On Growing
“Good morning, I’m Dr. Watt and I’m going to be taking care of you today.”
Internal Medicine
Peer Reviewer Emeritus
University of Tennessee Health Science Center
Melanie is a PGY-1 resident in internal medicine-pediatrics at the University of Tennessee in Memphis. She is a proud alumnus of Louisiana State University and LSU Health Shreveport School of Medicine, and yes, she does bleed purple and gold.
Battling Burnout and Our Quest for Perfection
Two months ago, I woke up one morning at 5:30 a.m., as usual. I played my gym motivation playlist in the shower, ate oatmeal for breakfast, and headed out the door, as usual. I swore at the car that swerved into the lane in front of me without signaling, as usual. An hour later, I pre-rounded on one of my favorite patients, a man with wide, childlike eyes who had a great deal of difficulty expressing his feelings.
A Call to My Fellow Residents in the Era of the Opioid Epidemic
I met Julian six months ago. He was the first patient I watched go through a buprenorphine/naloxone induction. My preceptor carefully guided him through a series of deeply personal questions: How old were you when you first started using? What is your drug of choice? Have you ever injected? How much? Have you ever traded sex for drugs? When did you last use?
Another Day, Another Code
“Code Blue, lobby bathroom,” the loudspeaker goes off. For a second we all look up from our workroom computer screens. A seasoned resident shrugs his shoulders and we share a knowing look.
To Mr. Jones
twenty-two nights you kept me awake. i counted / them last night, counted them as i lay on my bed with / eyes propped open, trying everything i could to
Around and Around: An Intern’s Reflections on Being a Doctor
The hospital is a stage and rounding is the show. It’s a daily performance, a dance of sorts, that takes place each morning on the floors. The performers congregate outside a patient room.
Examined
He pulled his chair up to the desk and flipped open his laptop. The young doctor, with thirteen years of pre-collegiate preparatory schooling, four years of college work, and a final four additional years of relevant medical education underneath his belt, attempted to yawn away exhaustion and scrolled through the patient list for the day.
Love and Dialysis
I am doing everything to make this one last. I was dumb before. This is a second chance and I have to do it right this time. You know no one gets a third. I have a new job, I am finally getting back on my feet. So I have had to miss a few days. She says she understands, but I am not so sure.
Three Generations
In the late 1950s, my grandmother was often told, “Medicine is no place for a woman.” As a result, she went to medical school under the guise of attending a teaching college deemed appropriate by her mother. It was a difficulty journey for my grandmother to gain acceptance to Yerevan State Medical University in Armenia.
Systems-Based Thinking: How Subconscious Thought Affects Medical Decision Making
System-based thinking describes a set of subconscious thought processes aptly named System 1 and System 2. The profession of medicine relies heavily on SBT — the ability to rapidly diagnose, treat, and improvise during stressful situations is dependent on these systems, which develop and mature throughout one’s training.
Locker Room Culture in Medicine
“Locker room culture” is a common trope that has been used to describe medical community of the recent past. Current practitioners will say that culture is, unfortunately, still prevalent.
Catharsis
I dance with hula hoops as a form of self-expression and catharsis. I have been practicing this art form for over four years now, and it always amazes me how much more there is to learn.
Resident Physician Contributing Writer
Saint Louis University School of Medicine
Gabby is an internal medicine resident at Saint Louis University Hospital.