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Cross Cultural Differences and Alternative Medicine

I know it has been a while since I last wrote. Been a bit busy lately. And in my moments of downtime I’ve found myself doing a different type of writing. I’ve been writing some fiction. Mostly because it’s a bit therapeutic. Anyhow, back to Medical School related matters.

On Friday we had two guest lecturers for our two-hour session of a class called Understanding Your Patient. During the first hour, a professor spoke about understanding cultural differences among our patients. He primarily focused on the latino culture because there is a huge hispanic population in the local area. One thing he mentioned is that in general, the hispanic population would put up very little resistance when talking to a physician. But that does not give any indication that they agree with what you are saying to them.

And that is a very important thing. In this class we have discussed the idea of getting a patient to cooperate and accept the treatment plan. And this applies to everyone, not just the latino community. In order to have the best results, doctors must team up with the patient for a common goal. The idea of white-coat-wearing-doctor dishing out his wisdom on health and a patient obediently following instructions is outdated and just doesn’t work.

During the second hour he gave the time to a local Mexican woman who talked to us about various herbal and traditional remedies the Mexican people use. She told us that many times they turn to those first, because going to see a doctor is just too expensive. She also brought samples of the things she talked about.

I learned that they use a camomile and spearmint tea for a of different things. She shared remedies for many common ailments. There is one treatment, for headaches, that I plan to try. It involves soaking a pinto bean in rubbing alcohol. In the event a headache, the bean is placed on the temples. Supposedly this relieves the pain. I’m quite interested in trying it out. Cause every once in a while, when I don’t drink enough water, I get some pretty annoying headaches.

Anyways, I hope to be able to post with a little more frequency this month.

P.S.
Remember the disclaimer. I’m not offering medical advice on this site. So try that pinto bean thing at your own discretion.

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A Random Medical School Pre-Exam-Week Post

It’s getting busy now. It must seem like I say that a lot on my posts. At least I feel like I write that a lot. But its once again the week before exams. The lecture schedule is tapering off. We have only 3 lectures on Thursday (as opposed to the normal 4) and then no lectures at all on Friday.

I’ve been posting less in the past 2 months. It was an attempt to cut out some distractions. Although I do enjoy writing here and it can be, at times, quite therapeutic. But as it goes, school comes first. After all, I would have nothing to blog about if I don’t pass the year. And JeffreyMD.com would no longer make any sense. Cause I’m not planning to move to Maryland anytime soon.

Even now, I should be studying. I’m sitting here writing this post in the library. But I saw something in here that looked out of place. It looked so out of place that I actually found an excuse to walk by the aisle a second time to get another look.

I saw someone sleeping in the library! No, this was not the normal exhausted looking medical student. This was an older woman. And she wasn’t sitting at a desk either. She was sitting in a chair placed in the middle of an aisle of books. She took up the whole aisle. You couldn’t get by her.

I suppose one might think she was a student. But something tells me otherwise. She didn’t look that clean. Behind her chair there was what looked like a small piece of luggage. In front of her was some push cart filled with her things. I couldn’t get a good look at what exactly was in there. It just struck me as an odd sight to see.

I don’t want to assume she is homeless. But I’m afraid I’ve already done so. That may be a by-product of living within 20 minutes of downtown Los Angeles where I have often seen homeless people going around with a suitcase. Regardless, she does not look like a student. And, technically, I don’t believe non-students are supposed to be in the campus library.

I attend a university whose motto is “to continue the healing and teaching ministry of Jesus Christ — to make man whole.” Is her presence in the library a lapse in our security? Or are they intentionally allowing her to escape the nasty heat outside and sit a while in the cool of the library’s basement where she is no bother to anyone. She really isn’t in the way, even if you can’t get at the books she is sleeping in front of. She’s in a part of the library that hardly has any traffic anyways.

I wonder if I, hoping to one day become a good, Christian, physician should have gone up to talk to her. From the little experience I have had in life, I know that every one has a story to tell. Maybe she would have been grateful for it. But maybe she would’ve been annoyed at being woken up. I know I don’t like that.

Well, as the title implies, this was just a random post. I really don’t have anything to write about except that which I already have. It’s possible I’m just avoiding my physiology notes right now…

So with that, it’s off to Physio-Land to study the hormonal miracle of life! 🙂

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February — month of Love?

Everyone loves February. It’s the cute little month with only 28 days (most of the time). And it also has that special holiday, Valentine’s Day. But someone also referred to it as Singles Awareness Day. So I guess there’s a mixed audience when it comes to that day.

This month I also had a couple of hours of lectures covering topics like sexual relationships with patients, dating, marriage, and adultery. Those are the ones I can think of right now but I don’t think I’m missing any February-related topics.

The class where we learned about sexual relationships — I think the lecture was titled “Sexual Boundaries” — was called Understanding Your Patient. The course director is a practicing psychiatrist. I’ll sheepishly admit that I would probably have a hard time explaining what that class is all about. At least not very succinctly. Listing some of the other topics discussed in that class might help paint the picture, though. We’ve talked about how to partner with our patients with a goal of better healthcare (as opposed to giving orders). We’ve discussed breaking bad news to patients. We’ve talked about aging and the difficulties associated with it. We’ve also talked about child abuse, red flags that we might encounter, and the responsibility to report our suspicions to the appropriate higher-ups.

We spent two whole hours talking about sexual boundaries. The take home message for those two hours? Don’t have sex with your patients.

We heard about doctors having their license taken away for getting involved with their patients. We learned that psychiatrists, because of the intimate nature of their work, can never get involved with their patients. A surgeon, who after operating on a patient, may be able to date the patient as long as number of years has passed. I guess the point was that “they” don’t want a physician to abuse his or her “power differential.”

A few days later, in a religion class called “Wholeness for Physicians,” we were talking about adultery. The instructor, who is a practicing psychologist, warned us that it is very easy for physicians to go down this path. Doctors at work, he told us, are constantly being attended to by the nurses. There is a very friendly relationship there (hopefully). And when the doctor goes home, he or she hears, “Honey, I’m tired. Watch the kids.”

Eventually the doctor begins to compare the spouse with the attractive young nurse. It can be a recipe for disaster. I think I understand the dynamics now.

So that was my experience during the month of love. That was the extent of my foray into anything close to relationship or romance — I listened to lectures about it.

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CNN – Med student struggles to preserve her idealism

Last year CNN ran an article written by Emily Breidbart, then a second year medical student. It’s an interesting read. At times I do feel that it is a struggle to protect my own idealism. But maybe she is doing a better job than I. Because I’ll admit, at times I find myself downright cynical — even comically cynical. But that’s another story. Anyways, in her article, Emily writes about how her curriculum, at times, seems to revolve around preventing lawsuits than the patient’s health.

Fortunately, this hasn’t been the case for me at my school during my first year. I think there has been the occasional mention of the litigious nature of the profession. And I think we (as students) have all heard plenty of stories about it. So it isn’t like we are ignoring malpractice. I’d say that they, and by they I mean the professors who teach us, choose to focus on the patient.

Who knows? Maybe one day Loma Linda’s curriculum will have to change. Maybe someday they will have to place the fear of litigation into the heart of every incoming first year. I hope not, though. Because a society in which doctors are afraid to treat patients is a society in trouble.

Oh, and check out Emily’s article “Med student struggles to preserve her idealism” over at CNN.com.

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Family Day

Last week we had Family Day for the first years. Of those who had guests on campus, some had spouses, but I think the majority had parents. My parents came out for the day. My parents and I arrived on campus just before 7:30 AM. We got out of the car and started walking towards the designated registration area.

I had my backpack on and walked slightly in front of both of my parents. It felt a bit awkward. I asked my mom when was the last time she went to school with me. “Kindergarten,” she replied.

The provided us a small breakfast. After breakfast they had 3 hours of lecture scheduled for us.

The first class began at 8:30 AM and was on micturition (urination).

Lecture two, at 9:30 AM, was an hour about eye exam. My dad actually fell asleep in this lecture. Me? I was doing my best to stay alert. After all, can’t be falling asleep during a lecture with mom nearby. Third lecture was an embryology lecture on the endocrine system.

After lectures we were scheduled to have lunch at 11:45. The large crowd headed towards the conference center below the School of Medicine administration offices. There they served some pretty good food. I don’t think any of the parents believed that the meal was any example of normal treatment for students.

That afternoon, we got a chance to show our parents/guests some of the labs. I took my parents to the Physical Diagnosis “lab.” They listened to heart sounds with a stethophone, palpated a simulated prostate, and checked out some ear models. We then went to the Simulation Center in the physiology building. That was pretty cool. They showed off all the high-tech dummies.

I thought the whole thing was fun. It was a good chance for the parents to come and see what everything was all about. The students got a chance to show off our campus and facilities.

When I started this post I thought I was going to come up with a pretty brilliant way to close the post.

Right now I’m kind of drawing a blank.

End of post.

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Conversations: Learning So Much

Usually there are two kinds of conversations I listen to. The first, of course, are the conversations I am involved in. That’s easy. The second, however, are conversations that I overhear.

I wouldn’t call myself an eavesdropper. But sometimes I just can’t help it. People get all excited and into their conversations that it seems they think they are the only ones within earshot. Or maybe they just don’t care if other people hear.

One conversation I was in recently went something like this:
Me: Hi. How’s it goin?
Classmate: Great. I’ve learned so much today! [said enthusiastically with a smile]

Now, at this point I was walking into lab in the afternoon after 4 hours of lecture that morning. I was wishing I didn’t have to be in lab. I felt like my usual self — thinking about all the material that I still needed to know.

And as I stood there walking into Anatomy lab, I felt really jealous. Why didn’t I feel the same way? Why don’t I feel the same excitement over learning? Why am I just tired and feeling like there’s sooo much things to learn?

I’m truly glad for my classmate who said this.

If only I could feel the same way…

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Picking Apart My Brain

I was one of the first into lab from my group of eight. On the table was a clear plastic container filled with a solution of 10% formaldehyde. The container sat on a tray — a tray that you might find in a cafeteria.

I slipped the tray out from underneath the container and carefully opened the container. The smell was strong. The liquid looked a little brownish. I reached in, my gloves on, and pulled out a human brain. Well, at least half of a human brain. It had already been cut down the middle — a clean cut separating the left and the right brain.

The day’s lab only required examining one hemisphere. Already having arbitrarily chosen one side, I placed my half-brain onto the tray and went to the special sink to rinse off the formaldehyde solution.

In line I looked around. It was a weird scene. Students waiting in line. All holding cafeteria trays that carried a human brain.

After finding and identifying all the structures on our checklist, it was time to leave the lab. The brain slices were returned to their smelly solution. Most of our nostrils burned. Someone’s eyes were teary.

Neuro lab was a little strange. Gross examination wasn’t that bad. I mean, I’d seen plenty of brains in pictures. It was the slicing that I felt weird about. It cut so easily. Almost like a kiwi, without the skin. Or maybe think JELL-O, the kind with fruit inside.

But, I think the best example, if you’re familiar with it, would be tofu. The hard kind. Not the soft tofu used for soup. It’s actually how Katrina Firlik, MD (a neurosurgeon) described the consistency of brain in her book Another Day in the Frontal Lobe, which, by the way, as an awesome book.

A classmate commented that its so strange watching it. We are cutting up someone’s brain. At one time, the cells in this brain we were now cutting up, fired off electrical impulses. It commanded muscle groups and regulated complex functions. It held someone’s memories.

Occasionally I get these moments in medical school. Moments in which I stand in awe. I am amazed at what I am holding, or touching, or seeing. I like those moments. I’d like more of them, too. I think they help me push on through the drudgery of having to study all the time.

And now, its late and I’m sleepy. So I’ll end this post here.