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

The tension between learning and the illness of others

Nathaniel Fleming
Education
July 9, 2019
Share
Tweet
Share

Every doctor and doctor-in-training has a particular thing that drew them toward a career in medicine. Whether it is an interest in science, a passion for service and helping others, a family role model, or a combination of the above, there are many ways to spark interest in the field. From my own experiences and conversations, I’ve found that finding inspiration to enter a career in medicine is rarely a problem. The challenge, rather, is reconciling that inspiration with the reality of taking care of patients.

For me, one of the things that pulled me toward medicine was my study of neuroscience in college. I loved neuroscience because of how personal it felt: it placed a scientific lens on aspects of behavior that I had been living with my entire life. In the old days, our knowledge of neuroscience came almost entirely from studying people with diseases or injuries of the brain. There were so many fascinating stories: for example, I remember reading about a man who was literally living 20 years in the past because he had severe anterograde amnesia and was completely unable to form new memories. The curiosity about those stories was part of what encouraged me to continue into neurology as a career.

In medical school, seeing patients with the diseases that I had read about was indeed an incredible experience academically, but it was difficult emotionally. The disease was no longer represented by a nameless and faceless being, where it was easy to focus on the science.

Having a real person in the hospital bed made it personal. I met people with amnesia, and instead of the science, I saw only that their human essence had been stolen from them, and that they had been stolen from their families, ideas that I had never been forced to reckon with as a college student in a classroom. In the hospital, it was not the gaining of knowledge, but rather the loss of livelihood, that dominated the faces of chronic illness.

This tension between our learning and the illness of others can be a strained and uncomfortable one at times. We need to see a great deal of sickness and disease for our own learning, but we also hate to see people suffer through illness. We are taught to think of “high volume” as a good thing, because it usually translates into more experience for us. To be honest, however, there are days when we wish for the lowest of volumes –we would rather that nobody in the city, or even in the world, were suffering, even knowing that we would miss out on our training.

Many of us, doctors or not, go through a similar reckoning at some point in life, as we move from the abstract to the concrete and are forced to match our dreams with reality. In medicine, it feels particularly acute, given that we deal with matters of life and death, and problems that get at the very heart of the human condition. During that process, a little bit of the fun is lost; but in the end, it also makes us stronger as people and as physicians. Not only can I maintain an excitement for learning while also having empathy for a patient’s condition, but the empathy actually drives the quest for knowledge, leaving behind a more motivated and resilient physician.

Nathaniel Fleming is a medical student who blogs at Scope, where this article originally appeared.

Image credit: Shutterstock.com

Prev

Despite the talk about team-based care, physicians today are isolated

July 9, 2019 Kevin 3
…
Next

Not all ambulance rides are emergent

July 10, 2019 Kevin 2
…

Tagged as: Hospital-Based Medicine, Medical school

Post navigation

< Previous Post
Despite the talk about team-based care, physicians today are isolated
Next Post >
Not all ambulance rides are emergent

ADVERTISEMENT

More by Nathaniel Fleming

  • You’re lucky to have a medical student in the family

    Nathaniel Fleming
  • 3 things I wish I had known before starting medical school

    Nathaniel Fleming
  • Why medical students need more continuity of care training

    Nathaniel Fleming

Related Posts

  • When learning medicine is not enough

    Hanna Saltzman
  • How the science of learning salvaged my college career

    Elijah Hamm
  • The difference between learning medicine and doing medicine

    Steven Zhang, MD
  • To the third-year medical students who feel like they aren’t learning anything

    King Pascual
  • Dealing with the pressures of learning as a physician-in-training

    Linda Nguyen
  • 3 lessons I’m learning about practicing medicine

    Klaus Kessel

More in Education

  • Dear July intern: It’s normal to feel clueless—here’s what matters

    Tomi Mitchell, MD
  • Why medical schools must ditch lectures and embrace active learning

    Arlen Meyers, MD, MBA
  • Why helping people means more than getting an MD

    Vaishali Jha
  • Residency match tips: Building mentorship, research, and community

    Simran Kaur, MD and Eva Shelton, MD
  • How I learned to stop worrying and love AI

    Rajeev Dutta
  • Why medical student debt is killing primary care in America

    Alexander Camp
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician
    • The truth about perfection and identity in health care

      Ryan Nadelson, MD | Physician
    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | 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

Leave a Comment

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

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician
    • The truth about perfection and identity in health care

      Ryan Nadelson, MD | Physician
    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | 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

Leave a Comment

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

Loading Comments...