An Experience on the Wards

Location: Surgery inpatient floor Time: 6:00 a.m. Surgery morning rounds began: “Ms. A, your MRI shows you have colorectal cancer, so we plan to take you to the OR for surgery tomorrow. Alright, see you later,” said my surgery attending, who rushed out of Ms. A’s room right after he abruptly dropped this shocking news. Inside the room, Ms. A, a fragile, bony 75-year-old lady, was laying on her bed with her eyes full of …

Trust: Half the Battle in Effective Health Care Delivery

It was a sunny and cloudless September day, the weather still warm enough for T-shirts and shorts. Sitting by a round table decorated with poster board and flyers, I was providing mental health awareness and education at a health fair. The site was sandwiched between the bustling highways south of downtown Chicago and the Chicago River — the outskirts of Chinatown. All around me crowded small storefronts and narrow roads, a sharp contrast to the …

Dishing Out Those Inner Demons: Finding Strength in the Medical Student Community

Sometimes, I wonder why I am here. Walking this path of medicine, to be specific. It always fascinated me what drove people in life. For some, the joy of spinning creative fabrics of fictional words satisfied; for some, raising and guiding children through the thorns of life serves as the pinnacle of existence; for others, the simple necessities of life and health are solely sufficient. For medical students, I feel like this can be a …

Keeping The Night At Bay: Medicine and Suicide

“How do we [become a society that produces people] that are young and beautiful and hate themselves?” – Dr. John Green “Well, I always say, it would be good to go away. But if things don’t work out like we think And there’s nothing here to ease the ache But it there’s nothing there to make things change If it’s the same for you I’ll just hang.” – Matchbox Twenty I finished reading “Night Falls …

How Medical School Taught Me to Put Studying Second

You know you have a problem when you can’t fall asleep at night. That’s where I was nearing at the end of anatomy in my first year of medical school. I couldn’t sleep because I was terrified of what the next day held. My sympathetic nervous system was on full alert, ready to handle the next day. The only thing between the next day and me was a night of sleep that seemed harder and …

A Mind Based Approach to Addiction Treatment

Addiction is a chronic illness characterized by the use of a psychogenic substance despite negative consequences associated with its use. Biological dependence is marked by cravings, increased dose and/or frequency of use due to tolerance, and withdrawal symptoms upon cessation of substance abuse. Addicts gain pleasure via the neurotransmitter dopamine, which is released from the ventral tegmental area of the brain and into the nucleus accumbens. This reward encourages and solidifies the addictive behavior and …

Don’t Judge a Book by Its Cover: A Complex Twist in a Patient with Diabetic Ketoacidosis

Here was a 45-year-old Type 1 diabetic who presented to the emergency department in a near coma with diabetic ketoacidosis. The diagnosis seemed clear as day, with some of the classic presenting signs: polyuria, polydipsia, hyperglycemia, high anion gap, low serum bicarbonate and presence of ketones in the urine. She was admitted and treated appropriately. Once she was stabilized, the human interaction and history-taking began, which proved to be far more convoluted. She thoroughly explained …

Yoga and Medicine: What Med Students Should Know About this Ancient Health Practice

Why should future physicians know about yoga? Yoga is an ancient health science based on the experimental and experiential. The physical postures and meditative practices of yoga developed through thousands of years of intent study of the body’s responses to particular postures and meditations. Many patients have already caught on to yoga as a form of mental and physical self-care and preventive health. If we adequately understand yoga, we can seize an opportunity to encourage the …

Must Love Dogs: Animal Therapy in Medicine

One day, I was walking across the medical center campus when I suddenly burst out laughing. I couldn’t help it when I saw a white furry dog with a blue bandana wrapped around his neck, from which hung a badge with his name and photo. I was too far away to see his name, but I imagined it to be something like “Buddy.” I wasn’t aware that the medical center used animal therapy, through a …

Valentina Bonev Valentina Bonev (21 Posts)

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.