Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

How a symbol influenced this patient encounter

Christel Wekon-Kemeni
Education
February 1, 2018
Share
Tweet
Share

I lightly knocked on the door of the next patient that I was set to obtain a history from. It was late in the morning in the middle of the week, and my mind was becoming increasingly preoccupied with deciding what to eat for lunch. My preceptor had allowed me to practice my history-taking skills with every patient that had an appointment with her that morning and had also given me the opportunity to report back to her with the information I collected before she saw the patient herself. It had been an awesome experience so far.

After hearing a low-pitched “Come in!” I opened the door, stepped into the room, greeted the occupants of the room with an enthusiastic, “Hey, how are you?” and was instantly smacked with the pungent, putrid odor of cigarette smoke. I made a conscious effort not to wince. I then closed the door behind me and faced a Caucasian family of five that consisted of a father, a mother, and three young children. The parents were on the opposite side of the small room, sitting in two chairs that faced the door I just walked through. Two of the children were playing around with toys on the floor, and the patient was sitting on the bed. The patient, a boy who looked to be slightly younger than ten, looked a bit frail and thin. He was also wearing clothes that almost fit the description of a hunter: camo pants, tan boots, a dirty orange long-sleeve shirt, a camo jacket and a cap.

While I was scanning the room, I had been quickly preparing the automated spiel that I routinely had given to every family I had seen so far throughout the week. I was about to begin speaking … until my eyes rested on this boy’s cap. They froze on his cap for less than two seconds, but the symbol on it ferociously seared thru my eyes in what felt like an eternity.

What I saw on his cap smacked me 10x harder than the putrid stench in the room did just a few seconds ago.

I simultaneously felt my stomach abruptly churn, and my face get warmer as my blood began to boil.

Stitched on his forest-green cap was the symbol of the Confederate flag.

I immediately became conscious of my reaction and quickly turned to his parents in order to appropriately introduce myself and to ask permission to interview both them and their son in order to practice my history-taking skills. They unenthusiastically agreed, and I sat down in a chair in order to begin my line of questioning. I smiled at the boy and asked how he was doing. He responded with an indifferent, “Fine.” I then began to ask him the usual questions essential for an HPI (history of present illness), but I couldn’t take my mind off the fact that he was wearing a symbol that I felt characterized a tradition filled with rebellion and hatred.

What troubled me even more was that as a kid, he had already been exposed to and taught to support what the Confederacy stood for. Granted, I may have been making unfair assumptions about him and his family, but these were the initial thoughts that ran through my mind. I’m happy to say that both he and his parents were respectable and that I treated them like I treated every other family that walked in that clinic.

As the interview continued, I learned that he had chronic asthma issues that needed continued treatment and I found that I was internally becoming increasingly frustrated with the fact that this kid’s problems were being exacerbated by the fact that his parents smoked cigarettes. And from the smell of the room, they didn’t seem to be light smokers either. I then wondered if my rapid onset of frustration was also linked to the fact that this family endorsed the principles of the Confederacy.

After taking a quick history, I thanked them and let them know that I would return with the doctor in a few moments. I then left the room, gratefully expanded my lungs with some relatively fresh air, and proceeded to report my gathered information to my preceptor. However, my mind was racing.

Did a symbol really just influence my whole interaction with this family?

Were the assumptions I made unfair to them?

What did they make of a black, first-year medical student unexpectedly entering their room and asking questions while they were waiting for their doctor?

ADVERTISEMENT

Why did the boy’s parents continue to smoke, knowing that it was having a very negative implication on their child?

Have they tried to quit smoking?

Do they realize how much pain the Confederate flag brings to certain people?

Will the boy grow up to respect the Confederacy and will he pass its teachings to his future offspring?

The questions kept coming, and I had no way of getting most of them reasonably answered. Here I was, internally flustered by a simple symbol on a child’s cap. As a doctor, I will have to adequately treat and care for patients that have beliefs and values that stand in sharp contrast to mine. It will be a difficult skill to acquire, for some of these future patients may be disrespectful towards me or even refuse treatment from me. I always tell myself with full faith that I will be able to perform my job dutifully whenever those instances arise. Yet here I was, a grown man, agitated by a simple symbol on the cap of a child who was respectful towards me.

Christel Wekon-Kemeni is a medical student who blogs at Black Man, M.D.

Image credit: Shutterstock.com

Prev

Doctors must take a stand and force the government to cancel MACRA

February 1, 2018 Kevin 37
…
Next

I don't know if this test will save your life

February 1, 2018 Kevin 1
…

Tagged as: Pediatrics

Post navigation

< Previous Post
Doctors must take a stand and force the government to cancel MACRA
Next Post >
I don't know if this test will save your life

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

Related Posts

  • Ironically, our first assigned patient encounter as medical students would be a corpse

    Lauren Joseph
  • Medical education must be patient-centered

    Christian Rubio
  • Osler and the doctor-patient relationship

    Leonard Wang
  • Treating the patient’s body is not synonymous with treating the patient

    Steven Zhang, MD
  • A letter to my first patient

    Lindsay Fleischer
  • A universal patient medical record

    Michael R. McGuire

More in Education

  • From burnout to balance: a lesson in self-care for future doctors

    Seetha Aribindi
  • Why young doctors in South Korea feel broken before they even begin

    Anonymous
  • Why medical students are trading empathy for publications

    Vijay Rajput, MD
  • Why a fourth year will not fix emergency medicine’s real problems

    Anna Heffron, MD, PhD & Polly Wiltz, DO
  • Do Jewish students face rising bias in holistic admissions?

    Anonymous
  • How dismantling DEI endangers the future of medical care

    Shashank Madhu and Christian Tallo
  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • How kindness in disguise is holding women back in academic medicine

      Sylk Sotto, EdD, MPS, MBA | Conditions
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How kindness in disguise is holding women back in academic medicine

      Sylk Sotto, EdD, MPS, MBA | Conditions
    • Why physician voices matter in the fight against anti-LGBTQ+ laws

      BJ Ferguson | Policy
    • From burnout to balance: a lesson in self-care for future doctors

      Seetha Aribindi | Education
    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why young doctors in South Korea feel broken before they even begin

      Anonymous | Education
    • Measles is back: Why vaccination is more vital than ever

      American College of Physicians | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 8 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • How kindness in disguise is holding women back in academic medicine

      Sylk Sotto, EdD, MPS, MBA | Conditions
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How kindness in disguise is holding women back in academic medicine

      Sylk Sotto, EdD, MPS, MBA | Conditions
    • Why physician voices matter in the fight against anti-LGBTQ+ laws

      BJ Ferguson | Policy
    • From burnout to balance: a lesson in self-care for future doctors

      Seetha Aribindi | Education
    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why young doctors in South Korea feel broken before they even begin

      Anonymous | Education
    • Measles is back: Why vaccination is more vital than ever

      American College of Physicians | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

How a symbol influenced this patient encounter
8 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...