Tales from the Clinic: from Theory to Practice

There is nothing to fear but fear itself.

Kylie Miller and Issac Schwantes take a break from their fairly new clinical duties to let Gabe Conley and Erik Kneller know how it’s going working with actual patients. What unexpected things have they learned? Were their professors really correct when the said that arcane bit of information would actually be useful in the real world? Were their fears (whatever they were) realized? Would they rather grandma puke every time they broke wind, or have a shingles outbreak whenever they get a passing grade or better in medical school? Dave assures them: these are the questions listeners want answers to.

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Refusing to Treat: A Collision of Medicine and Conscience

Do doctors need protection from having to provide treatments they don’t believe in?

During Human Rights Week at the Carver College of Medicine, we heard some hard truths from national news commentator, human rights activist, and podcaster Angela Rye. In her speech to the College of Medicine, she clued white people in on what black Americans face every day in 2017.  She also pointed out that Martin Luther King, Jr’s “I Have a Dream” speech was just the beginning of his activism.  Meanwhile,  Mackenzie Walhof, Joyce Wahb, Claire Casteneda, and Gabe Conley discuss the department of Health and Human Services announcement that it would be forming a department to protect doctors from having their religious rights infringed. Do doctors need protection so they can refuse to treat as a matter of conscience?  Or do they self-select what they do and don’t do by where they practice and what they specialize in?

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A Creeping Eruption

A 40-year-old male presents to his family physician with a pruritic, erythematous lesion on his foot after returning from vacation in coastal Brazil a week earlier. On examination, a serpiginous, slightly elevated tunnel can be seen on the lateral aspect of his left foot. He is otherwise well, but mentions that the intense pruritus is disturbing his sleep. Which of the following treatments is the next best step?

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Checking the Boxes: Should You Give Up Your Job To Do Research?

Sometimes the requirements aren’t required.

Annie wrote in to [email protected] to ask Kaci McCleary, Erik Kneller, Gabriel Conley, and Marissa Evers if she should give up her 10-year job as a radiology tech so she’d have time to do research before applying to medical school. As is often the case with these kinds of questions, the answer is no! But maybe yes. In some cases.

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Quiz of the Week: Painful urination, a swollen knee, and eye pain—what’s the cause?

A 31-year-old female presents to the emergency department with a two-day history of pain on urination and discomfort in her left knee and heel. She also complains of right eye pain, which is exacerbated by reading and bright lights. She recently recovered from a gastrointestinal illness two weeks earlier, but is otherwise healthy. Examination reveals a swollen left knee that is warm to the touch, and tenderness at the insertion point of the left Achilles tendon. Her right eye is red, and she has direct and consensual photophobia. Cells and flare are noted in the right anterior chamber on slit lamp examination. Based on this patient’s probable diagnosis, which of the following cutaneous manifestations is most likely?

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Making Clerkships Work

Are clerkships a grind, or a boon?  It’s up to you.

The second-year students are moving from the pre-clinical curriculum to the clerkships this week. This transition is exciting—after all, seeing patients is what they’ve come to medical school to do, and now it’s finally happening.

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