Contributing Writer Emeritus
Albany Medical College
Hi all. My name is Karan Desai, and I am a Class of 2015 student at Albany Medical College. When I was born, my dad lifted me to the skies at our local community hospital (Simba style from Lion King), and proclaimed "This son will be a doctor." So, I am currently working towards fulfilling that prophecy. I love medicine, and the opportunities I get to help people in their most vulnerable moments. Outside of the hospital, I am also a health policy wonk, with positions within the AMA, NBME and AAMC. My other loves in life include the Philadelphia Eagles, the Northwestern Wildcats, goat cheese and tailgating.
With my Fisher-Price stethoscope drooping to my knees, I opened up my first practice as a young boy, working out of my family’s kitchen, my hours fluctuating with my nap schedule. I was a dragon-seeker bent on improbable rescues, and as I would fiddle with my tools, I would imagine a future where patients returned to my office full of life and gratitude. What I did not count on as a five-year-old—or even as a …
I watched the hospital room in its trickling display of lights—infusions, a ventilator and a monitor with its unrelenting beeping noises. This is what I had come to know of the intensive care unit. As doctors, we are told that we must live and work detached from our patients because emotions can cloud our judgement. But it is difficult to separate emotions when a patient who lies in a bed could be someone’s mother, someone’s wife or …
The nurse cracked open the door to say, “You have a visitor here to see you.” Abraham’s mother nodded, and the nurse turned to me in the hallway with words of permission to enter. I did so, hesitantly. The room was dimly lit by sunlight fighting its way through soggy clouds to shine on the window. The walls were covered with action heroes sprinting to save lives, while foil balloons hovering over the bed gave …
Chennai, India. “How are you feeling?” I asked an elderly woman in Tamil, the local language. She had recently been diagnosed with rheumatic heart disease at the hospital. I struggled to hide my excitement of finally being able to interact with an inpatient after three weeks of waiting for a “TB-free ward.” In the western world, we quarantine patients with tuberculosis; here they are one of the many patients in the general ward who are seen …
It was my second day rotating through the palliative care service at an Atlanta hospital. The first day, I rounded on the floor with the nurse practitioner. The patients were all ill, but none were in the last stages of death like I had expected. On this day, I worked with the physician on the inpatient hospice unit of the hospital. These patients were taking their final breaths; their care was about providing comfort and …
There are some cases you see in the hospital that compel or affirm your interest in a specific field of medicine. I have always been interested in infectious disease (ID), and I am known as “the bug guy” in my class. It’s an odd choice, and I am one of the few that I have met in my class with a true passion for ID. I admit that it seems a bit alienating at times, …
[ca_audio url=”http://in-training.org/wp-content/uploads/2013/07/03-Young-and-Beautiful-1.mp3″ width=”500″ height=”27″ css_class=”codeart-google-mp3-player” autoplay=”false”] We’re all familiar with those epidemiology pie charts that preface most of our pathology lectures. They’re the slides that everyone tunes out and gleefully skip over when reviewing for the exam, minus the few pertinent buzzwords: risk factors, mean age, gender and common symptoms. After all, “think horses, not zebras” is one of the most famous adages in medicine and rightfully so, because biology operates on efficient systems in …
Hippocrates, the famous Greek physician and father of Western medicine, once said, “To hold him who has taught me this art as equal to my parents and to live my life in partnership with him, and if he is in need of money to give him a share of mine, and to regard his offspring as equal to my brothers in male lineage and to teach them this art—if they desire to learn it—without fee and …
Upon entering medical school, we all knew that we would have to deal with some difficult diagnoses, emotional situations and even death. In fact, even the earliest portions of our training were centered around a cold, lifeless cadaver that we cut into to learn the intricate anatomy and beauty of the human body. To a first-year medical student, gross anatomy symbolizes the profound meaning of what it is to embark on the long journey of …
The patient was a woman in her mid-twenties recently diagnosed with lupus. She was clearly anxious about her prognosis and treatment. The rheumatologist I was shadowing that day entered the room, made some casual conversation intermingled with medical questions, and proceeded with the physical exam. She was attentive to the patient’s needs and accommodating with her questions. The rheumatologist’s confidence, compassion and ability to sooth the patient’s worries made a lasting impression on me. During …
Our threshold to admit a patient into the hospital is high. They must be sick—really sick!—and therefore once they are admitted, worked-up and treated, their prognosis is inevitably better. Ultimately, that is the point of our health care system. Enter sick, leave healthy. A recent patient encounter made me question this basic premise. Here was a 56-year-old white female with a past medical history of chronic obstructive pulmonary disease (COPD) presenting with increased shortness of …
The woman sits anxiously in the exam room, fidgeting with her green clay necklace. She was referred because of an incidental finding on a physical exam mandated by her insurance company. Another woman in her 50s, with streaks of gray hair, calmly sits in the room next door with her head held high, preparing herself for the worse. She had felt a lump on her breast while showering. The corner room contains a young Mexican …
Columnist Emeritus and in-Training Staff Member
Loma Linda University Medical Center
A Taste Of Your Own Medicine is a column that gives you a taste of medicine. It focuses on important and interesting topics relating to medicine and being a medical student.
Valentina is a general surgery resident at Loma Linda University Medical Center. She graduated from University of California, Irvine School of Medicine.
