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Unofficial Prognosis

Unofficial Prognosis

Perceptions and prescriptions of a medical student
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  • Profile

    Ilana Yurkiewicz Ilana Yurkiewicz is a fourth-year student at Harvard Medical School who graduated from Yale University with a B.S. in biology. She was an AAAS Mass Media Fellow, and her work has appeared in the New England Journal of Medicine, Aeon Magazine, Science Progress, The News & Observer, and The Best Science Writing Online 2013. She has an academic interest in bioethics, currently conducting ethics research at Harvard after previously interning at the Presidential Commission for the Study of Bioethical Issues. She is going into internal medicine and is also interested in quality and systems improvement. Follow on Twitter @ilanayurkiewicz.
  • Projection

    The patient was hacking sputum into a tissue when the resident and I entered his room. “How long have you had that cough?” “Oh this? As long as I can remember.” “But it’s been worse lately?” “Yeah.” “Worse how?” “More stuff coming out each time. See?” He opens the tissue. “How much sputum is there?” [...]

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    Finding the Right Confidence Interval

    “Stick to your guns.” “Put your nickel down.” “Stand your ground.” If you’re a medical student, there is an excellent chance you have heard one of these in the course of your training. Confidence is an entrenched element of medical culture. Say what you will about TV representations of medical training, but one thing Scrubs [...]

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    So, you want to write about medicine?

    slide 1

    Last year, I was honored to receive an invitation to address the Medical Student Section of the American Medical Association (AMA) on writing about medicine. I’ve been meaning to upload my slides for a while, if only to follow my own advice about how things get broader readership when you blog them. But mostly, I [...]

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    The path of least resistance

    two paths

    I was glad she never asked if I had done this before. My first nasogastric tube was placed on an elderly woman with chronic liver disease. As her illness worsened, it gradually turned her skin yellow, her abdomen swollen, and her mind foggy. One day, we realized that she was at too high a choking [...]

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    These agents prevent disease. Why aren’t we using them?

    When red cells "sickle," oxygen delivery is impaired

    The life cycle of a medical advance usually goes something like this: from discovery at the research bench and replication of findings, to translational research and clinical trials, to implementation. The bottleneck can be at any one of these stages, and often it is in the discovery one; we just haven’t yet found the thing [...]

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    What’s so healthy about skepticism?

    He was known to the hospital as someone who would try to manipulate his caregivers. And I fell for it anyway. Frequently admitted for pain crises associated with a chronic illness, he spent most of his hospital course avoiding eye contact with the team. So, too, were avoided answers that involved more than a few [...]

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    Strange bedfellows

    “You wanna talk? Let’s talk.” The 42-year-old man sits up straighter in the hospital bed and grins a toothless grin. “Those other doctors, they don’t understand. They don’t get what I’m going through, you know?” I know only what they told me. A few minutes earlier, our team had gathered outside the door, where the senior [...]

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    It’s a simple question – isn’t it?

    “So, is this the sickest list you’ve ever had?” the resident asked me at 2 AM, after I finally finished checking off all my boxes for the night. I nodded. I agreed. I was also shaking. I had been covering nine patients that night. Almost none were stable. In the span of one shift, we [...]

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    Reflections of a fourth year medical student

    “We pass through the present with our eyes blindfolded. We are permitted merely to sense and guess at what we are actually experiencing. Only later when the cloth is untied can we glance at the past and find out what we have experienced and what meaning it has.” – Milan Kundera Two weeks ago, I [...]

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    Taking sides

    The page comes from the psychiatry intern on call. “There’s a situation with patient RB on the unit. Please advise.” We gather in the hall outside the patient’s room. There are already three – no, four – security guards standing several feet away with their arms folded. Backup. Ready. Ready for what? We whisper in [...]

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