The C2S blog draws on the arts, the social and biological sciences to explore the many meanings of health and "dis-ease." Designed to be a locus where patients, their families and professionals can meet on a level playing field, it is the natural off-shoot of the Cell 2 Soul Online Journal. We encourage the submission of ideas, essays, poems, stories, humor, and timely reviews relating to the humanities and health care.
The nineteen eighties was a decade with nascent promise. India had a young Prime Minister in Mr. Rajiv Gandhi, the forthcoming telecommunication revolution was being widely discussed and a bright new future was being promised to the teeming millions. Thrissur or ‘Thirushivaperur’ (the town named after Lord Shiva) was a small town in central Kerala with a rich and vibrant culture. Thrissur was widely known as the cultural capital of God’s own country, Kerala. In the eighties, the government medical college was a new institution having been established in the early nineteen eighties.
Dr P Ravi Shankar spent over twelve years in the Himalayan country of Nepal and enjoyed trekking in the wonderful hills. He is at present a faculty at the Xavier University School of Medicine, Aruba, Kingdom of the Netherlands. He has a keen interest in the medical humanities. E-mail: firstname.lastname@example.org
There are three standard reasons college students want to become a doctor: money (because they haven’t checked out how much you can make as a contract lawyer), a more-than-lukewarm interest in science, or the cliché tagline: “Because My Parents are Doctors”, which doesn’t really explain anything. Some common “exceptions” exist as sub-reasons, including the desire to help people while simultaneously having a more-than-lukewarm interest in science or “Because My Parents are Doctors and are Forcing Me to Be Pre-Med upon Threat of Disownment.” I find my motive to be a bit more distinctive than the typical ones: everything boils down to me being on my deathbed under the influence of hallucinogenic painkillers while God was giving me a sign that I am meant to be a doctor.
I’ve never been particularly overzealous in my religious pronouncements, but even as an 8th grader I knew that when God gave you a signal, He meant business. The end of middle school was approaching and the customary set of flu-like symptoms began bombarding me. My physician recommended, in a rather blasé fashion, to take some Ibuprofen and get more sleep, so I did. The symptoms stayed. And then got worse. My fever regularly spiked to 104 and higher, and I couldn’t even keep tepid Sprite down. Mom took me to my doctor again, and this time he realized his mistake: this was no snotty, vomity flu but a case of pneumonia gone sour.
My right lung had been completed infiltrated by the gooey crust that is pneumonia and my left lung was showing initial signs of surrender as well. The small-town hospital in which I helplessly dwelled for days was no match for this angry battalion of germs, so some nice Australian pilots flew me in a helicopter to the Children’s Mercy Hospital an hour away. I arrived dazed and surrounded by a large group of interns in the ICU, much like in Gray’s Anatomy. They wanted to put me on a respirator because my oxygen saturation was so low, but I screamed and cried in panic at the foreign machine and was eventually just given a giant oxygen mask instead. Crazed kids apparently aren’t worth the effort.
After the interns left, I calmed down enough to realize that the strangest knowledge had come over me. I knew that if I fell asleep at that moment, I could choose not to wake up again. I was legitimately dying. Of course, having been pumped full of drugs at the time, I instantly fell asleep at that precise instant of revelation. When I groggily began to awaken, everything was different. Ethereal children ran into the room carrying helium-filled balloons toward their father in a bed next to mine. He smiled. His gaze turned to mine, and somehow at that moment I knew I was his doctor and that, though I was confined to a bed, I had just saved his life. I smiled back at him, beaming with pride.
Hallucinations like this repeated in cycles throughout my next few days in the ICU, though the items the ethereal children carried ranged from balloons to stuffed bears to insanely unhealthy-looking cheeseburgers. I began to adore my own team of caretakers. The pregnant nurse who brought in the food I could never eat took on an aura of poised mystery. My respiratory therapist became the cheese to my metaphorical macaroni. And my doctor: well, he was a demi-god. Slowly my runaway lungs worked their way towards health, and by the time I left the ICU, I knew that my future was in medicine.
My idolatry of these figures faded in time, but one religious aspect of this experience never left me: God had used this time of sickness as an opportunity to give me my calling as a physician. Drugs and exhaustion certainly made their unique contribution, but never has my mind been as clearly made up as during and after my fierce battle with pneumonia in that ICU. Of course, to confirm this new love for medicine I did my homework: I witnessed my fair share of bloody knee-replacements and craniotomies, volunteered to wheel-chair wrinkly old people to and from radiology in the local hospital, and read everything ever written by Atul Gawande, Abraham Verghese, and my all-time favorite, Richard Selzer. Now I’m a gung-ho pre-medical student itching to start applying to medical school, all thanks to death, drugs, and a sign from God.
Author Bio: Chelsey Bartlett is a junior studying Human Biology at Stanford University. After graduation, she hopes to get a Doctorate in Psychology and become a clinical psychologist. In her spare time, Chelsey practices archery, works for a Huntington's Disease outreach group on campus, and tutors underprivileged middle school students. You can reach her at: chelseybATstanford.edu
A fine essay by David Watts appeared in a recent issue of the New England Journal of Medicine. Unfortunately, it is not available free to the public. It begins with this paragraph.
image from migraine-livinginpain.blogspot.com/
"Rumor has it that the medical profession suffers from too many cold and
distant doctors. Studies have attempted to subject this notion to the
scrutiny of science,
and although we could argue over their degree of success, we know it's
true. We need only ask our patients in order to be regaled with stories
confirming the accusation. Cold. Yet we didn't start out that way."
Some of you will have access to NEJM, but those who don't can contact Dr. Watts for a copy. Congratulations, Dr Watts! This is an article that all of us will mull over and benefit from reading.
Cure for the Common Cold David Watts New England Journal of Medicine, September 27, 2012, p. 1184-85
James Channing Shaw, one of our C2S family, has just published a new book, “Room for Examination: True
Tales of a Disillusioned Dermatologist.” It chronicles his path from naïf to
dermatologist. It is wise, philosophical, honest, poignant, humorous,
engagingly written, never self-serving and riveting. Dr. Shaw is Division Head of Dermatology at the
Women's College Hospital, University of Toronto, Canada.
To Purchase: Room for Examination· File Size: 478
KB (Kindle Only)
Device Usage: Unlimited
Sold by: Amazon Digital Services,
Inc. For Prime members Free, all others
In the U.S., we rely on foreign-trained physicians, nurses and other professionals to care for our citizens. Our professional schools have not taken on the responsibility of traing health care workers in sufficient numbers. An Op-Ed essay in the NY Times (September 14, 2012) discusses this topic and concludes: "It is irrational and immoral to recruit health workers from countries
where one in five children die before their fifth birthday when we could
be recruiting and training workers domestically."
One of our members, Beth McKim, works as a simulated patient (SP). Her essay, Confessions of a Professional Patient, gives a rare insight into a SP's mind-set.
"Three young doctors, their necks splotched crimson with fear, come up one at a time, to deliver the same, life-changing news to me. Their hands tremble and voices shake in these encounters as they disclose that my tests indicate I am facing a potentially serious, or even fatal, disease." Read more: Download Professional Patient
A simulated patient (SP), standardized patient or sample patient (also known as a patient instructor), in health care, is an individual who is trained to act as a real patient in order to simulate a set of symptoms or problems. Simulated patients are used in medical education, nursing education, evaluation, and research.
Author Bio: Beth McKim resides in Houston, Texas with her husband, Buddy, and their Labradoodle, Lucy. After working for twenty four years as a Staff and Parent trainer and Director of Volunteers for Child Protective Services, Beth currently enjoys studying Creative Writing and Spanish. A former marathon runner and triathlete, she is now an avid swimmer, Yoga enthusiast, and overall fitness devotee. She feels particularly rewarded by her part- time job as a medical actress. Email Ms. McKim.