10 Things Vol. 6

Back to our regularly scheduled program, here is number 6 in the 10 Things series. Now that I have a whole, whopping 1 rotation under my belt I thought I’d share my top ten things I love about seeing patients. Sa far… Hearing and seeing the abnormal- in school we were taught to know what “mom” is. “Mom” is normal. You know everything about “mom”. “Mom” is the way the human body is supposed to be. When something is different with “mom” you immediately know something is wrong. Every exam I practiced on a classmate has been normal and not pathological, but seeing real patients means there is real pathology. I am actually hearing real atrial fibrillation and seeing enlarged adenoids, instead of just reading about it. Their stories- each patient has a complicated story of what got them to that point. Some visits are more simple than others, but no two cases of strep or heartburn are the same. You learn to listen for key words and subtle nuances that lead you to a diagnosis but it isn’t always cut and dry and though its frustrating, its much better than class 8-5. Kids- Pediatrics is still an option for me, but I don’t know if I could see kids all day everyday for the rest of my life. Still, whenever there’s a kid I get to go see, especially for a sick visit, I get really excited because they are so sad and vulnerable. They only want one thing- to feel better and its very gratifying that I get to have a small part in doing just that....

Not for a Lack of Trying and Summer Plans

There are so many issues I want to talk about. Things I’m passionate about. In medicine and in life. Vaccines, mental illness and mood disorders, nutrition and exercise, pregnancy and childbirth, medical school admissions, preventative medicine, geriatrics, malpractice, thoughts on caring physicians, managing chronic illness, and of course this era of mistrusting our physicians and reliance on the internet. Big things are coming and happening and the future of medicine. I simply do not have the time to research and delve into these big issues and write the well-written pieces I know I can write while being true to my studies. The hard truth is, being the best physician I can in the future be means I need to give my all to the cardiovascular system right now. It means I can’t dive into those side issues I care so much about just yet because I need to know paroxysmal nocturnal dyspnea, bread and butter pericarditis, and Kerley B lines. I haven’t even had the spare thought-processing energy to figure out exactly where I stand on so many of these things. I sift through these thoughts in spare moments- spending time on my runs and in the shower deep in thought. When I’m done, I have a lot of little half-ideas and nothing really hashed out. Still, I write all my ideas in a note on my iPhone and save them for later. “Summer,” I promise myself. I’ll get down and dirty with these ideas this summer. It’s coming. Also in the summer, a myriad of opportunities have come about since being in medical school- and I’ve been really...

Empathy vs. Sympathy

I saw this video a long time ago and I remember showing it to my roommate and we just sat silently after watching it. I’m glad I was able to find it again. Its quick and easy to understand but she covers some deep things in it that I mull over in my head quite often. I always get chills when she says “I know what its like down here and you’re not alone.” If only I was just able to convey that to people that I want to help. Its harder than it sounds. [youtube https://www.youtube.com/watch?v=1Evwgu369Jw&w=560&h=315] My relevant story for today isn’t really any thing compared to the pain and suffering some people go through, but I’m going to tell it anyway because it is what has got me to some realizations about helping people pain- both physically as a future physician, and emotionally with family and friends. I had a bad sunburn recently. Mostly on my back. It was about two days old and I went running enough to soak my back and my shirt in sweat. It started itching in spots on my way home. Then it started burning. Then I took a warm shower. Then I got out and put some moisturizer on it. Through each of these steps it started burning worse, getting itchy all over. I’m not sure if I was done for from the moment I sweated salty chemicals onto raw skin or if I just kept making it worse, but by this time I was in a fit of excruciating pain and compulsive itching. Rolling on the floor, crying for my...