The Differential
Blog Address: http://blogs.medscape.com/thedifferential
January 30, 2011

Lessons From Death

I remember sitting in the workroom. I was pre-rounding and pulling up lab results for my patients. My resident came in and told me that Mrs. X had passed away. I knew she was not going to live long, but I was completely not expecting her to die so soon. No one did. Even my attending was expecting to discharge her home so that she could have home hospice. 

As I sat looking at my computer screen, I thought about Mrs. X. I did not see her the day before because it was my day off, but I did see her two days ago. When I saw her during pre-rounds she was very sleepy. It was, after all, between 6 and 7 AM. She denied having any pain but she did admit to being uncomfo...

Posted By: Jeffrey Wonoprabowo  

January 30, 2011

The Privilege of Treating Patients

While rounding on my patients in the early hours of the morning, I was finding myself getting into a routine of looking up lab results, filing through charts and questioning patients. One morning I stopped in to visit a very frail appearing patient suffering from respiratory distr...

Posted By: Joshua Batt  

January 29, 2011

A Team Effort

I had never seen this kind of daily huddle at a doctor's office... [T]here was the particular mixture of people who squeezed around the conference table. As in many primary-care offices, the staff had two physicians and two nurse practitioners. But a full-time social worker an...

Posted By: Carl Streed Jr  

January 24, 2011

Have You Ever Been Uninsured?

Rather than teaching physiology or immunology, our school devotes this entire month to population health, epidemiology, and health policy. The three subjects complement each other well: we learn statistics to analyze epidemiology papers and use such studies to devise poli...

Posted By: Shara Yurkiewicz  

January 24, 2011

This Is Family Business

Last week my patients ranged from a ten-day-old infant to an eighty-five year old woman. Their medical issues included hypertension, complications of diabetes, erectile dysfunction, a brain tumor (post-op), hepatitis B, hematuria, and of course the common colds and routine check u...

Posted By: Rosalyn Plotzker  

January 23, 2011

Admitting You're Burned Out

Here is one more reason why I will recommend the University of Vermont to anyone considering medical school: After last week's post, which is one of the most negative ones I've written for The Differential, a faculty member with whom I...

Posted By: Alex Folkl  

January 23, 2011

Mistakes & Questions: Weaknesses or Learning Tools?

The other student and I were alone in the workroom. We had completed our chores -- or at least the parts that we knew how to do. The next step was to ask our attending for help regarding whatever parts we were unsure about. Now, you might ask, why were you waiting to ask the atten...

Posted By: Jeffrey Wonoprabowo  

January 22, 2011

Reviving A Prior "Career"

While more well known for his work in cardiovascular medicine, David has secretly continued his love for music and a prior "career" as a clarinetist. -- From a Recital of Clarinet Music with David Kass & Sook Hee Choi Lee

My medical school's Office of Cultura...

Posted By: Carl Streed Jr  

January 21, 2011

Feeling "Almost" Useful

There are many frustrating things about life as a medical student. There is the almost constant state of fatigue. There is the ever-present pressure to succeed. The feeling that you should be studying right now is a pretty familiar companion. And then there is dealing with the fac...

Posted By: Jeffrey Wonoprabowo  

January 19, 2011

Repealing the Job-Killing Health Care Law Act

Outside of the hospital, today is yet another politically important day for health care reform. The House of Representatives has scheduled a vote on HR 2, so eloquently titled "Repealing the Job-Killing Health Care Law Ac...

Posted By: Elizabeth Wiley  

 
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Medical school and residency can be a stressful, demanding time. These medical students share their insights and experiences, good and bad, in order to create a community of support and understanding for medical students everywhere.

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