“You were a Secret Service agent, Mr. Smith?” “I was indeed. For Presidents Ford and Carter.” “That’s incredible. What were they like?” “Well, President Carter would get up at 2:00 am and ask us if we’d like to go on a walk. Since most of the staff worked nights, I walked with him. We would walk for hours and talk shop. Carter is the most interesting man I’ve ever met and had the ...

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3:30 a.m. - Wake up. 4:00 a.m. - Leave apartment. 4:15 a.m. - Arrive at hospital. 4:20 a.m. - Print out the patient list. 4:20 - 5:25 a.m. - Split the list of 50 patients with your partner, go to a computer and write down for every patient their 24-hr vital signs, any reported fevers and what was done, what post-op day it is, what day of antibiotics and indications, discharge criteria, etc. 5:29 a.m. ...

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Samuel was an English gentleman hailing from London. Close to 10 percent of the U.S. population, over 30 million people, lives with diabetes. Five years ago, Samuel was diagnosed with type 2 diabetes. Taking lisinopril and glipizide, he also goes on hour-long walks every morning at 6:30 a.m. to keep his A1c at his comfort number of 5.5. It has not always been this way for Samuel as he was ...

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In medical school, you’re not taught how to give stellar patient presentations. Yes, you’re shown the traditional order of things: “Give an effective one-liner first, then tell the HPI [history of present illness] but only give pertinent info, etc.” Just exactly how to deliver the punch that impresses your attending is an art. And it’s an art that takes some time to perfect. My very first time presenting a patient was ...

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If you're reading this, you may have a son, a daughter, a family friend, or know of someone who is in college and considering medical school. As a medical student mentor, I share words of advice to my alma mater's American Medical Student Association chapter and thought I would share them here. 1. When preparing for the MCAT, take a diagnostic test at the beginning of your study period, one in ...

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Back in the 70s, Dr. Denton A. Cooley would do eight or so heart operations a day often on babies and children with heart defects. One day, he operated on four babies. Three of them died. It was around eight o'clock at night, and as Dr. Cooley walked down the hall with his team, he said, "Today was a bad day, but ...

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AI, artificial intelligence, is all the rage right now in medical news media. And this has many practicing physicians, even medical students, concerned. Will AI make diagnose heavy specialties such as dermatology and radiology obsolete? Can AI give rise to new medical specialties? How many tasks traditionally done by doctors will now be handled by AI? I believe that there is a right to be worried. We do not have any ...

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"Hey, you're a med student. Right?" "Yes, I am. Do you need me to scrub in?" "That would be wonderful, yes! Everyone is either out on vacation or is sick. It's just me and the resident." "OK, I'll be back in a few minutes." I was on my OB/GYN rotation, and once a week I follow one of the surgeons. It was 7:20 a.m., and a patient was coming in for an unplanned, stat ...

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When it comes to communication in the hospital setting, I have seen many iterations. My favorite version was at the VA on the inpatient medicine unit. Every morning, we all met in the medicine team room to discuss patients on the floor. The team’s social worker, nurses, residents, students, and the attending ran down the list to identify individual patient goals, what’s needed for safe and effective discharges home, and ...

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What is self-awareness? A quick Google search says that it is “conscious knowledge of one's own character, feelings, motives, and desires.” In other words, my worldview is different than yours. Hypothetically, I am a Republican, and you are a Democrat. You don’t believe in vaccinations, but I do. I believe in universal health care, but you disagree with my stance. You believe in stricter gun laws, and I don’t. That ...

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