Last Words
It was a busy Friday afternoon in the pediatric intensive care unit. The prior evening, he began having profuse lower gastrointestinal bleeding necessitating urgent transfer to the intensive care unit.
Pediatrics
Fellow Physician Contributing Writer
University of Minnesota Medical School
Asmaa is finishing up her second year of Pediatric Hematology and Oncology fellowship at the University of Minnesota. She never thought she would find herself in the great state of Minnesota but the arctic winters have only made her braver. She has a strong interest in bone marrow transplant, pharmacogenomics, and global health. She is currently studying to obtain an MPH and enjoys biking and writing in her free time.
A Story of Artistic Reclamation (2019)
Here I am, come and get me! A playful provocation we have all used with much more than literal meaning as a mantra. But going through the rigors, chills and metaphorical bacteremia of medical education, I lost some of the pieces that made me confident to be myself.
Atrophied Dreams
I waited for nine months to meet you. / I know that one night I loved a woman and then you, a blackberry of cells, found your place in her fertile garden and you grew there
On Growing
“Good morning, I’m Dr. Watt and I’m going to be taking care of you today.”
You Are Not Alone
The faint glow that is the light at the end of the tunnel hits my face as I realize that intern year is almost over. One would think that having been through the personal loss I have — losing two beloved older brothers at a young age — that intern year would be more than manageable. Yet this past year has been, for me, a chaotic roller coaster ride.
Ugly
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.”
Little Professors
Nine months of sabbatical / I meet them in the airport lobby / of the newborn nursery.
Toxic Stress and Consequences of Child Separation
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.
What Remains
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.
Uncle and Doctor: Terms of Endearment or Old-Fashioned Barriers?
On my first day of intern year, my attending corrected me in the hallway after I introduced myself to a patient by my first name. Following this, I sheepishly adopted a habit of saying “I’m Dr. Last Name” when sticking out my hand to greet a patient. In clinic, the nurses call me “Dr. Last Name,” even when saying a casual hello. When you refer to yourself as a doctor enough times, you start to believe it.
Croquet in the Tall Grass
The grass grows tall outside my uncle’s home — he only cuts it when we play croquet. He blazes a crisscrossing trail through the sea of weeds to form a maze-like playing field. We push the white wickets into the earth, grab the mallets, and drop the balls to the ground.
Siloed Departments, Yet Grain From the Same Field
Early in intern year, I reached out to residents in other departments who were part of my patients’ care in the hospital. In an effort to redirect my thought patterns, I asked them how and what drives their interaction styles and their medical decisions.
Resident Physician Columnist
Duke University Medical Center
Austin is an intern in Duke’s combined Internal Medicine/Pediatrics residency program. After spending the last ten years as a student at Washington University in St. Louis (WashU), minus a one-year stint in Malawi, which he chronicled in his in-Training column, “Lessons in Lilongwe”, Austin is excited to explore a new institution for his residency training. His column provides real-time reflection on the difficulties and small victories of life as a resident and how social support systems and interpersonal connections are critical to that journey. You can follow him @drwesevich.
The Med-Peds Bunch
In light of recent press on resident burnout and depression, The Med-Peds Bunch explores the lived social support systems of a current Duke resident. Come join Austin as he begins his med-peds journey and reflects on feelings of family in residency.
