We’re nearing the end of our second year of medical school now; time for me to witness a second round of medical school interviewees waiting in the lobby with their name tags and black suits. A lotta learning has happened in the year and a half that separates those pre-meds and myself, but the fact of the matter is, most of that education has just shown me how much farther there is for us to go.
A few days ago, a friend of mine told me that a near relative of hers had to be hospitalized with a disease that we had literally taken the final on less than a day before. I think that by itself, it is a terrible thing to go home to and confront. But it is made even worse by having that academic knowledge suddenly become so mortally relevant.
Thinking on the situation, I couldn’t help but feel disgusted that life would be so cruel as to force my friend to confront what had been a page in Goljan’s, in a member of her own family. I think on some level while we are learning about these diseases in class, and we see the faces of the stricken patients on our power point slides, we know that these diseases are not good things, and that they affect real people. But for most of us, those faces are anonymous, and more important than how crippling and mortal these lymphomas, leukemias, fractures, and infections are, is what our instructors are going to expect us to know for the examination.
There are so many diseases out there, so many terrible ways to get sick, that while we are learning them, we have to tune out just what this costs in human currency. One of our pathology professors was presenting a case to us, about a girl who was currently in the hospital. She had a malignancy, but nobody could figure out exactly what was wrong. Our instructor described the course of her disease to us, and showed us slides of biopsies that had been taken and such. She concluded the presentation by sort of shrugging her shoulders and telling us that still no one could really figure out what was wrong, and that ‘she wasn’t doing well.’ Sitting in the audience, it occurred to me that what that really meant was she was going to die.
Hearing about that girl I’ve never met was difficult enough, but when something like that befalls someone near and dear to you, it must be very hard. It makes me want to shout indignantly that we shouldn’t have to deal with these things. Not yet. That we are still students, that it is difficult and stressful enough without being confronted by the painful reality of what we are learning. That we’re not ready to start facing the morbid fact that people we know, good people with lives and histories who laugh and have families will get these diseases. But I guess this is real life, and life is not always benevolent.
And making this hard introduction to the reality of our curriculum even more difficult, there is nothing we can do about it. At this point, we know just enough about these diseases to know what it means when they say that our relative is intubated, in an ICU, has a particualr diagnosis, but we don’t know nearly enough to be of any use to anyone. All we can do is watch and comprehend, but we cannot help.
I don’t know. I bring all this up because I was a bit rattled by all of this. Saddened and worried about my friend and her family, and confronting in my own way what this sort of thing really means.
Anyhow, I hope that wasn’t too morbid for everyone this close to the holidays. I have a fair amount of free time this vacation, so hopefully more upbeat writings to come. Take care everyone.