Relief
Tears for the dead, tears for the living / who persist in this world that is so unforgiving
Tag: narrative medicine
Contributing Writer
Texas Tech University Health Sciences Center Paul L. Foster School of Medicine
Melissa Huddleston is a third-year medical student at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine in El Paso, Texas class of 2023. In 2016, she graduated from Baylor University with a Bachelor of Science in informatics and a secondary major in classics. In 2018, she graduated from Baylor University with a Master of Public Health in community health education. She enjoys hiking, reading, and playing board games. After graduating from medical school, Melissa would like to pursue a career in pediatrics.
Noticing Love: An Experiment
Today, I am determined to notice love.
Relapsing-Remitting Vignettes: Learning About Multiple Sclerosis
One of the most impactful influences on my decision to become a doctor was meeting a patient with multiple sclerosis (MS). I was 19 years old and a hospital volunteer in Michigan. As I was replacing gloves, gowns and towels in my department, I entered the room of an elderly Eastern-European woman.
Words Unspoken: Overcoming Challenges in Patient Communication
There I was, face to face with a middle-aged Korean man, blood still dripping from a gash in his forehead. Disoriented, erratic, agitated … and rightfully so.
The Silent Tears
In the pediatric ICU, a call was received from another hospital to give sign out for a patient already en route. The child being transferred had experienced a traumatic brain injury. The child was intubated after receiving every sort of therapeutic management imaginable in a desperate attempt to salvage any remaining brain function, but the prognosis was dire.
On Everyone Doing Their Best
Lots of people get bigger bellies as they age. My aunt used to say it was because of all the love in your life building up. This man noticed his belly was growing a little more than expected.
The Interview as an Invitation
Freud supposedly understood himself as a surgeon of the mind, dissecting his patients’ mental anatomy through the process of psychoanalysis. I found this comparison appealing, so when I started the psychiatry clerkship in my third year of medical school, I approached the interview in psychiatry as analogous to a surgical procedure — efficient, scripted, precise.
Smile
Mr. T did not smile at me. No, I didn’t think it was because he was mean or anything; in fact, he was polite and had quite a calming voice. But honestly, it was hard to read someone’s facial expression behind a mask — at least during the first few months of the COVID-19 outbreak.
Silence
“I’m sorry that you have to see me this way,” said Ms. A as we exited the examining room. Twenty minutes earlier, Ms. A had been laughing and cracking jokes while my attending physician and I obtained her medical history and life updates.
The COVID Narrative
Our illness narrative, the COVID narrative, is about so much more than regaining health (though I acknowledge that for those afflicted by the disease, overcoming the debilitating circumstances may be more than can even be hoped for). Returning to Frank’s ideas, our narrative is about rediscovering the voice that was stolen by forces beyond our control.
A Meditation on the Anatomy Lab
This feeling of loss and subsequent reflection revealed to me something fundamental about how I experience time in my own life. As I depart the anatomy lab, I stand on the shores of time’s river and gaze into the clear water’s surface. In it, I see a reflection of growth and of internal transformation — a reflection not of who I was but of who I have become. I emerge not only learned in anatomy but also with insight into the impact that individuals can have on one another.
The Subtle Art of (Not) Reflecting
Another day passed as I approached the deadline of my latest assignment. Our professor asked students rotating in the ICU to reflect and write up a patient encounter that influenced them deeply.
Columnist
Kasturba Medical College
Vinayak is a fifth-year medical student at Kasturba Medical College in India. A research stint at Johns Hopkins got him interested in medical education. He is particularly interested in clinical competencies, affective milestones and the incorporation of humanities in MedEd, on which he delivered a TEDx talk. In his free time, he enjoys sleeping, eating and being a medical student.
In the Quest for Competence
Medical education today struggles to keep pace with actual medical practice. Moving from an information-driven curriculum to a value driven one has propelled a vast array of research and scholarship in teaching methods, assessments and competencies. In this column, I hope to share insights on some of these areas as well as call for learning that is more adaptive and less standardized.