The Aids Hospice : From Disease And Neglect

My interest in medicine first stemmed from my freshman Biology class and my Nutrition class. I was intrigued by our studies of cells, genetics, and disease. Both courses incited a sense of awe and curiosity within me. Dissecting a frog, was the stepping-stone for my interest in medicine. Seeing the frog's heart made me wonder how the human heart worked. My research into the human heart inspired me to learn more about the medical field. I sought out volunteer opportunities that would give me insight into a doctor’s typical day. During my volunteer experience, I learned that as a doctor you experience many obstacles, including patient compliance and insurance approval issues. In my journey to pursue medicine, I learned that becoming a doctor means more than helping people, it means being the team leader, being compassionate, and most importantly being committed to the patient’s well being.

The medical field is a career path that brings about many options and opportunities of great value. The noble idea of being a doctor tends to cloud the diligent studying and precise training that is actually required for this career. I have wanted to become a doctor since a very young age, and now that the opportunity is here for the taking, I have fully researched what it takes to succeed in this profession and various specialties of the practice. The road to a medical degree is one filled with thousands of notes, years of schooling, and many stressful nights, but the reward is one incomparable to any other. Saving people’s lives on a day-to-day basis has been one of my dreams for as long as I can remember, so the rigorous curriculum

After my observations, I have learned a lot about how the the medical aspect of the health care system worked. I always had the mindset that the doctors were the ones who ran everything in a hospital or a clinic. Upon observing, I realized that this was false and that it took teamwork, cooperation, and communication to help create an environment to best serve its patients. When I came into the University of Michigan as well as the Health Sciences Scholar Program, I had set my target to go into family medicine in order to pursue a career as a family physician. I also saw that there were many health disparities and inequities among patients in hospitals as well. I thought maybe I could help fix this if I became a physician. After my observations, I had an ambivalent feeling if I should still continue with what my heart was set on. I never really thought about exploring the vast array of other health-related professions. There were many fields of health professions I had really never thought about and this class as well as my observations had really helped open my eyes to the complexity of the health system to make it work.

I was regularly identified and characterized by my teachers as an introverted child growing up. Each year, I had to designate my future career aspirations, and every year until the end of my high school career, I wrote down “MD.” This may have stemmed from the fact that, in my culture, growing up as a child of an immigrant generation, education was the primary emphasis. Having minimal access to delve into possible career options, I assumed that the MD route was the only way to become a health care provider. My parents probably pondered how a quiet, soft spoken child like me would want to become a doctor. My journey did not take me in the track to become a medical doctor, but I am confident that this path is in fact a true blessing in my life. As I prepare to begin the FNP graduate nursing program, I am delighted to announce to my family and friends that I am finally on the road to becoming a primary health care provider.

“Never be a doctor if you’re going to have any loans to pay back.” “Don’t do this to yourself.” “You’ll never have a family if you go to medical school.” “The two worst jobs in America belong to physicians and teachers.” Without even soliciting their advice, physicians noticed my “Pre-medical Volunteer” nametag, and immediately approached me with words of discouragement. I participated in a volunteer summer internship at St. Mary Hospital in Langhorne, Pennsylvania, following my sophomore year of college, in an effort to gain more experience in the medical field and solidify my lifelong desire to become a physician. Throughout the eight weeks, I spent mandatory hours in both the Emergency Room and the Operating Room, made contacts with physicians in specific areas of interest, and spent time shadowing them. In addition, each of us in the program attended weekly business meetings in which administrators of the hospital and local physicians spoke to us about their particular positions and experiences. Unlike the many years of high school I spent volunteering at a hospital and a nursing home, where I was limited to carrying around food trays and refilling cups of water, I was able to gain hands-on and more intimate experience. Initially uneasy at the site of the blood gushing into plastic sheets draped around the orthopedic surgeon’s patient in the OR, it took only a few days to grow accustomed to the images on the television screen during a laparoscopic procedure and the

he AIDS hospice reeked from disease and neglect. On my first day there, after an hour of "training," I met Paul, a tall, emaciated, forty-year-old AIDS victim who was recovering from a stroke that had severely affected his speech. I took him to General Hospital for a long-overdue appointment. It had been weeks since he had been outside. After waiting for two and a half hours, he was called in and then needed to wait another two hours for his prescription. Hungry, I suggested we go and get some lunch. At first Paul resisted; he didn’t want to accept the lunch offer. Estranged from his family and seemingly ignored by his friends, he wasn’t used to anyone being kind to him — even though I was only talking about a Big Mac. When it arrived, Paul took his first bite. Suddenly, his face lit up with the biggest, most radiant smile. He was on top of the world because somebody bought him a hamburger. Amazing. So little bought so much. While elated that I had literally made Paul’s day, the neglect and emotional isolation from which he suffered disgusted me. This was a harsh side of medicine I had not seen before. Right then and there, I wondered, "Do I really want to go into medicine?"

I first realized my passion for health promotion and disease prevention the summer following my first year of college. I had the privilege of attending the Summer Health Professions Education Program (SHPEP), which introduced me to numerous healthcare professionals. During the program, many of the professionals shared their stories about why they choose the profession, and with each story, I began to reflect deeply on my own background and what drew me to medicine. It was not until an emergency medicine physician spoke about his experiences, that allowed me to fully understand connecting my background to my future. The physician mentioned growing up in D.C., which brought to mind my family in D.C. It had been almost a year since my grandmother

My decision to pursue a career as a physician was not a blinding revelation, being the daughter of two immigrant parents the thought of becoming a physician seemed distant. In high school I pursued to obtain what for me was then the highest education I perceived I would be able to achieve which was going to college and obtaining a bachelor’s degree. As the quote by Ralph Ellison highlights, “When I discover who I am, I’ll be free”. This quote resonates with the start of my second year in college, as I have been able to find my passion for medicine. More specifically, I explored my values and how I wanted to shape my future. I reflected upon the encounters and dramatic effects that physicians have had with my own family. The most impactful

I don’t come from a background that is heavily associated with medicine, nor have I ever really been immersed in a medical setting. As a result, I do not have a first-hand experience of what it is like to practice medicine. However, since my early years,

It was another restless Friday afternoon in the small-town nursing home. Overworked nurses buzzed around, itching to start their weekend. “Ann,” a late-stage dementia patient, stared out her bedroom window. Her eyes focused on nothing in particular. As a hospice volunteer, I had been visiting Ann for three months. She spent our time together lost somewhere in her mind where I could never seem to reach her. I reminded Ann who I was and began one of our familiar conversation topics. As usual, she never spoke. As the visit went on, however, something changed. Ann slowly shifted her gaze toward me. I paused. She gently reached for my hand. Her hand felt weak, but her grip was firm. She looked into my eyes, and for a moment her face was clear with recognition. “You’re here,” she said. “…You are here.” She struggled to get out the words as she brought my hand to her face and kissed it. I was so touched I could not speak. For a moment, Ann connected with me. She trusted me. In that moment, I knew I had made the right choice.

A strong work ethic, cultural competence, compassion, and a desire to learn are a few of the personal qualities that have influenced me to become a physician. To achieve this, my current professional goals are to be accepted into the George Squared Special Master’s Program/Biomedical Sciences MS and to persevere and succeed in order to reach my specific career objective of gaining entry into medical school and becoming a family medicine physician especially to serve underserved and socioeconomically disadvantaged populations. Although growing up I may have lacked the role models and exposure to medicine needed to cultivate my desire to become a physician, what I had were personal examples of hardworking role models – my parents. With their

Adversity has only improved my tenacity, focus, endurance, and problem solving abilities. Various circumstances have affected my academic performance negatively, but I use that as motivation to continually improve myself. I want to be a part of the solution to the family physician shortage and serve the community in the most effective way. My drive to improve the lives of others will help propel me through the difficulties of medical school and beyond. The personal experience I have with my immersion in the field of primary care gives me unique characteristics that will translate into creating a successful physician that focuses on building meaningful relationships with patients. I continually witness how my grandfather is positively impacting the community through medicine and it is my goal to be granted an opportunity to do the same. My belief in lifelong learning and continual self-improvement consistently drives me towards the study of medicine. Because of my life experiences, I now have the balance, endurance, clarity, and tenacity needed to be a successful medical

I further supported my studies in biology and my interest of assisting the needy by volunteering at my hometown’s emergency room. While I did find that working at the emergency room constantly catered to my passion for knowledge about medicine, it was my trustworthy and compassionate nature that allowed me a heightened ability to interact with patients in a reliable and effective manner. I continued my desire by shadowing physicians in the many different departments of the hospital. However, since the marvels of the heart always left me in wonder, I found myself drawn into the life of a cardiologist. While shadowing him in his private practice, I had the chance to appreciate the responsibilities, commitment, and satisfaction of a career in

During my undergraduate career, I discovered further inspiration to pursue medicine while founding Texas Healthy Habits, a student organization. As an officer, I created engaging lesson plans and traveled to local elementary schools to teach children the importance of public health. When I revisited the schools, I was delighted to see that my lessons stuck with the children and they were already applying them to their daily lives. It became apparent that my lessons were helping kids make decisions that had a positive impact on their health. This opportunity revealed to me that I am drawn to a career in medicine because one of my long-term career goals is to be in a position that allows me to

I have taken stock of myself, considering my skills, experiences, and goals. I have looked to family and friends, some of whom are doctors, for advice. Because of this self-examination, I have decided to pursue a career in health care. The process has been difficult at times but always illuminating. Throughout it all, I have never lost confidence - the confidence that I will actively absorb all available medical knowledge, forge friendships with fellow students, and emerge from my training as a skilful and caring physician.