if we can just cling / and weather this weather, / we can make some things / much better and better.
As physicians, we must work to lift patients up when they are struggling, rather than shaming them into well-being. As Dr. Donald Berwick once noted, it is not always patients’ diagnoses, but their helplessness that kills them. Indeed, the helplessness we instill through our focus on individualism and molecular pathology in the clinical setting will ensure that this epidemic kills millions prematurely and costs billions of dollars. If obesity is a disease caused by society — its inequities, trauma, and expectations — then the solution for obesity should address more than just the patient sitting in front of us.
In this episode we combine with another podcast, From Skirts to Scrubs, to interview. Dr. Stephanie Faubion M.D. She has practiced in the Women’s Health Clinic at Mayo Clinic for over 10 years. She has a broad interest in women’s health and her research encompasses sex- and gender-based differences in disease, menopause, hormone therapy, healthy aging and sexual health and dysfunction in women.
In 2018, a patient filed a complaint against a medical student for wearing a “Black Lives Matter” pin on her white coat. When the student reached out to her school’s administration, she received this response: “It is best to not raise barriers in the way we present ourselves…Some of your political pins may offend some people, and it is probably best not to wear them on your white coat or while you are working in a professional role.”
Dr. Creagan was the Mayo Clinic president 1999, 2000, 2001. He was responsible to the Mayo Clinic CEO who directed answered to the internal board of governors and the external trustees. He believes that this gave him a fascinating insight into what he called the “Masters Of The Universe.”
Remember why you’re here. Remember what you value. Decide what your ‘meaningful suffering’ is and don’t waver. For if we do, we too may one day find ourselves running down the hall, away from the very reason we decided to become doctors.
In this interview, we talk to Dr. Stephen J. Swensen. He is dedicated to the support of thoughtful leaders who aspire to nurture fulfillment of their staff. He is a recognized expert, researcher and speaker in the disciplines of leadership and burnout.
In April of 2020, I began to use the word “adjusting” on a daily basis. I was administering rapid COVID-19 tests at the Detroit Health Department and while their tests were processing, I had fifteen minutes to talk with patients about how they were adjusting to social distancing and adjusting to the media storm that occupied our screens all day.
I had developed a strong friendship with Ms. D during the rotation, and her passing became one of the first confrontations with grief that I encountered as a rising medical student.
Thank you for your contributions and your readership over the past year. It has certainly been a difficult one, and we are exceedingly grateful that you all used in-Training as a platform to share your reflections, opinions, and solutions. Run by medical students and for medical students, your ongoing support is what makes us a premier online peer-reviewed publication. We look forward to seeing your contributions in 2021, and we’re excited to see where the year takes us (hopefully some place better!).
As soon as I let the door close quietly behind me, I turned to face the glaring, rude fluorescent lights of the operating room foyer. I felt my pupils constrict against their offensive shine as I ripped down my mask to suck in as much oxygen as my deflated lungs possibly could.
If there is one thing I have learned, it is that what we, the medical providers, think is important may not necessarily be the priority of the patient. We want to know: why are your sugars uncontrolled? How is your diet? Have you been able to take your metformin? However, for the patient, these things are often trivial. The patient wants to know: how will I be able to afford these medications with my part-time job? How am I expected to see a specialist without insurance? Should I be going outside to exercise, or will I contract coronavirus?