Tag: DPD
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A walk on the pediatric floor
Elie NajjarSt. Nottingham, United Kingdom I came to the pediatric floor to learn about medicine—the presentation, development, and resolution of diseases—but I found myself learning something that etched itself deeper into my soul. I learned about humanity and the great energy that even in the darkest of times still radiates from the faces of children.…
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Pain management
Andrew YimHamden, Connecticut Once a month, Ada tells me about her pain and then I write a script for oxycodone. When Ada tires of my Spanish or I of her English, we use a phone interpreter until the delays and pauses wear us down and we switch back to our pidgin Spanglish. Some days she…
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Seeking medicalization: chronic illness without diagnosed disease
Camille KrollChicago, Illinois, United States I was wheeled into the bright lights of the operating room with the symptom-based diagnoses of chronic pelvic pain and irritable bowel syndrome. When I groggily emerged several hours later, I had a new label: someone with a disease. Endometriosis is a notoriously tricky disease to diagnose because often only…
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The loneliness of the long-living doctor
Peter Arnold Sydney, Australia A noticeable phenomenon of the twenty-first century is the increasing frequency of friendships between older men. The importance of such friendships to both mental and physical health has been well documented.1,2,3 This issue has particular relevance to older male doctors, especially in the UK, where doctors tend to retire early.4 Many…
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Twins
John Graham-PoleClydesdale, Nova Scotia, Canada Why was she taken? While you remain to question me for your school project? Renee had a project. Her seventh-grade class had been set the task of composing an essay on some aspect of American society. She had settled on tackling the American healthcare system, and after some thought had…
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Young, pretty, and not quite right
Anthony PapagiannisThessaloniki, Greece Unless we are in pediatrics, we start in clinical practice with our patients tending to be in the age range of our parents, or even older. Increasingly, as the grey in our temples is promoted to silver, their mean age gets closer to ours, and the percentage of younger patients keeps rising.…
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Beauty in breaking
Lealani AcostaNashville, Tennessee, United States I had a succulent hanging from my office cabinet, suspended in a clear teardrop-shaped terrarium: its spiny green arches floated above a mound of fake snow, which I intermittently illuminated by touching the built-in switch that electrified interwoven fairy lights. It was a Christmas present from James’s sister. She had come…
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Intubation incarceration: A true tale of torture
Abram GabrielPiscataway, New Jersey, United States For five days, I could not speak at all. In November 2010, I had a brainstem stroke resulting from an arteriovenous fistula. I spent nearly a month in a coma in a regional teaching hospital, and seven weeks in an acute rehabilitation center. While my mind is now clear,…
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Not-so-natural history
Anthony PapagiannisThessaloniki, Greece Physicians learn about chronic disease by watching its natural history and attempting to modify it with therapies. Cardiologists record episodes of ischemic disease, oncologists follow the progression of malignancies, and pulmonologists note changes in respiratory function over time. When patients are first seen, the disease is often already established. It is less…