I sit in the classroom, / staring blankly at the wall. / The professor has gone off once again, / regaling a story of some elderly patient’s fall.
For a variety of reasons, the substance use population is particularly vulnerable to the impacts of the COVID-19 pandemic. Based on data from previous financial crises, the emotional toll will increase rates of new substance use, escalate current use, and trigger relapse even among those with long-term abstinence. There may be a significant lag before these changes are detected and treated because health care resources are being funneled toward the pandemic.
Each morning, Mr. E had a new concern — too hot, too cold, too dizzy, too stiff. He was admitted for what seemed to be a straightforward heart failure exacerbation, but his echocardiography showed severe hypertrophy in both sides of his heart that the cardiologists described as “concerning for infiltrative cardiomyopathy.”
We’re overloaded with so much advice, so many ideas on how to be a better doctor, / how do we decide what to follow and what to ignore?
Medicine is a discipline that claims to be based on empirical and scientific truth about human nature. Instead, its knowledge and practice are often steeped in biases like racism. For example, medicine was used in the nineteenth century to justify slavery due to the “biologically inherent superiority” of White races.
I am from wide-toothed combs / pulled through tangled hair. / I am from rumbling yellow school buses
High potassium? / How did this happen so fast? / Secret burrito.
I was anxious because I was used to moving at such a fast pace that slamming on the breaks gave me whiplash. I was desperate for things to do because I had forgotten how to slow down and relax — how to just be. Slowly, I began to see the opportunity that quarantine had presented me with.
When it comes to our younger family members, this means acknowledging their social as well as functional and emotional needs. With this in mind, we should consider three key principles as we focus on the mental health of our younger family members.
Tonight, there are families who will go to bed / Without having eaten dinner. They will slip / Through sheets of faded blue, stained with
Two years of intense studying should have culminated in a feeling of strength. I ended my second year of medical school thinking I was now prepared to do anything. I was excited to be a problem-solver, armed with the mental acuity to recognize diseases from A to Z, ready to proceed with the next step in my clinical training. Now, in my third year, it is finally time to act like a real doctor. But our superiors treat us like their personal assistants.
“I still feel the same,” she says / after three weeks of ECT. / Monday / Wednesday / Friday —