Resident Physician Contributing Writer
Albany Medical College
Xiomara P. Urban M.D. is currently a PGY-III in the General Psychiatry Residency program at Albany Medical Center. She has successfully matched in Child and Adolescent Psychiatry at UCSF, and will be starting there in July 2019. At work, she is notable for her enthusiasm, and playful curiosity. This tends to manifest itself with unexpected compliments, and sporadic investigations into changes in their grooming habits. She brings this same energy and inquisitiveness to all her patients regardless of age. Her main interest is in effecting systems of care in order to better serve those they are designed for.
Originally, I wasn’t going to enter the fellowship match. I had started my psychiatry residency fully intending to do the four years, then maybe a fellowship. Then, in my second year while sharing dinner with friends who had just certified lists for the general residency match, my plans to go into child and adolescent psychiatry came up.
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?
The first time I saw her on the ward, I was instantly curious. There was something so innocent about her; she looked younger than her age, like a little girl. She was barefoot and had uncut, unkempt hair, as if she had accidentally wandered in from a different time period.
“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.
The patient who said I was a “round-eye” and thus not a slant-eye / The patient who said in the elevator that he knows Chinese: “ching, chang, chong”
The recent confirmation of Brett Kavanaugh to the United States Supreme Court raises concern about the future of reproductive health, particularly access to abortion and affordable contraception. Although his impact on reproductive rights is to be determined, those who will be disproportionately impacted by further compromise of reproductive rights will always be the most vulnerable women among us. This includes the uninsured, poor, and incarcerated.
The baby’s hat is bright orange, knit with vertical ribbing to mimic a pumpkin’s ridges, and topped with a tiny green stem. The cheeks below it bulge in perfect crescents. I turn to the mother to ask if she made the hat herself. Her eyes don’t leave the muted cartoons bouncing across the television screen as she mumbles, “The nurse or someone gave it to her.”
Nine months of sabbatical / I meet them in the airport lobby / of the newborn nursery.
For children who have been reunited with their parents, though, the damage may have already been done. Let’s discuss some of the key consequences associated with parental-child separation in detail, starting with the notion of toxic stress.
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
A quiet, frail, emaciated gentleman in his 60s who was dying of cancer. What made him different was that he was shackled to the bed, one arm and one leg bound to the bed of a barren room, lit only by the pale blue light from the window that cast the silhouette of bars on the floor. This was the prison unit.
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.
Resident Physician Contributing Writer
Brigham and Women's Hospital
I am a PGY-1 psychiatry resident at Brigham and Women's Hospital and a Class of 2018 graduate of the Mayo Clinic School of Medicine. In continuing to pursue creative endeavors, and in working to engage my classmates in the arts, I hope to show people that creative expression can help to keep burnout at bay and help to keep humanism alive in medicine.
