Contributing Writer
University of Dar es Salaam in Tanzania
Allen is a third year medical student at University of Dar es Salaam in Tanzania. He is interested in the wonders of basic science in transforming lives. In his free time, Allen enjoys playing soccer, reading and spending time with friends. After medical school, Allen's single pursuit is to become a surgeon.
I just finished my two month surgery rotation, and as a third year medical student new to the wards, I had a steep learning curve. One of the things I learned the hard way, causing me to nearly cry during rounds, was how to properly present a patient’s history and physical examination findings.
My former pediatrician always had the brightest smile. She was an effervescent “people-person.” Between her and episodes of Grey’s Anatomy, I always thought that all physicians were outgoing butterflies flapping back and forth between patients and their vibrant social lives. Physicians are usually depicted as extroverts, and medicine a profession of the people.
They asked me how that encounter had gone, and I could feel my cheeks turn bright red. I was embarrassed that I was not able to connect with my patient.
I know that being a third-year medical student is like being a transplanted kidney. One starts the day in one body. School is composed of lecture halls and written exams. However, the world has shifted by the end of the day, and shockingly, one’s old body is not present.
“If I don’t get a cigarette right now, I’m going to punch someone,” he said. “Okay, I understand. One second.”
Soon, we were jolted to attention by an overhead announcement, “Attention, code blue. Six south. Attention. Code blue. Six south.”
A half hour passed by before I heard the first trauma announcement overhead. The pager buzzed at the same time and somewhat startled me. I grabbed the on-call phone, pager and shears and quickly walked to the emergency department (ED).
I had just started my third year, and I had already witnessed six patients die. I had never been called a black cloud before this, but it immediately stuck and seemed fitting.
Through my patient’s same wants and needs, I saw my own thoughts, feelings, hopes, dreams, fears and my own desire to be liked, to be wanted, to be needed. I felt, for the first time in a very long time, a genuine human connection.
My mind kept returning to the patient I had encountered earlier that day. I experienced this subtle feeling that something important had happened. I became curious about the man and his story, but above all, I wondered what the most important part of that appointment had been.
Though the white coat’s role in medicine today is complex — to some, a respected symbol of medicine’s history; to others, a antiquated relic of a paternalistic past — few medical students or frontline residents would deny this emblematic item one major utility: a source of pockets.
“Are you okay, sweetie?” asks the intern as we start to ascend. She is completely unconscious, looking into nothingness. I start to feel the adrenaline. “I don’t think she’s okay,” remarks the intern.
Contributing Writer
Medical College of Wisconsin
Michael Sobin is a third year medical student at the Medical College of Wisconsin in Milwaukee, WI. He is a graduate of the University of Minnesota-Twin Cities where he earned a B.S. in Biology.
