fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

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Dear Medical Student

Dear Medical Student,

I remember what it was like.

I remember what it was like the week before your clerkships begin, when you spend thirty minutes writing an email to the resident about how you’re excited to work with them, about how you’ve done cardiac stem-cell research and are interested in pursuing cardiology, and what can you do in advance, and oh, where should you meet the team on Monday morning? And they respond, “Great see you Monday 7 – Jack.”

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Preparing for Takeoff

“As I hang up my uniform, she will put hers on,” my uncle proudly told my aunt when I announced my plan to attend medical school under the auspices of the US Air Force Health Professions Scholarship Program.

Two of my uncles had illustrious Indian Army careers–one as a brigadier general and the other as a lieutenant colonel–but my own military potential was less obvious. I was a stereotypical “girly girl,” a flop in sports and the last one picked for any team in gym class. So when I told people I was joining the Air Force, the reactions were amusing.

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Keeping the Flame Alive

This month, at medical schools across the country, first-year students will officially don the physician’s traditional white coat for the first time.

The white-coat ceremony is a powerful symbolic moment. It signifies that the students are moving beyond their identity as ordinary citizens and into their new identity as healers. The ceremony celebrates their idealism and their commitment to a life of caring for others. And, although they may not realize this, it constitutes a pledge to assume responsibility for their patients’ health and well-being–and the stresses that go with that commitment. As the students accept this responsibility, their lives will be forever changed.
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The Journey

My first day on the wards,
the senior resident handed me a white coat
emblazoned with the twin serpents of Asclepius,
and a stethoscope I proudly draped around my neck.
I thought I knew everything
about the dying patient assigned to me.

I listened studiously to John Doe’s lungs
filling rhythmically from a little machine
with a red diaphragm that pumped up and down
and made a hissing sound that reminded me
of the snakes embroidered on my collar.
I grew to know him over weeks,
to speak in code through a system of lid blinks–
the only muscles intact after a brainstem stroke.

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laughter po prn

Slavena Salve Nissan ~

if you happened to pass by room 2
in a medical practice somewhere uptown
some time in the spring
you would’ve heard
laughter
a medical student and her patient
giggling like toddlers
right in the middle of the cranial nerve exam
what a thing to hear

if only i could write that prescription
laughter po prn
no copay required

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Water

Amulya Iyer ~

The professors,
they teach us
the types of diuretics,
their effects on the tubules–
convoluted or not.
They tell us to check
for pitting edema,
and grade it to see
how bad it has gotten.

But who teaches
the student
to kneel by the woman,
her legs swollen,
her heart failing in her chest–
to slip off old shoes,
roll down damp socks,
and touch her feet
as if asking
to be blessed?

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Why Aren’t You Depressed?

Tess Timmes ~

“Please walk slowly,” cautioned Sunita, my interpreter, as I crept down the stony switchback trail towards the rural Nepali village of Dhulikhel. Sunita, in her petite navy ballet flats, hopped down the rocks as easily as the speckled goats grazing nearby.

Emboldened by her speed, I stepped along eagerly, only to catch my size-ten neon running sneaker on a root and splat face-first into the dust. Looking up, I saw four women standing outside their clay-walled homes, their hands pressed to their mouths, their eyes sparkling with stifled laughter. Talk about making an entrance….

After finishing my third year of medical school, I was taking a year off to pursue my masters degree in public health. Through my research

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med school lion

Medical School: The Never-Ending Fight or Flight

Andrea Hartford
About the artist:
Andrea Hartford is a third-year osteopathic medical student currently studying at AT Still University School of Osteopathic Medicine in Arizona. “Born and raised in the Pacific Northwest, I have always been encouraged by my family and others to raise the bar in my studies, which ultimately helped get me into medical school; it also pushed me to develop my appreciation of art, something that has helped keep me grounded on this crazy journey.”
About the artwork:
I started this drawing in my first year of medical school. At times, working on it was the only way I had of staying grounded during that life-changing and chaotic period. Unfortunately (though not surprisingly), the drawing went missing halfway through the

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Anatomy Lesson

 
“Okay, it is time to move on,” my professor claps his hands together and yells above the chatter. We all look up from our Netter’s anatomy books and our cadavers. The smell of formaldehyde burns my nose as the fluorescent lights flicker above.

“We have explored the chest cavity and the abdominal cavity. It is now time to move onto the extremities, starting with the arms. I want you to unwrap the arms and study the anatomy of the arms and the hands. I’ll come by each group to go over exactly what I want you to do. Okay, everyone, let’s get started,” he says.

 I turn to my group. “Who wants to do the unwrapping?”

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An American Story

“Mr. Douglas?” I call out into the waiting room. A short, grey-haired man in his sixties staggers towards me, bracing his back with his hands. Despite his pain, he gives me a warm smile, which I return.

As I help him onto the exam-room table, he winces, squeezing my hand.

“I’m a medical student,” I begin. “If you wouldn’t mind, I’d like to examine you before Dr. Smith sees you.”

He nods. “Go ahead, you can learn on me–just don’t break my leg!”

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Untitled (A Medical Student’s First Patient)

I was terrified the first day of lab. Terrified of the slice of a scalpel through human skin. And, most of all, terrified of how I would react to the shock of making that first cut. 

I did make that first cut and many more afterward. I didn’t pass out, and eventually my heart stopped pounding when I picked up the scalpel. As time went on, we learned an impossible amount about the way humans are made, the way the pieces fit together. That was your gift to us, and I want to thank you.

Though I must admit, it felt almost paradoxical to learn so much about you and so little at the very same time.

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Occupational Empathy

 
On my first day shadowing an occupational therapist, I learned much more than I had anticipated.
 
We saw five patients that morning—with each one, the OT went through a series of exercises to test their strength and mobility. The first four visits were interesting, though uneventful, as the patients completed their exercises with varying degrees of success.
 
The last patient was a man with a history of alcoholism. He had a tube in his throat, which prevented him from speaking. A resident outside the room informed us that no one had been able to get him to cooperate. Judging by the smirk on his face, he didn’t think we were going to get anywhere, either.
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