Writers-in-Training Intern and Contributing Writer
Geisinger College of Health Sciences
Kaitlin is a medical student at Geisinger College of Health Sciences, class of 2027, interested in primary care and addiction medicine. She is from Malvern, PA and attended Northeastern University for undergrad. Outside of school, Kaitlin loves running, volunteering, cooking, reading/writing, and playing piano!
“254?!” I gawk at the glucometer, stunned that Tom’s blood sugar has soared to such heights when it has consistently remained below 125 for the last two weeks. Tom glances up at me with an amused look on his face, clearly entertained by my reaction — “It was probably that pork chop that did it.”
Skepticism of health care is widespread throughout some of these communities — rightly so due to historical mistreatment, discrimination and lack of representation along with cultural differences. This distrust may be further strengthened by a patient’s own personal experiences. I respected this wariness, but I had yet to witness it firsthand.
“James” handed me a new tube of toothpaste, the box a familiar green and white. Even without opening it up, I could already smell and taste the “jook-yum” (bamboo salt) I grew up with at my parent’s house.
I was assigned to complete my family medicine clerkship at Sanitas Medical Center, a primary and urgent care site in Miami, Florida that serves a large and diverse population. Most patients are elderly, Spanish speaking immigrants from Latin American countries such as Cuba, Venezuela and Colombia.
Alone in her chart stands a telehealth appointment from seven weeks ago. June disclosed a positive at-home pregnancy test. She asked about establishing care and family planning options. Just as I notice her three prior cancellations, her name flashes: Arrived.
I wasn’t expecting the morning report. / I wasn’t expecting to see images, / The death, the blood, the open eyes, / the open hands grasping at someone / long gone. Bullets buried deep.
I realized that in my approach, she saw echoes of her abuser and an imbalance of power. I made sure to sit down in the chair next to her, eye level, to show her I was here to listen. No longer did I need my stethoscope. I had my most powerful tool of all, my listening skills.
When I followed up our conversation by offering a hug, I felt the full release of her sorrow in our embrace. It was as if recognition of her heartbreak gave her permission to express her devastation and fear in a moment of sudden tragedy.
During my family medicine rotation, I experienced one of my most memorable patient encounters. Accompanied by her daughter, my patient came for her annual physical with her primary care physician. Approaching them with a mixture of anticipation and nervousness, I couldn’t help but notice the genuine happiness radiating from both of them.
I could feel my right lower leg starting to bend. And bend. And bend for an eternity before I finally hit the turf. Then, my only view through the bars of my helmet were the Friday night lights against the Friday night sky.
My third year had not been going as planned, and most days I was questioning my purpose in life, which I was once so sure of.
You never know what environment you are going to walk into at the start of a busy clinic day. Patients visit their doctors with a multitude of expectations and fears surrounding their medical treatment and care.
Contributing Writer
Florida International University Herbert Wertheim College of Medicine
Zoha is a fourth year medical student at Florida International University Herbert Wertheim College of Medicine in Miami, Florida class of 2024. In 2020, she graduated from the University of Florida with a Bachelor of Science in applied physiology and kinesiology. She enjoys exercise, baking, and socializing with friends in her free time.
