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Paging Cardiology

Geoffrey Rubin

At 5:07 pm on July 27 of last year, my pager’s beep pierced the bustle of the hospital hallway: “CARDIAC ARREST, 6GS room 356 bed 2. Need cards STAT.”

It was only seven minutes into my first overnight call as a cardiology (“cards”) fellow, and I felt like I’d received a code-dose shot of epinephrine. In a most un-doctorly manner, I sprinted up the four flights of stairs to the ward.

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Seeing Patients for the First Time

 
I wish I could see his eyes, hidden beneath a pair of shades. A tweed cap, or as I like to think of it, the “grandpa cap,” covers his head. With his hands resting on a cane, he leans his back against the chair.
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Deathbed Epiphany

Christina Johnson

As a family-practice resident, I’ve found that a premium is placed not only on my clinical acumen but also on how well I respond to my patients’ mental and emotional experience of illness.

Yet the work of learning to be a doctor is just that–work. And in overwhelming amounts. Time management becomes ever more vital: As I take the time needed to gently break bad news and to console a patient,

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The Secret

Gabriel Foster

“If my father dies, you’re going down with him.”

The words pierced the air, and suddenly there was silence.

I hadn’t noticed Frank’s son at first. He’d been pacing in the back of the family group gathered in our ICU waiting room. Now, up close, I could appreciate how large and intimidating he was. And I’d just had the thankless job of telling him, along with the rest of his

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Presence

I take a deep breath in and let it out. Breathe in, breathe out. Breathe in, breathe out. I wipe the sweat off my palms, adjust the newly-minted stethoscope draped around my neck and knock on the door.

A voice croaks, “Come in,” and I enter the room to find the patient on the chair. His eyes look tired.

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Someone Loved Her Too

Sophia Görgens

The first mistake I made
was leaving my ID card home
in the pocket of my fleece–
the one with a zipper that broke
in Namibia and a hole stabbed
by a pencil during finals, worn
deep with worry and time.
Later, I asked someone else
to let me into the lab.
We made small talk in the hall.

Second, it was

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Overkill

Daniel Lee

Primum non nocere. First, do no harm.

I learned that in the first year of medical school. “Nonmaleficence” is the fancy name given to this sentiment, and it’s one of the four pillars of modern bioethics. In real life, it’s an impossible standard: We harm patients all the time. But the spirit behind the principle is what matters. Do the least possible harm to patients as they go through the medical system.

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Dreamy Poppy Pink

In nursing school, to learn about human anatomy, we dissected stray cats. The tiny blobs and structures inside them looked more like toys than organs; at times I had difficulty telling one part from another.

When our instructor got us invited to the medical school’s Anatomy Lab that studied real people, I was excited to finally see a complete human body. Maybe there would be straight pins with little flags for each section of the

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Tales Out of School

David Power

I am a professor of family medicine at the University of Minnesota Medical School. During their third and fourth years, students must complete a four-week clerkship in family medicine. The clerkship includes a “significant-event reflection” project, in which students discuss patient encounters that they’ve found especially meaningful.

Over nearly a decade as a facilitator for these groups, I have heard many powerful and emotional stories. I’ve often felt deeply moved–and admiring

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“Better to Ask a Question Than to Remain Ignorant”

Any class of first-year medical students contains a mix of genders, races, socioeconomic ranges, ages and cultures. We try to convince students their tutor groups are safe places to ask questions and the only bad question is one that isn’t asked. Sometimes that openness leads to challenges. 
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No Retakes

I was midway through my internal medicine internship when elderly Mrs. Armstrong was transferred to our service for treatment of a pulmonary embolus (aka PE–a blood clot in the lungs) after a knee fracture repair. I remember thinking, disparagingly, “Surgeons should be able to treat a PE!”

The following morning, our team rounded on our patients and hurriedly wrote orders and notes because Susan, my senior resident, and I would be in clinic all afternoon.

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Emergency Intubation

During my first year of anesthesia training I was called to open an emergency airway for a patient struggling to breathe in the Medical ICU. When I arrived amid a flurry of activity and billowing yellow isolation gowns, the monitor was crying DING DING DING to alert us that the patient’s oxygen saturation was hovering in the mid-80s–dangerously low. The patient’s small face was obscured by the oxygen mask, his frail body covered by a hospital gown.

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