https://www.spreaker.com/show/audio-book_1enSociety & CultureCopyright fabian burgoshttps://d3wo5wojvuv7l.cloudfront.net/images.spreaker.com/cloudinary/s--xpxAMSpp--/w_1000,h_800,c_fit,l_text:Lato_170_bold:Audio%20Book/images.spreaker.com/default/show-1400x1400-20190801.jpghttps://www.spreaker.com/show/audio-book_1Thu, 11 Oct 2018 04:12:05 +0000fabian burgosfabian burgosfeeds@spreaker.comcleanepisodicfabian burgosfeeds@spreaker.comNohttps://www.spreaker.com/user/10740673/audio-book-8-0different angle," he instructs the intern. "Hold it like this." Each try takes minutes - needle in, stylet out,
wait for fluid, stylet in, reposition, stylet out.... Nothing in hole number three. I learn later he was sticking
the needle in the wrong place.
On the fourth try, the intern was so flustered he accidentally just sticks the stylet into the child's back,
without the needle. I looked around the room. No one says anything. When the intern realizes what is
wrong.]]>https://api.spreaker.com/episode/15933257Thu, 11 Oct 2018 04:12:05 +0000fabian burgosThe second attempt fails too. The resident no longer seems to care what the mother thinks. "Try a different angle," he instructs the intern. "Hold it like this." Each try takes minutes - needle in, stylet out, wait for fluid, stylet in, reposition,...different angle," he instructs the intern. "Hold it like this." Each try takes minutes - needle in, stylet out,
wait for fluid, stylet in, reposition, stylet out.... Nothing in hole number three. I learn later he was sticking
the needle in the wrong place.
On the fourth try, the intern was so flustered he accidentally just sticks the stylet into the child's back,
without the needle. I looked around the room. No one says anything. When the intern realizes what is
wrong.]]>71cleanfullfabian burgosThe second attempt fails too. The resident no longer seems to care what the mother thinks. "Try a different angle," he instructs the intern. "Hold it like this." Each try takes minutes - needle in, stylet out, wait for fluid, stylet in, reposition, stylet out.... Nothing in hole number three. I learn later he was sticking the needle in the wrong place. On the fourth try, the intern was so flustered he accidentally just sticks the stylet into the child's back, without the needle. I looked around the room. No one says anything. When the intern realizes what is wrong.Nohttps://www.spreaker.com/user/10740673/audio-book-7-0amber fluid - cerebrospinal fluid - signaling he's tapped the right place. Nothing comes out. The stylet
goes back in as he repositions the needle. Again, nothing. The child is moaning. Frustrated, the intern
pulls the whole needle out. A drop of blood appears at the hole.
Resident and mother look nervously at each other. The intern feels again with his fingers, trying to gauge
position. He grabs for the needle again and makes a new hole. The kid is panting and whimpering. The
mother closes her eyes, squeezing out two more tears.]]>https://api.spreaker.com/episode/15933253Thu, 11 Oct 2018 04:11:21 +0000fabian burgosThe needle is inches into the child's spine. The intern anxiously yanks out the stylet, hoping for a drip of amber fluid - cerebrospinal fluid - signaling he's tapped the right place. Nothing comes out. The stylet goes back in as he repositions the...amber fluid - cerebrospinal fluid - signaling he's tapped the right place. Nothing comes out. The stylet
goes back in as he repositions the needle. Again, nothing. The child is moaning. Frustrated, the intern
pulls the whole needle out. A drop of blood appears at the hole.
Resident and mother look nervously at each other. The intern feels again with his fingers, trying to gauge
position. He grabs for the needle again and makes a new hole. The kid is panting and whimpering. The
mother closes her eyes, squeezing out two more tears.]]>85cleanfullfabian burgosThe needle is inches into the child's spine. The intern anxiously yanks out the stylet, hoping for a drip of amber fluid - cerebrospinal fluid - signaling he's tapped the right place. Nothing comes out. The stylet goes back in as he repositions the needle. Again, nothing. The child is moaning. Frustrated, the intern pulls the whole needle out. A drop of blood appears at the hole. Resident and mother look nervously at each other. The intern feels again with his fingers, trying to gauge position. He grabs for the needle again and makes a new hole. The kid is panting and whimpering. The mother closes her eyes, squeezing out two more tears.Nohttps://www.spreaker.com/user/10740673/audio-book-6-0The intern pushes the needle into the boy's back. The child screams; mom and I cringe. She holds him tight, squeezing him open to us. Tears roll down her cheeks. "It'll be over soon," the resident states. Buthe's wrong.]]>https://api.spreaker.com/episode/15866571Wed, 03 Oct 2018 04:41:16 +0000fabian burgosThe five-year old - I wish I knew his name - starts to squirm. "Hold him still!" the resident yells at the mother. She tightens. He places the needle on the skin between two knobby vertebrae in his lower back. I tug on the sleeve of the resident and...The intern pushes the needle into the boy's back. The child screams; mom and I cringe. She holds him tight, squeezing him open to us. Tears roll down her cheeks. "It'll be over soon," the resident states. Buthe's wrong.]]>87cleanfullfabian burgosThe five-year old - I wish I knew his name - starts to squirm. "Hold him still!" the resident yells at the mother. She tightens. He places the needle on the skin between two knobby vertebrae in his lower back. I tug on the sleeve of the resident and point to the unopened vial of lidocaine on the table. He looks up at the mother, but her eyes are fixed on the needle. "Shush!" he responds under his breath. The intern pushes the needle into the boy's back. The child screams; mom and I cringe. She holds him tight, squeezing him open to us. Tears roll down her cheeks. "It'll be over soon," the resident states. Buthe's wrong.Nohttps://www.spreaker.com/user/10740673/audio-book-5-0The needle is four inches long, and so thick that a metal stylus has to be inserted inside the needle so as to not core out a column of flesh. The intern feels along the bony ridge of the child's spine - position is everything. The needle is four inches long, and so thick that a metal stylus has to be inserted inside the needle so as to not core out a column of flesh. The intern feels along the bony ridge of the child's spine - position is everything.]]>https://api.spreaker.com/episode/15866565Wed, 03 Oct 2018 04:39:35 +0000fabian burgosThe intern carefully snaps on a pair of sterile gloves. The child's back is prepped with iodine. The sponge is cold and the curled child sobs faster. It's obvious that the intern doesn't know what to do with the tray of needles and bottles in front of...The needle is four inches long, and so thick that a metal stylus has to be inserted inside the needle so as to not core out a column of flesh. The intern feels along the bony ridge of the child's spine - position is everything. The needle is four inches long, and so thick that a metal stylus has to be inserted inside the needle so as to not core out a column of flesh. The intern feels along the bony ridge of the child's spine - position is everything.]]>70cleanfullfabian burgosThe intern carefully snaps on a pair of sterile gloves. The child's back is prepped with iodine. The sponge is cold and the curled child sobs faster. It's obvious that the intern doesn't know what to do with the tray of needles and bottles in front of him. The resident sets him up. The mother looks worrisomely about.The intern carefully snaps on a pair of sterile gloves. The child's back is prepped with iodine. The sponge is cold and the curled child sobs faster. It's obvious that the intern doesn't know what to do with the tray of needles and bottles in front of him. The resident sets him up. The mother looks worrisomely about. The needle is four inches long, and so thick that a metal stylus has to be inserted inside the needle so as to not core out a column of flesh. The intern feels along the bony ridge of the child's spine - position is everything. The needle is four inches long, and so thick that a metal stylus has to be inserted inside the needle so as to not core out a column of flesh. The intern feels along the bony ridge of the child's spine - position is everything.Nohttps://www.spreaker.com/user/10740673/4-0-audio-booksupposedly the best place to do pediatrics. It's in Bangor, the home of Stephen King, complete with
moose crossing signs, Paul Bunyan postcards and billboards for lobster ice cream. I'm a long way from
home.
The hospital is hugged by a wide sparkling river. Unfortunately, the building's only smokestack obscures
my view of the water]]>https://api.spreaker.com/episode/15741574Mon, 17 Sep 2018 23:40:54 +0000fabian burgosI arrived in Maine today, my first time in the state. Eastern Maine Medical Center is a Tufts affiliate, and supposedly the best place to do pediatrics. It's in Bangor, the home of Stephen King, complete with moose crossing signs, Paul Bunyan...supposedly the best place to do pediatrics. It's in Bangor, the home of Stephen King, complete with
moose crossing signs, Paul Bunyan postcards and billboards for lobster ice cream. I'm a long way from
home.
The hospital is hugged by a wide sparkling river. Unfortunately, the building's only smokestack obscures
my view of the water]]>66cleanfullfabian burgosI arrived in Maine today, my first time in the state. Eastern Maine Medical Center is a Tufts affiliate, and supposedly the best place to do pediatrics. It's in Bangor, the home of Stephen King, complete with moose crossing signs, Paul Bunyan postcards and billboards for lobster ice cream. I'm a long way from home. The hospital is hugged by a wide sparkling river. Unfortunately, the building's only smokestack obscures my view of the waterNohttps://www.spreaker.com/user/10740673/audio-book-3contact with medicine, the first taste of what doctors really do, what doctors are really like. I saw
medicine as a humanistic career of intimacy - helping people, sharing, caring for people. But what I
found was a profession that didn't even seem to care about people. No one around me seemed to question
what was happening to them, to the patients, to all of us. As Michelle Harrison wrote in her book A
Woman in Residence, "I came to feel I had been fighting a war which no one else even knew existed."[4]]]>https://api.spreaker.com/episode/15674542Sun, 09 Sep 2018 07:01:58 +0000fabian burgosFor many students, who - like me - have had no prior clinical experience, third year is the first real contact with medicine, the first taste of what doctors really do, what doctors are really like. I saw medicine as a humanistic career of intimacy...contact with medicine, the first taste of what doctors really do, what doctors are really like. I saw
medicine as a humanistic career of intimacy - helping people, sharing, caring for people. But what I
found was a profession that didn't even seem to care about people. No one around me seemed to question
what was happening to them, to the patients, to all of us. As Michelle Harrison wrote in her book A
Woman in Residence, "I came to feel I had been fighting a war which no one else even knew existed."[4]]]>88cleanfullfabian burgosFor many students, who - like me - have had no prior clinical experience, third year is the first real contact with medicine, the first taste of what doctors really do, what doctors are really like. I saw medicine as a humanistic career of intimacy - helping people, sharing, caring for people. But what I found was a profession that didn't even seem to care about people. No one around me seemed to question what was happening to them, to the patients, to all of us. As Michelle Harrison wrote in her book A Woman in Residence, "I came to feel I had been fighting a war which no one else even knew existed."[4]Nohttps://www.spreaker.com/user/10740673/2-0-audio-bookwhole. I want to help others dispel their illusions as well.
Medical school is four years long. The first two years are basic science lectures, more like an extension
of college. The last two years, however, third year and fourth year, involve rotations through hospitals.
"One of the few statements with which most physicians would agree," one doctor writes, "is that the third
year, the year on the wards, is the critical year in medical education." [2] "In no year of their adult lives,"
another contends, "do students change so much as during the third year of medical school."[3] This is my
story of third year, the worst year of my life.]]>https://api.spreaker.com/episode/15626721Sun, 02 Sep 2018 22:58:21 +0000fabian burgosI have become disillusioned - disgusted even - by medical training and medicine as a whole. I want to help others dispel their illusions as well. Medical school is four years long. The first two years are basic science lectures, more like an...whole. I want to help others dispel their illusions as well.
Medical school is four years long. The first two years are basic science lectures, more like an extension
of college. The last two years, however, third year and fourth year, involve rotations through hospitals.
"One of the few statements with which most physicians would agree," one doctor writes, "is that the third
year, the year on the wards, is the critical year in medical education." [2] "In no year of their adult lives,"
another contends, "do students change so much as during the third year of medical school."[3] This is my
story of third year, the worst year of my life.]]>87cleanfullfabian burgosI have become disillusioned - disgusted even - by medical training and medicine as a whole. I want to help others dispel their illusions as well. Medical school is four years long. The first two years are basic science lectures, more like an extension of college. The last two years, however, third year and fourth year, involve rotations through hospitals. "One of the few statements with which most physicians would agree," one doctor writes, "is that the third year, the year on the wards, is the critical year in medical education." [2] "In no year of their adult lives," another contends, "do students change so much as during the third year of medical school."[3] This is my story of third year, the worst year of my life.Nohttps://www.spreaker.com/user/10740673/1-0or woke up screaming.
To all those who needed to leave their hearts at the door.
Besides medical school, there is probably no other four-year experience - unless it be four year's service
in a war - that can so change the cognitive content of one's mind and the nature of one's relationships
with others.
- F.D. Moorse, Harvard Medical School
This is the School of Babylon
And at its hand we learn
To walk into the furnaces
And whistle as we burn.
- Thomas Blackburn
I just graduated with honors from Tufts University School of Medicine, the class of 1999. I don't feel
honorable, though.]]>https://api.spreaker.com/episode/15574690Sun, 26 Aug 2018 22:41:52 +0000fabian burgosTo all the students who went to bed crying or woke up screaming. To all those who needed to leave their hearts at the door. Besides medical school, there is probably no other four-year experience - unless it be four year's service in a war - that...or woke up screaming.
To all those who needed to leave their hearts at the door.
Besides medical school, there is probably no other four-year experience - unless it be four year's service
in a war - that can so change the cognitive content of one's mind and the nature of one's relationships
with others.
- F.D. Moorse, Harvard Medical School
This is the School of Babylon
And at its hand we learn
To walk into the furnaces
And whistle as we burn.
- Thomas Blackburn
I just graduated with honors from Tufts University School of Medicine, the class of 1999. I don't feel
honorable, though.]]>75cleanfullfabian burgosTo all the students who went to bed crying or woke up screaming. To all those who needed to leave their hearts at the door. Besides medical school, there is probably no other four-year experience - unless it be four year's service in a war - that can so change the cognitive content of one's mind and the nature of one's relationships with others. - F.D. Moorse, Harvard Medical School This is the School of Babylon And at its hand we learn To walk into the furnaces And whistle as we burn. - Thomas Blackburn I just graduated with honors from Tufts University School of Medicine, the class of 1999. I don't feel honorable, though.No