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The Role of the Medical Student
When I first started clinical rotations, I was in Internal Medicine, and on my first day of outpatient clinic, I followed a 4th year student who was back for an elective. We did all our vitals, and complete history and physical to present to our preceptor. As I watched the 4th year student talk to some of the patients, I thought to myself, wow, kind of a showoff maybe? He was telling patients how to change their lifestyles, and why they were taking certain medications. I was thinking to myself, but that’s the doctor’s job, he should be explaining all this and we should wait for him.
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But looking back, he was absolutely right. As I ended my Family Medicine rotation I realized that’s what I’ve started doing automatically as well with time - I just didn’t realize or notice until recently. Because as you get better at your H&P, and learn as you go, you are essentially the patient advocate. Patient’s ask you questions, and you answer them. Essentially, that’s what OSCEs try to teach us too - we explain what tests we are doing while doing them, and what we are looking for.
My friend was saying that in our FM clinic, one patient asked her why she was doing a Neer’s test, and she explained she was looking for a rotator cuff impingement. Plenty of patients come in with diabetes and hypertension, and it becomes somewhat automatic to help them with their lifestyle. Are you compliant with your meds? How is the exercise regimen going? How’s it going cutting back on all the red meat?
Because basically, the patient spends more time with the student. We will present to the preceptor/attending, who will come back in to the patient room, quickly glance and say our notes are well, and make sure everything else is ok. The patient get refills, etc, but we as students are counseling and educating. The doctor doesn’t always have all that time. And you get better at it as time goes, and soon it’s just a normal part of your routine.
We make jokes that friends and family will ask us medical questions, but that we’re just students.
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But that’s exactly it. We’re students. Always learning. Always teaching. Always advocating. And soon it becomes your life and you do it without even knowing. The role of the student is an important one - and except for the occasional patient who wants nothing to do with a student, most of them really do look up to you and appreciate you (especially if you have wonderful bedside manner)!
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UPDATE from ECFMG as of today July 17:
ECFMG is going to be constantly updating, it seems. Regarding some of the concerns from earlier:
For Pathway 2 they added: “In addition to the acceptable exams listed above, ECFMG will consider: Objective Structured Clinical Examinations (OSCEs) administered as part of the medical licensure or registration process, in any language Medical school-administered OSCEs that meet the requirements for clinical skills assessment mandated by the appropriate medical regulator for licensure, only if the medical school: (1) is located in a region/country that is not served by a WFME-recognized accrediting agency; and (2) is accredited by an agency that is recognized by the appropriate government agency in that region/country and that is responsible for licensure.”
Regarding the multiple attempts: “If an applicant has two or more fails on the same USMLE Step or Step Component, it is prudent for ECFMG to require the applicant to demonstrate clinical skills through a structured, measured examination, given in the United States, before entering the U.S. health care system.” This still feels a bit troublesome because OSCES in Caribbean med schools are structured exams based on U.S healthcare, and even if you are eligible for Pathway 2, you’ve demonstrated your English proficiency and clinical skills.
OET still required. Also a little fun fact. We know Americans speak and write a  different English than Brits and Australians...but the people at OET think Kansas is spelled with a “Z”
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All other updated questions at their page.
ECFMG Certification
Alright guys, a whole lot of info coming at you. For my premed followers, I want you to seriously evaluate if going the Caribbean med school route is truly worth it, and if you are willing to take on extra anxiety and stress. That being said, a different post on that to come again, but the ask box is always open!
So, the point of this post is to talk about the recent pathways ECFMG came up with for those students who were unable to take Step 2 CS in order to be eligible for certification. These include:
Eligibility for All Pathways
Applicants who are eligible to pursue ECFMG Certification based on one of the pathways include those who:
Have not already passed Step 2 CS.
Are not barred by ECFMG from pursuing certification.
Are not barred by USMLE from taking a Step or Step Component from August 1, 2020 to January 31, 2021.
Have not failed a USMLE Step or Step Component (Step 1, Step 2 CK, or Step 2 CS) two or more times.
Have taken or been registered for any USMLE Step or Step Component since January 1, 2018.
Pathway 1: Already Licensed to Practice Medicine in Another Country Applicant has held a full, unrestricted license or registration to practice medicine in any country at any time on or after January 1, 2015. License does not need to be currently valid. The license or registration has not been subject to disciplinary action.
Pathway 2: Already Passed a Standardized Clinical Skills Exam for Medical Licensure - General Medical Council: Professional and Linguistic Assessment Board (PLAB) Part 2 - Australian Medical Council: Clinical Examination Part 2 - Medical Council of Canada: Qualifying Examination Part 2, National Assessment Collaboration Examination - Medical Council of New Zealand: NZREX Clinical - Medical Council of Ireland: Pre-Registration Examination System (PRES), Level 3
Pathway 3: Medical School Accredited by Agency Recognized by World Federation for Medical Education (WFME) Applicant’s medical school is currently accredited by an agency recognized by WFME (and meets other ECFMG requirements). See the list of eligible schools. Date of graduation must be on or after January 1, 2018. An authorized school official must attest to applicant’s clinical skills.  
Pathway 4: Medical School Participates in U.S. Federal Student Loan Program Applicant’s medical school currently participates in the U.S. Federal Student Loan Program (and meets other ECFMG requirements). See the list of eligible schools. Date of graduation must be on or after January 1, 2018. An authorized school official must attest to applicant’s clinical skills. Pathway 5: Medical School Issues Degree Jointly with a U.S. Medical School Accredited by Liaison Committee on Medical Education (LCME) - Weill-Cornell Medicine - Qatar - Duke University - National University of Singapore Medical School
Now, why are these so troublesome and problematic? They are barring many intelligent and qualified students to go into Match 2021 who would have otherwise been ok if they had Step 2 CS under their belt. The ECFMG is allowed to enforce certain requirements, but they should give time for policies to go into effect, like one year, not one abrupt day:
They originally had the policy that all schools must be accredited by 2023. One Caribbean school with an adequate curriculum consisting of OSCEs, shelf exams, and more had a site visit for accreditation in May, which was postponed due to COVID. This school has previously had students match every year, but according to the new rule, students might not be able to go into Match this year.
USMLE itself allows multiple attempts on Step exams, and although it definitely is frowned upon, a student should be given an equal chance to justify himself in his personal statement, or even personal interview if granted.
Pathway 2 is unfeasible as well since many countries have postponed their exams too, and there are still travel restrictions, quarantines imposed, and even monetary issues for students. As a US IMG, going to Canada to take the NAC exam will be an added $2300, plus travel expenses, and housing, along with 14 day quarantine. Plus, ECFMG hasn’t even refunded the money for Step 2 CS yet.
The required English proficiency exam in lieu of CS: more info has yet to come, but how would this be equivalent? CS tests you on clinical skills and empathy, along with English proficiency. Prometric centers are still cancelling exams on students without proper notice, so how would this work? Plus, if a student can even get to the point of getting a program interview, that’s where they can showcase their language skills and people interactions, no need to pay another whatever hundred dollars just to take and English test.
The ECFMG should be helping IMGs, but at this moment many students are feeling helpless and lost about what their future holds. It will be difficult for many to wait one year or even more, before being able to apply for Match, which further poses the issue of programs considering graduation time; and the advice from many to go into research is always easier said than done - many programs are halted at the moment, and many students do not enjoy having research forced upon them. It’s also not that easy to just find a research place that will take you.
The pandemic of course was unexpected, but it is unfortunate that healthcare students and professionals are suffering the blunt end. Hopefully the ECFMG will be flexible and understandable and can deliver on options encompassing all IMGs asap. And hopefully more people will keep contacting them and advocating for IMGs. If it helps, there are two petitions, here, and here.
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I’m twenty-one-years-old and I’ve swallowed half a bottle of acetaminophen. The nurse had given me a cup of charcoal to neutralize the acid in my stomach. My vomit is the color of midnight. My body is ejecting a nightmare.
One of the nurses tells me, “You’ve been Baker Act’ed.” Like it was a gameshow. It’s a seventy-two hour hold. I get moved from the hospital to a mental institution called Bay Care or Bay Pointe or Bay Life. It might as well be Bay Prison. By the end of three days, I lose thirteen pounds and one of my socks.
The patients and I go to this group meeting, and the lead counselor passes out these giant rubber pens and circular sheets of paper. He asks us, “What’s your goal today?” One of the guys pulls the fire alarm and yells that he’ll never stop doing favors for crack. “It’s a free country,” he yells, while two nurses sedate him and drag him across the linoleum. He’s still yelling but the fire alarm drowns him out. The counselor asks again, “What’s your goal today?” I write down, “To get out.”
That night, my bunkmate wakes me up. He’s the same guy they dragged out of the meeting. He’s spinning his mattress over his head and he tells me, “Roaches in my bed, my veins, come on, it’s true, it’s really true!” I know my options. I can grab a counselor to stop him. I can ask to switch rooms. I can tell the guy, “It’s not true, you’re hallucinating, that’s why you’re here.”
“Hey,” I tell him. “I know. Let’s look for them, you know? If we don’t find any, we can sleep, how’s that? Let’s look for them together.” My bunkmate likes this plan. We get on our hands and knees to look for cockroaches. After thirty seconds, he gets back on his mattress and falls asleep.
I touched upon something that has since informed the way I treat people. The way I treat their mental health. The way I treat their feelings of loneliness, of being unheard, of being a minority, of being silenced.
If it’s important to you, it’s important to me. If it’s real to you, it’s real to me. If it hurts you, it hurts me. Your pain is my pain.
— J.S.
[Excerpt from my book, The Voices We Carry. https://www.amazon.com/The-Voices-We-Carry/dp/0802419895]
[Photo by Hoon Park]
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UPDATE:
The ECFMG has come out with the requirement that to fulfill the English proficiency, students must take the Occupational English Test (OET). This is an Australian exam...that even if you are a US/Canadian citizen/IMG... you must still fulfill... The test is $410 USD and $557 CAD.
The ECFMG really has been such a disappointment throughout this whole pandemic. The refund for Step 2 CS still has not come back either.
ECFMG Certification
Alright guys, a whole lot of info coming at you. For my premed followers, I want you to seriously evaluate if going the Caribbean med school route is truly worth it, and if you are willing to take on extra anxiety and stress. That being said, a different post on that to come again, but the ask box is always open!
So, the point of this post is to talk about the recent pathways ECFMG came up with for those students who were unable to take Step 2 CS in order to be eligible for certification. These include:
Eligibility for All Pathways
Applicants who are eligible to pursue ECFMG Certification based on one of the pathways include those who:
Have not already passed Step 2 CS.
Are not barred by ECFMG from pursuing certification.
Are not barred by USMLE from taking a Step or Step Component from August 1, 2020 to January 31, 2021.
Have not failed a USMLE Step or Step Component (Step 1, Step 2 CK, or Step 2 CS) two or more times.
Have taken or been registered for any USMLE Step or Step Component since January 1, 2018.
Pathway 1: Already Licensed to Practice Medicine in Another Country Applicant has held a full, unrestricted license or registration to practice medicine in any country at any time on or after January 1, 2015. License does not need to be currently valid. The license or registration has not been subject to disciplinary action.
Pathway 2: Already Passed a Standardized Clinical Skills Exam for Medical Licensure - General Medical Council: Professional and Linguistic Assessment Board (PLAB) Part 2 - Australian Medical Council: Clinical Examination Part 2 - Medical Council of Canada: Qualifying Examination Part 2, National Assessment Collaboration Examination - Medical Council of New Zealand: NZREX Clinical - Medical Council of Ireland: Pre-Registration Examination System (PRES), Level 3
Pathway 3: Medical School Accredited by Agency Recognized by World Federation for Medical Education (WFME) Applicant’s medical school is currently accredited by an agency recognized by WFME (and meets other ECFMG requirements). See the list of eligible schools. Date of graduation must be on or after January 1, 2018. An authorized school official must attest to applicant’s clinical skills.  
Pathway 4: Medical School Participates in U.S. Federal Student Loan Program Applicant’s medical school currently participates in the U.S. Federal Student Loan Program (and meets other ECFMG requirements). See the list of eligible schools. Date of graduation must be on or after January 1, 2018. An authorized school official must attest to applicant’s clinical skills. Pathway 5: Medical School Issues Degree Jointly with a U.S. Medical School Accredited by Liaison Committee on Medical Education (LCME) - Weill-Cornell Medicine - Qatar - Duke University - National University of Singapore Medical School
Now, why are these so troublesome and problematic? They are barring many intelligent and qualified students to go into Match 2021 who would have otherwise been ok if they had Step 2 CS under their belt. The ECFMG is allowed to enforce certain requirements, but they should give time for policies to go into effect, like one year, not one abrupt day:
They originally had the policy that all schools must be accredited by 2023. One Caribbean school with an adequate curriculum consisting of OSCEs, shelf exams, and more had a site visit for accreditation in May, which was postponed due to COVID. This school has previously had students match every year, but according to the new rule, students might not be able to go into Match this year.
USMLE itself allows multiple attempts on Step exams, and although it definitely is frowned upon, a student should be given an equal chance to justify himself in his personal statement, or even personal interview if granted.
Pathway 2 is unfeasible as well since many countries have postponed their exams too, and there are still travel restrictions, quarantines imposed, and even monetary issues for students. As a US IMG, going to Canada to take the NAC exam will be an added $2300, plus travel expenses, and housing, along with 14 day quarantine. Plus, ECFMG hasn’t even refunded the money for Step 2 CS yet.
The required English proficiency exam in lieu of CS: more info has yet to come, but how would this be equivalent? CS tests you on clinical skills and empathy, along with English proficiency. Prometric centers are still cancelling exams on students without proper notice, so how would this work? Plus, if a student can even get to the point of getting a program interview, that’s where they can showcase their language skills and people interactions, no need to pay another whatever hundred dollars just to take and English test.
The ECFMG should be helping IMGs, but at this moment many students are feeling helpless and lost about what their future holds. It will be difficult for many to wait one year or even more, before being able to apply for Match, which further poses the issue of programs considering graduation time; and the advice from many to go into research is always easier said than done - many programs are halted at the moment, and many students do not enjoy having research forced upon them. It’s also not that easy to just find a research place that will take you.
The pandemic of course was unexpected, but it is unfortunate that healthcare students and professionals are suffering the blunt end. Hopefully the ECFMG will be flexible and understandable and can deliver on options encompassing all IMGs asap. And hopefully more people will keep contacting them and advocating for IMGs. If it helps, there are two petitions, here, and here.
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COVID-19 Planning Considerations: The AAP Guidance for School Re-Entry
This post is going to try and summarize the AAP statement regarding returning to school in the age of COVID-19.  The article CAN BE FOUND HERE.  I highly recommend primary care providers review this material directly.  It is very thoughtfully written and brings up a lot of issues that most folks don’t take into account when talking about and formulating opinions on this topic.  I’m going to be focusing on the WHY more than the HOW.  I will touch on some major themes with the HOW, but that aspect is very age dependent and depends on available school resources, personnel, and planning.  This is going to be dense, but let’s do it.
Keep reading
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ECFMG Certification
Alright guys, a whole lot of info coming at you. For my premed followers, I want you to seriously evaluate if going the Caribbean med school route is truly worth it, and if you are willing to take on extra anxiety and stress. That being said, a different post on that to come again, but the ask box is always open!
So, the point of this post is to talk about the recent pathways ECFMG came up with for those students who were unable to take Step 2 CS in order to be eligible for certification. These include:
Eligibility for All Pathways
Applicants who are eligible to pursue ECFMG Certification based on one of the pathways include those who:
Have not already passed Step 2 CS.
Are not barred by ECFMG from pursuing certification.
Are not barred by USMLE from taking a Step or Step Component from August 1, 2020 to January 31, 2021.
Have not failed a USMLE Step or Step Component (Step 1, Step 2 CK, or Step 2 CS) two or more times.
Have taken or been registered for any USMLE Step or Step Component since January 1, 2018.
Pathway 1: Already Licensed to Practice Medicine in Another Country Applicant has held a full, unrestricted license or registration to practice medicine in any country at any time on or after January 1, 2015. License does not need to be currently valid. The license or registration has not been subject to disciplinary action.
Pathway 2: Already Passed a Standardized Clinical Skills Exam for Medical Licensure - General Medical Council: Professional and Linguistic Assessment Board (PLAB) Part 2 - Australian Medical Council: Clinical Examination Part 2 - Medical Council of Canada: Qualifying Examination Part 2, National Assessment Collaboration Examination - Medical Council of New Zealand: NZREX Clinical - Medical Council of Ireland: Pre-Registration Examination System (PRES), Level 3
Pathway 3: Medical School Accredited by Agency Recognized by World Federation for Medical Education (WFME) Applicant’s medical school is currently accredited by an agency recognized by WFME (and meets other ECFMG requirements). See the list of eligible schools. Date of graduation must be on or after January 1, 2018. An authorized school official must attest to applicant’s clinical skills.  
Pathway 4: Medical School Participates in U.S. Federal Student Loan Program Applicant’s medical school currently participates in the U.S. Federal Student Loan Program (and meets other ECFMG requirements). See the list of eligible schools. Date of graduation must be on or after January 1, 2018. An authorized school official must attest to applicant’s clinical skills. Pathway 5: Medical School Issues Degree Jointly with a U.S. Medical School Accredited by Liaison Committee on Medical Education (LCME) - Weill-Cornell Medicine - Qatar - Duke University - National University of Singapore Medical School
Now, why are these so troublesome and problematic? They are barring many intelligent and qualified students to go into Match 2021 who would have otherwise been ok if they had Step 2 CS under their belt. The ECFMG is allowed to enforce certain requirements, but they should give time for policies to go into effect, like one year, not one abrupt day:
They originally had the policy that all schools must be accredited by 2023. One Caribbean school with an adequate curriculum consisting of OSCEs, shelf exams, and more had a site visit for accreditation in May, which was postponed due to COVID. This school has previously had students match every year, but according to the new rule, students might not be able to go into Match this year.
USMLE itself allows multiple attempts on Step exams, and although it definitely is frowned upon, a student should be given an equal chance to justify himself in his personal statement, or even personal interview if granted.
Pathway 2 is unfeasible as well since many countries have postponed their exams too, and there are still travel restrictions, quarantines imposed, and even monetary issues for students. As a US IMG, going to Canada to take the NAC exam will be an added $2300, plus travel expenses, and housing, along with 14 day quarantine. Plus, ECFMG hasn’t even refunded the money for Step 2 CS yet.
The required English proficiency exam in lieu of CS: more info has yet to come, but how would this be equivalent? CS tests you on clinical skills and empathy, along with English proficiency. Prometric centers are still cancelling exams on students without proper notice, so how would this work? Plus, if a student can even get to the point of getting a program interview, that’s where they can showcase their language skills and people interactions, no need to pay another whatever hundred dollars just to take an English test.
The ECFMG should be helping IMGs, but at this moment many students are feeling helpless and lost about what their future holds. It will be difficult for many to wait one year or even more, before being able to apply for Match, which further poses the issue of programs considering graduation time; and the advice from many to go into research is always easier said than done - many programs are halted at the moment, and many students do not enjoy having research forced upon them. It’s also not that easy to just find a research place that will take you.
The pandemic of course was unexpected, but it is unfortunate that healthcare students and professionals are suffering the blunt end. Hopefully the ECFMG will be flexible and understandable and can deliver on options encompassing all IMGs asap. And hopefully more people will keep contacting them and advocating for IMGs. If it helps, there are two petitions, here, and here.
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Fifth Disease?!  What happened to Fourth Disease?!
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Today Dr. B is going to teach you some old, outdated medicine that will only help you at some sort of medical trivia event.  Good times!  As you can probably guess, if its called Fifth disease there must be first through fourth diseases, right?!  Well there used to be.  The list was based on the most common causes of infectious rashes in kids.  I’m not sure when the list was in wide use but it was essentially obsolete by the 90s.
FIRST DISEASE - Measles.  That’s easy.
SECOND DISEASE - Scarlet Fever.  Another easy one.
THIRD DISEASE - Rubella.  Seems pretty easy.
FOURTH DISEASE - This is where it goes off the rails.  We’ll finish the list and circle back.
FIFTH DISEASE - Parvovirus B19, a.k.a. Erythema Infectiosum
SIXTH DISEASE - Roseola Infantum or Erythema Subitum.  Caused by human herpes virus 6B and 7.
So let’s go back.  What the hell is Fourth Disease?  When the list was in widespread use, Fourth Disease referred to Filatow-Dukes’ Disease.  Originally described by Clement Dukes in 1900, there is a debate in modern medicine as to what exactly he was talking about.  Some folks think that it refers to Staph Scalded Skin Syndrome, also known as Ritter’s Disease.  Other folks, however, believe that Filatow-Dukes’ Disease is actually people misdiagnosing scarlet fever and therefore doesn’t really exist as its own entity.  By the late 60s-early 70s folks were already questioning Fourth Disease with a 1979 article in The American Journal of Disease in Children publishing an article linking it to epidermolytic toxin-producing Staphylococcus.
Despite all this, occasional outbreaks of mysterious rashes in children often raise the question, “Is this Filatow-Dukes’?” and occasionally papers show up in journals positing another etiology which would reestablish it as a credible diagnosis.
TL;DR, Fourth disease was a crock of shit so the whole numbered rashes thing fell apart like a house of cards.  Fifth Disease just had a nice ring to it so the name stuck.
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I initially wrote this on a facebook group but thought it might be served well here for the incoming PGY-1s next week
Folks, protect your interns. Treat them like they want to be there, because 99% of them do. Don’t shit on them, and be there if someone else does. This is such a critical point, where they’re getting real responsibilities and flooded with fears/anxieties about wanting to do this well. These are all normal worries but if you don’t foster and protect that drive, they’ll lose it. Which is not just their loss, but ours. We talk about changing the culture of medicine all the time–if we really believe that, the window opens every July. Someone will inevitably take that sentiment as “coddling.” There is, of course, a huge difference but that comes down to your opinion of what true leadership really means. I’m not perfect by any stretch, but I at least try to demonstrate good interpersonal skills and treat people the way I expect to be treated–patiently. I want my interns to expect the same and give the same. I resent the numerous times I was nevertheless treated poorly, and even more when I discovered my interns being treated poorly. I could go on and on about this, but really just be patient and treat them like they want to be there. They do, and it’ll pay dividends over the ensuing months/years to come.
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This picture of the pituitary gland is in one of the Histology lectures, and well, it reminded me of The Starry Night.
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One of the essays written in our Justice in Medicine special issue. Check out the issues with the link in bio. . . #blm #whitecoatsforblacklives #blacknessis #medicine https://www.instagram.com/p/CBmDv7EH7qu/?igshid=uzwerz0u8k5o
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It can be hard to process everything going on right now. If you are not sure of what to say or do, you can always listen. Listen to those with a voice. And allow everyone to have a voice. Because listening cultivates learning. . . This was a previous issue of The Medical Chronicles, and yet, these problems still remain. Articles talk about #racism and #sexism in #medicine. Link is in the bio (https://www.magcloud.com/browse/issue/1222666?__r=184846). Please consider buying a copy, and proceeds from this issue will be donated to @colorofchange, an organization that "designs campaigns powerful enough to end practices that unfairly hold Black people back, and champion solutions that move us all forward. Until justice is real." . . . #BlackLivesMatter #WhiteCoatsforBlackLives #justice #medicine https://www.instagram.com/p/CA6XqNDh3aq/?igshid=6d8syavu1vv8
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I deliver the coffee back to the ward and give it to B.R.'s nurse, who then carries it to him a few minutes later along with another dose of morphine.
The simple act of being able to walk downstairs and buy coffee crystalizes a feeling I have had during my days on the COVID-19 ward. Our patients are prisoners of a sort, isolated in closed rooms and with limited contact with the outside world, hoping for freedom. I also think of the plight of actual prisoners, who face the anxiety of COVID-19 in a locked room.
As these thoughts swirl in my mind in the slightly sleep-deprived state that doesn't leave me during the week I am on the ward, I realize that I feel like a guard. “A prison guard?” I wonder. That doesn't fit.
I settle on an idea that I am more like a bodyguard—trying to do the right thing for patients while protecting myself.
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Did you have a look yet at our last issue? The topic was Mental Health. Works include how your #medicalschools deal with #mentalhealth, #depression, a #shortstory, and some #artworks. Print or digital copies are available on magcloud.com (link in bio). Remember, proceeds are donated to UNICEF. And a reminder that the deadline to submit for the next issue is June 19th. Theme: "Love, Death, and Dying." However, since "Mental Health" is always an important topic, works will also be accepted on that topic as well! . . . #art #community #health #humanities #latinx #medstudent #physician #healthprofessionals #science #prisonindustrialcomplex #writing #essay #narratives https://www.instagram.com/p/CA1a7tPhI5o/?igshid=1hoktsph7jvcg
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DIY facemasks - If the fit is right! #diy #homemade #facemasks #homemademasks #homemadefacemasks #coronavirus #covid19 #cotton #polyester #n95 https://www.instagram.com/p/CAGEgrhhL5r/?igshid=1q12umuppmsub
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"At any given moment, there are hundreds of miles between us. Someday there may be less, but you can always count on me." Artwork done by @saherjafriarts. Check out this and more beautiful work coming out in the upcoming summer issue of The Medical Chronicles! "This drawing represents the human connection in long distance in the 21st century. We can call, text, or send a meme in an instant. Does this make us closer than ever, or harder to really reach? ... How do you view human connection in today's time? Are you in a long distance relationship or friendship? Tag your besties and share this message with them! 💕" . . . #humanconnection #longdistance #saherjafriarts #desiartist #southasianart #henna #mehndi #art #artwork #fusionfashion #digitalpainting #digitaldrawing #digitalartwork #photoshopart #digitaldesign #covid19 #coronavirus #quarantine #quarantinelife #communication https://www.instagram.com/p/B_sg1vXBA-b/?igshid=1ssgrtuik4b2j
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