The Differential
Blog Address: http://blogs.medscape.com/thedifferential
February 3, 2013

A Cycle of Destruction

I can remember the day that Rita’s husband passed away. My resident and I stayed with her for hours through the night. When the nurses came to take the cold body away, we moved to the adjoining family room and sipped hot coffee. She never shed a tear, only stared into the distance while nodding absentmindedly, occasionally bringing the steaming cup to her dry lips. Eventually her daughter took our place, and I thought I’d never see Rita again.

Three months later Rita’s address appeared on my dispatch screen. Responding immediately, we found her seated in a dirtied recliner near the front door. Food crumbs and trash littered the once-clean house an...

Posted By: Rick Pescatore  

February 2, 2013

Where Does Our Altruism Go?

On occasion, friends and colleagues will forward ideas for posts. I am going to share an excerpt I recently received unaltered:

"A new study of medical student attitudes toward the underserved was recently published in

Posted By: Carl Streed Jr  

February 1, 2013

Shaping Tomorrow's Physicians with Handheld Ultrasound

Mount Sinai is known for innovation within the realms of patient care, research, and medical education. Training future physicians requires a commitment to progress, and the newest addition to the medical school's curriculum is no exception: In the spring of 2013, handheld ultraso...

Posted By: Alexa Mieses  

January 30, 2013

10 Things I've Learned on Family Medicine

1. You won’t know why the patient came in until you’ve said goodbye, stood up, and reached for the door handle. “Oh, by the way, Doc…”

2. Patients want their antibiotics. You can spend an entire visit educating, explaining, or even painting v...

Posted By: Rick Pescatore  

January 29, 2013

Trapped in Medicine

A number of people have made it their custom to walk each evening by the coast, looking out at the cargo ships that anchor along Galveston Island. The ships stream in from other continents and form a line for miles, each lingering awhile before it trudges into the Port of Houston....

Posted By: Casey Sharpe  

January 28, 2013

Finding a Toblerone in the Back Passage

Standing in the endoscopy suite the other day, we gazed at the monitor as the consultant began his methodical (but efficient) journey from the outside world to the ileocecal valve. His skill was impressive and I definitely appreciated now why they often discussed colonoscopies as...

Posted By: Matt Wiepking  

January 28, 2013

Putting the "Study" back in "Study Break"

Now that most of us have buckled down and begun to face the reality of Step 1 studying, I've noticed an increasing number of, "Goodbye facebook/television/all vices" posts begin to crop up in my newsfeed. Since I view social media to be as essential as say, oxygen, I will not be c...

Posted By: Sara Teichholtz  

January 24, 2013

Feeling SAD

According to this paper on seasonal affective disorder (SAD), each year approximately 5% of the U.S. population feels the effects of SAD. A true diagnosis of the disorder is defined by symptoms of depression in a seasonal p...

Posted By: Amanda Xi  

January 22, 2013

Winter Momentum

We hit the ground running a few weeks ago, and despite the fast pace, this semester's material is very interesting so far. We are taking Physiology and Histology, as well as learning physical exam skills. We have already completed cardiophysiology and begin pulmonary next week.</p...

Posted By: Alexa Mieses  

January 20, 2013

On Sacks and Stress Ulcers

I yelled out as if I had laryngitis. I could've unleashed an absolutely manic roar -- I wanted to -- but the kindly older couple hosting me on my surgical placement is trying to sleep. Instead, I screamed out almost in silence, my own private moment of catharsis. Texts poured in a...

Posted By: Matt Wiepking  

 
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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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