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Common Thread

Peter de Schweinitz

One sunny afternoon during my fourth year of medical school, I spent a day assisting a New Yorker turned rural Southern podiatrist. As we whittled dead skin, checked pulses and scheduled minor procedures, an arrogant question formed in my mind: Why did you choose the feet instead of something more impressive, like the heart? 

Maybe he read my mind. Later, seeing me off to my car, he said, “I know that you medical doctors could do my job. I’m here so that you can do more important things.”

At the time, I didn’t know whether to pity his lack of aspiration or admire his humility. But a

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Cracking the Code

Zohar Lederman

I am a medical student in Pavia, Italy, doing my fifth year out of six. It is summertime, and, as I’ve done every summer for years, I’ve returned to my small hometown in the south of Israel. There, among other things, I volunteer as an emergency medical technician (EMT) with Magen David Adom, the Israeli Red Cross. 

It’s 7:30 on a Friday morning. I’m at the Red Cross office, talking with the paramedic and a doctor, when a young volunteer runs in. 

“There’s a car pulling up outside–they’re bringing an unconscious patient!” he says.

The paramedic goes to get the advanced life support equipment, and the doctor

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First, Do No Harm

Alison Block

It’s one of my earliest memories: I’m wrestling with my brother, and I’m losing, because I’m five and he’s seven, and he’s bigger and stronger than I am. So I bite him, hard.

Instantly I know I’ve crossed some sort of line, and I employ my most primitive defense mechanism, shouting out, “He bit me! Jon bit me!” I feel shame, because I am old enough to know it is wrong to hurt people–and to lie.

Some years later, I am accepted to medical school. I go to the first ceremony of my medical career–the one where I get my short white coat–and I take a modernized version of the Hippocratic Oath. I will try to do the best I can for my

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Awakening

Benjamin Ostro with Boris D Veysman

Back when I was a premedical student, I didn’t devote much time to community service. I cared about helping others, and yet, feeling as driven as I did to excel in my academic and extracurricular commitments, I had little time for volunteering. 

It’s been my sense that most physicians don’t do much community service. If you ask a doctor why this is so, he or she might shrug and say something like “My work benefits the community” or “I’m already overworked.” 

Upon entering medical school, I absorbed this attitude more or less unconsciously. I viewed volunteer work as “rewarding,” but devoid of any

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Conundrum

Matthew Hirschtritt

Walking from an exam room to the nurse’s station in the small outpatient clinic where I worked as a second-year medical student, I paused by a window to gaze out at the winter sunset. After a moment, I looked down to scan the notebook where I kept my schedule and notes for my last patient of the day.

4:15, Ms. Smith, 26, lump on groin–the bare bones of a story waiting to be filled in.

Feeling tired and looking forward to dinner, I sighed dramatically, dropped into a chair in front of a computer console and called up Ms. Smith’s electronic health record. 

Like most medical records,

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On the Bottom Rung

I was in my third year of medical school, and the initial week of my first-ever hospital clerkship had passed without incident. I showed up on time, did what I was told, stepped on no toes and followed my patients as well as I could.

At the close of that week, however, my intern pulled me aside to ask, “Remember learning how to put an IV in a mannequin during the workshop earlier today? Well, there’s a patient in radiology, waiting for a CT scan. The tech can’t flush the IV, and I need you to do it. If you can’t, put in a new one.”

Tech? Flush? I meditated on my intern’s words and realized that this would be my first unsupervised procedure.

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Little Lady

Samyukta Mullangi

Growing up, I was the one thought to be the most squeamish about medicine–the needles, the knives, the musty smell of alcohol swabs and the rusty stench of blood. Whenever my mother, an ob/gyn, talked on the phone with her patients about menstruation, cramps and bloating, I’d plug my ears and wish for death by embarrassment. Once, standing in line for a routine TB test, I had a friend pull up a chair for me “in case you faint.” 

So my entire family thought it hilarious when I decided to go to medical school. 

“You know that residents practice stitches on each other, don’t you?” my cousin teased. 

“Consider real estate instead,” my grandmother advised.

In deference to her, I actually did go

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Genuine Touch

Jonathan Gotfried

I was a medical student doing my fourth-year rotation on the oncology floor. The floor offered many new sights, and from the first, I was struck by the two mammoth massage chairs sitting in a corner at the end of the longest corridor. 

Their exaggerated curves were plastered with jet-black faux leather adorned with stitching details. Long, smooth armrests of oak jutted out on either side. The remote control was a virtual supercomputer offering thousands of programs designed to enhance one’s massaging pleasure–kneading, fast, pressure, heat, full-body massage. On either side of the plush headrest, strategically placed speakers would play soft classical music, drowning out the low hum of

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Medicine Land Celebrates a Birthday

Paul Gross

The first real patient of my medical career was a 60-year-old man in the surgical intensive care unit. I met him on the first day of the third year of medical school, when students join teams of doctors doing inpatient medicine.

The surgical team met at 7:00 am–a ludicrously early hour, I thought. There were nearly ten of us–four students, a couple of interns and senior residents and a chief resident.

As the team gathered around the patient’s bed, we students hung back, looking at the form before us. A pale, fleshy foot poked out from under his hospital gown. The room smelled funny.

The patient was comatose. Had he been awake and alert, he might not have been heartened by our team’s

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The House Always Wins

Rashmi Kaura

Death. A five-letter word. The inevitable conclusion to our accomplishments, dreams, emotions and essence. Feared and ignored by the well, acknowledged and perhaps even welcomed by the ailing.

As physicians we are constantly gambling against this inevitability, playing the odds with our arsenal of diagnostics and therapeutics. Even when the odds against us grow longer, we forge ahead, bidding to prolong life through technology and wonder drugs.

Many times, staring into the tired, tortured eyes of a frail and debilitated patient while preparing to subject him or her to painful tests and treatments with a stroke of my pen, I wonder, Why do I insist on playing this game when the house is likely to win? Isn’t the whole point of gambling knowing when

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Affected

Jessica Tekla Les

During my third year of medical school I was performing a routine breast exam, more for practice than anything else. I was trying the concentric-circles-around-the-nipple technique, one of several I’d been taught. About halfway through the right breast I found a lima-bean-sized lump, not far from the breastbone. I took liberties with this particular exam. I poked the lump, tried to move the lump, squished down on the lump. 

I took such liberties because it was my own breast. 

At the time, I responded clinically. I thought to myself, I am twenty-seven years old, with no family history and no risk factors. Nothing to worry about. I knew the likely diagnosis, a fibroadenoma or localized fibrocystic change, both common in my age group. I

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Broken

Jordan Grumet

I was a third-year medical student in the first week of my obstetrics rotation. The obstetrics program was known to be high-pressure, its residents among the best. Mostly women, they were a hard-core group–smart, efficient, motivated–and they scared the heck out of us medical students.

I remember the day clearly: Not only was I on call, but I was assigned to the chief resident’s team. I felt petrified. 

We’d started morning rounds as usual, running down the list of patients in labor. Five minutes in, my chief got a “911” page from the ER, located in the next building. This seldom happened, so instead of calling back, we ran downstairs and over to the trauma bay.

We walked into pure chaos. The patient

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