Learning to Cope with the Dying Patient
I had developed a strong friendship with Ms. D during the rotation, and her passing became one of the first confrontations with grief that I encountered as a rising medical student.
Tag: patient story
Contributing Writer
Loyola University Chicago Stritch School of Medicine
Colten is a fourth year medical student at Loyola University Chicago Stritch School of Medicine in Maywood, IL class of 2021. In 2017, he graduated from Marquette University with a Bachelor of Science in biomedical sciences. He enjoys exploring new restaurants, visiting national parks, and playing basketball in his free time. After graduating medical school, Colten would like to pursue a career in otolaryngology.
#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!).
Stuck
My first day in the morgue was a shock to the system — the smell of death, the sight of rigor mortis and the comfort of everyone around me with the task at hand. I thought my prior health care experience prepared me for this, but it clearly did not.
Attack of the Meconium
5:00 am, the first day on the night shift, / six deliveries completed and only one hour remains. / A call from the nurse says the patient in 14 is five centimeters dilated, / and so we enter the room to rupture her membranes.
Centimeters
The clock strikes midnight and just like that, / she’s been laboring for 10 hours as expected, / time flies when you can’t feel contraction pain.
Physicians’ Role in Addressing Racism
Mercedes drove two hours to the nearest healthcare clinic to get her first physical exam in ten years. I met Mercedes while shadowing a primary care physician, Dr. L. In the clinic, Mercedes divulged to me how nervous she had been driving in – she knew what the meeting held in store. Her fears were confirmed: just five minutes into her exam, Dr. L advised her, “Mercedes, you have to lose weight.”
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.
To Be a Kid
Just a five-year-old kid / Yet always in and out of the hospital, / Since her first beautiful breath / Through each breath after, / With her life-giving / Yet ever-faltering lungs.
Patient 15
Patient 15 was a fit 38-year-old female with a past medical history of dilated cardiomyopathy who presented for follow-up on her most recent echocardiogram results. Flipping through the past notes, prior echos, family histories, I was captivated. A previous echo revealed an ejection fraction of about 50% — her heart was already revealing its impending fragility. The most recent echo, just five months later, revealed an ejection fraction of 20% — her heart was failing!
A Clarification: Reducing Patient Fear
In the extremely efficient and fast-paced environment of health care, the emotional needs of patients and their families may become secondary to their medical treatment plan. But emotional stressors may be directly associated with poor outcomes in regards to the healing process and overall quality of life. Thus, these needs may be addressed by face-to-face communication that allows for better patient education. Such investment of time is most rewarding when both the patient and family members have the opportunity to explain their fears and worries regarding treatment.
It Was Grief Speaking
We sit in a clumsy ring / under fluorescent lights, / halfway into the allotted one hour / before we realize that we are having / a conversation born a whole decade ago.
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.
Contributing Writer
Boston University School of Medicine
John Carlo Pasco (he/him/his) is a fourth-year medical student at Boston University School of Medicine in Boston, MA class of 2021. In 2013, he graduated from Stanford University with a Bachelor of Arts in human biology, and a minor in creative writing and poetry. He graduated from Columbia University in 2015 with a Master of Science in narrative medicine. He has had work published in McSweeney’s Internet Tendency and Medical Humanities Blog. In his free time, he enjoys reading and writing poetry, humor, and personal essays. After graduating medical school, Carlo would like to pursue a career in pediatrics and use his training in narratives in palliative care.
