And just like that, another week has flown by! Chai!! *in my best Nigerian accent*
I think I'm already starting to get used to this third-year lifestyle. In between the early mornings, long yet satisfying days at the hospital, lessons I've been learning from my upper-levels on my teams, nights of forced studying, and patients I've helped treat, I've been getting closer to establishing a steady routine. Granted, it's kind of tough to fully establish one since I'm going to be switching services all the time (I'm starting my Renal service this week), but with each passing day I've been getting a better and better sense of how things flow. I've also been noticing fast improvements with my information gathering, physical exam and presenting skills, although I still have a ways to go. And last but not least, I've noticed how awesome all the people I've worked with so far in Internal Medicine are! Both of the teams I've worked with so far have been very willing to help teach my classmate and I major keys for success as we continue to acclimate ourselves as newly minted third-year students.
This past week was my second (and last) week of working on the Cardiology unit. But this time, I was on the General Cardiology service, as opposed to the Cardiac Care Unit (CCU). This meant that the patients that we cared for weren't in as critical of a condition as the ones in the CCU, but they were still quite sick. I ended up following four patients overall while on this service, who all had various conditions that required remarkable treatments. I had a good time getting to know to each of them, and they all showed appreciation for their care and for me taking the time to just chat with them, which touched me quite a bit.
As for the team I worked with duing this week, they were simply fantastic. I had such a great time working with them that I found myself looking forward to going to the hospital each morning (after making myself crawl out of my bed) just so I could learn from them! The interns were so kind and were willing to explain to us practical things about being a third-year student that we didn't understand yet. Both the resident and the fellow on the team were geniuses who actually carved time out of their schedules to give us valuable information about Cardiology while making sure we understood what they were telling us by continuously prodding (pimping) us with questions along the way. And the attending we worked with was just incredible. She was highly personable with everyone she interacted with and was incredibly kind to the team as well as to her patients (Her bedside manner is absolutely stunning!). She also was a very effective teacher who forced us to think through the questions that she shot at us routinely so that we would better remember the information that we were learning. I really appreciated that because although I was put on the spot numerous times, I found myself better remembering the things that I was asked and I also found myself more engaged in learning about the various conditions that the patients had, along with their respective treatments. To sum her all up, she's just the type of person who makes you smile whenever you see her, which is the type of doctor that I aspire to be!
Out of all the lessons that I learned this past week from my team, there was one that really stuck with me and will continue to be with me throughout the rest of my student years as well as my professional career. I had wanted go and talk to a patient we had checked on earlier in the day about a specific issue that was concerning to me, but I didn't know if I had the authority to do so. So I asked the fellow on the team about how I was feeling, and what he told me truly inspired me and completely shifted the way I perceived my current position as a third-year medical student. He told me that I should not only go for it and talk to the patient, but that I should aspire to take ownership of all the patients I follow from here on out and really feel as though I'm the doctor caring for them. I should never feel as if I'm not in a position to talk with them about certain issues because I'm “only a third-year student”. With that mindset, I'll feel much more compelled to do what I feel that I need to do for my patients, allowing me to establish more solid connections with them and ultimately allowing me to become an exponentially better care provider at a much faster rate. I instantly had a moment of clarity as soon as I heard that answer. I had heard variations of that answer many times before from other people, but it wasn't until that moment that I finally and truly understood the incredible power that I had as a third-year. I may still be a student, but I'm here to learn how to become an effective physician. In order to become an effective physician, I need to learn how to do what effective physicans do. And the best way for me to learn how to do these things is to do them myself. I don't have to merely be a chronically unsure errand-boy constantly doubting my own thought processes. I already have the power to really help change lives through conversation and decision-making. All I had to do was believe that I possessed this power and then act upon this mentality. So I did and I went to talk to the patient, who was actually quite appreciative that I did so. This is definitely a mentality that I plan on fully upholding from here on out!
Overall, I had another great week in this Internal Medicine clerkship. I actually had forgotten that Memorial Day weekend was coming up, so now I'm here on a three-day weekend without any plans except to chill for a bit, complete tasks I hadn't been able to do during the week, and prepare myself for my upcoming service on the Renal unit. I actually have weekend days to work during this upcoming service as well, so that'll be quite interesting…😅😅😅.
Have a great Memorial Day weekend and a magnificent week! Make sure to take some time to give gratitude to all the soldiers who have sacrificed their lives over the decades in order to continue keeping us and our country safe from harm!
“Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. It is our light, not our darkness that most frightens us. We ask ourselves, Who am I to be brilliant, gorgeous, talented, and fabulous? Actually, who are you not to be? You are a child of God. Your playing small does not serve the world. There is nothing enlightened about shrinking so that other people will not feel insecure around you. We are all meant to shine, as children do. We were born to make manifest the glory of God that is within us. It is not just in some of us; it is in everyone and as we let our own light shine, we unconsciously give others permission to do the same. As we are liberated from our own fear, our presence automatically liberates others.” – Marriane Williamson
– Black Man, M.D.