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.
Tag: narrative medicine
Columnist
Oakland University William Beaumont School of Medicine
Mallory Evans is a third-year medical student at Oakland University William Beaumont School of Medicine in Rochester, Michigan. She graduated from the University of Michigan in 2019 with a Bachelor of Science degree in cellular and molecular biology and a minor in German. When not studying, you can find her running many miles on woodland trails, perfecting a black bean burger recipe, or saying answers to Jeopardy! out loud at the TV. One day she hopes to pursue a career in internal medicine and pediatrics and travel to at least one place on every continent.
This is Water
This is Water is an attempt at documenting intentional living. This column will strive to highlight the extraordinary meaning of the often unnoticed, and to greet the hard and joyful parts of the medical school experience with gratitude (even when, especially when, we don't feel like it).
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.
Narrative in Cirque
When I was 17, I went to the gynecologist for a Pap smear because my mom said, “Once you have sex you have to get one.” It felt like punishment, but it was also the only way I had a chance of getting birth control. I went to three different doctors and exam after exam, they kept saying I could have cancer. I did a ‘colpo’ — whatever that is. After that, they did three different procedures on me, three, all to take pieces of my cervix. I don’t remember what they were called or what even happened. All I remember is the pain.
#Top12of2020: in-Training 2020 Year in Review
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!).
Strength
She was a woman in her early twenties accompanied by her husband. She was a first-time expecting mother at 19 weeks gestation with twins. They had received regular prenatal care and had been doing everything as the doctor had instructed to ensure a healthy pregnancy. She made this appointment because she felt something was off, her motherly instincts already keen.
Buddy
You were my first patient on my first inpatient rotation as a third-year medical student, which meant that I had absolutely no idea what was going on. I was mostly concerned with trying not to faint during presentations on morning rounds. I stared at your bowl of Cheerios, the cereal beginning to turn the skim milk a pale yellow. Your brow furrowed in annoyance behind your thick glasses.
Restrained
I proposed a deal to my fellow student on our surgery rotation. “You can have all the other cases today if I get the laryngectomy.”
Contributing Writer
University of Massachusetts Medical School
Madeline is a member of the Class of 2021 at the University of Massachusetts Medical School. She received her BA in Public Health Studies from Johns Hopkins University in 2014 and MMSc in Immunology from Harvard Medical School in 2017. Her primary literary interest is short narratives, and she enjoys being outside and sending snail mail in her free time.