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Pulmonology Personal Statement

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It was 2am in early August of intern year and I was awakened by a call from a nurse. My 80-year-old patient with pneumonia was hypotensive and saturating in the 80s. I immediately jumped out of bed and started heading in their direction while frantically trying to find my senior’s number on my phone. As I reached the patient’s room I felt lost and intimidated; he was already on supplemental oxygen, what else could I do? The room quickly became busy as more and more people showed up to help. While other people were busy doing, my senior stood quietly assessing and thinking about the patient. He calmly lead the team in stabilizing the patient. What had impressed me the most was not just how knowledgeable my senior was, but his calm and collected …show more content…

I had had a series of respiratory infections, and after a severe episode where I found myself short of breath, I was diagnosed with asthma. I was extremely worried as I understood asthma was a disease, unlike bronchitis, that was never going to go away. I’ve been lucky to not need my inhaler very often, but because of my experience i’ve always felt an affinity towards pulmonology. During residency I have seen that pulmonology provides a good mix of practice because it gives you an opportunity to work outpatient managing chronic lung issues, inpatient by treating acute exacerbation, and provides the perfect complement to critical care medicine. I also enjoy that pulmonology has a procedural side and hope to gain more experience with …show more content…

As a new intern I was worried that if I was not doing something I was not helping, and as such I threw myself into every rapid response drawing labs and placing lines. As a maturing resident I have realize that I was wrong and have learned to restrain myself. By utilizing my medical knowledge and training I can help piece together what is happening so that I can better treat my patient. One case brought to the ICU was a morbidly obese patient with COPD and chronic constipation that presented with dyspnea. There was no improvement with treatment. Though not ill appearing, his distended, almost tense, abdomen reminded me of a patient I had during medical school with abdominal compartment syndrome. Bladder pressures were measured and found to be elevated, and we deduced that the source of his dyspnea was increased intra-abdominal pressure transmitted through the diaphragm. Decompression and resolution of the constipation led to rapid relief of his symptoms. That was one of the first times I felt like I had truly applied my knowledge and it gave me a sense of pride and

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