Resident Physician Contributing Writer
OU School of Community Medicine
Ryan is a second-year internal medicine resident at OU School of Community Medicine in Tulsa, Oklahoma. He had published a few articles for in-Training as a medical student and wishes to continue writing during the busy times of residency and beyond.
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.
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.
In order for the country to make meaningful progress in tackling the opioid epidemic, we need a cultural shift in the way patients and providers think about pain.
Pharmaceutical companies and physicians are being demonized for their manufacturing and dispensing of opioid analgesics. Money-hungry executives from Big Pharma caused the crisis by brainwashing doctors to prescribe these medications left and right. Greedy doctors want patients dependent upon them for years, ensuring a steady stream of paying patients in their waiting room. Drugs drive the market. Drugs lead to big profits for everyone involved. The more drugs, the better.
By anyone’s standards, from a medical perspective, we did everything right. But all I could think about is how much we hurt this boy by saving his life. How we saved his life just enough, not to kill him, just to take away every meaningful part of human existence.
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.
For most of our childhoods growing up in the Midwest, the Iowa we called home was a swing state proud of its investments in education, was welcoming to refugees from around the world, and was the third US state to legalize marriage equality.
One evening, overwhelmed by burnout, I drafted a letter of resignation to my program director and saved it on my computer. The next morning, I deleted the email without sending it.
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.
Physician burnout has emerged as an increasingly concerning phenomenon in medicine. As high as 51% of physicians in a Medscape survey report symptoms of burnout. Doctors face higher demands with less time and support. Academic medical centers, which historically have been insulated from outside forces, are now seeing larger patient censuses, leaving less time for physicians to work through each patient’s case carefully.
“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.
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.
Mrs. Red Jacket sat at the bedside in her isolation gown which covered her red jacket. She had left her walker outside her husband’s room. Mrs. Red Jacket held his hand and gazed out the window while he was sleeping.
Resident Physician Contributing Writer
Saint Louis University Hospital
Gebran was born and raised in Beirut, Lebanon. He comes from a family of five children, including four sisters. After his volunteering experience at the Children Cancer Center of Lebanon, Gebran decided to pursue pre-medical studies at American University of Beirut. He also attended medical school there. Following that, he pursued postdoctoral research in transplant Nephrology at Johns Hopkins. He completed his residency in Internal Medicine at Saint Louis University hospital. For the love of the Midwest, he plans to move to Indiana University to work in academic hospital medicine. Basketball and scuba diving are some of Gebran's passions. In his free time, he enjoys watching the NBA and buying all the gear for the Cleveland Cavaliers.
