Pocket Doodles: My First Year as a Physician, Installation #2
Neurology resident physician Nita Chen, MD journals through her first year of residency in her graphic medicine column, Pocket Doodles: My First Year as a Physician.
Intern Year
Peer Reviewer
University of California at Irvine
Nita Chen is an incoming neurology intern starting at University of California, Irvine. She spent her early educational years in Taiwan and thoroughly enjoyed wonderful Taiwanese food and milk tea, thus ruining her appetite for the rest of her life in the United States. Aside from her neuroscience and cognitive science majors during her undergraduate career, she holed herself up in her room writing silly fictional stories, doodling, and playing the piano. Or she could be found spazzing out like a gigantic science nerd in various laboratories. Recently, she graduated as part of the class of 2017 at Albany Medical College.
Pocket Doodles: My First Year as a Physician
Neurology resident physician Nita Chen, MD journals through her first year of residency in her graphic medicine column, Pocket Doodles: My First Year as a Physician.
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.
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.
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.
Hope Lost and Found
At the beginning of my intern year, I bought a ukulele. I started intern year at a sprint, like anyone does, arms full of hope. This was quickly extinguished, lost in an atmosphere so devoid of hope that it all flew out of my arms to settle into places so far apart, it might as well have been floating in the vacuum of space.
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.
Please Stop Saying Thank You
You are so soft / in voice and touch, / gliding through / the mines that are set in
Flying
I have always wanted to fly / but they wouldn’t let me / until I signed a contract / built on blood and tears
9/31, Code Status: Full
I’m supposed to be able to explain this. / The details to paint a picture. / But it’s too much, and I don’t want to relive it.
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.
Lessons in Medicine, From the Car Dealership
I distinctly remember my drive to the hospital for the first shift of my residency five years ago. It was a night shift, a fact that only added to my trepidation. My brain bounced frantically back and forth among a random assortment of topics of which I lacked, I felt, sufficient knowledge, but which knowledge I felt sure I would imminently be called upon to use in a critical situation.
Blood is Thicker Than Water, But What if the Water is Duke Blue?
On Match Day, you are assigned to a new family for the next three to seven years. This will be the city where you might buy your first home, the city where you may meet the people who will speak at your wedding. An algorithm shuffles you into your assigned place in a new family tree.
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.
