Bearing the Burden

Dylan Wentzel, M3, Class of 2025

It was an ordinary day on the Benign Gynecologic Surgery service, filled with routine cases and hurried movements. I had just finished assisting with the usual procedures when I glanced over my schedule and sensed that the upcoming case, a dilation and evacuation, was far from ordinary. This case was different—it carried a weight that set it apart.

The procedure involved a young couple who had recently suffered the devastating loss of their first child. As I met them, grief clung to the air. The wife, still immersed in sadness, was led to the operative area with tears streaming down her face. Stepping into the operating room, a palpable shift in atmosphere enveloped us; everyone acknowledged the profound significance of what we were about to undertake.

As the D&E progressed, we faced the solemn task of removing fetal parts from the uterus. It felt surreal, as if we were handling the fragments of a future that would never be realized. Sorting through the remnants of a life left me questioning the essence of this medical intervention—it didn’t align with my perception of medicine.

As the procedure neared its end, the attending physician seemed to grasp the internal struggle I, and perhaps any medical student, was experiencing. She took a moment to pull me aside and shared a perspective that resonated deeply: performing this challenging procedure was a means to spare the patient from the anguish of going through labor to deliver a nonviable child. She conveyed, “We bear this burden so our patients don’t have to.” In that moment, the realization struck me that this encapsulated the essence of medicine—an intricate balance of confronting hardships to help shield patients from unbearable realities.

While medicine encompasses incredible aspects, it also introduces challenges that test our resolve. There will be difficult days, but our duty is to bear burdens so our patients can navigate their struggles with as much ease as possible. The arduous moments serve a purpose—to make other lives a little better.

After the procedure, we approached the husband to reassure him. Witnessing the attending physician comforting him, she handed over a small piece of paper bearing the footprints of their lost child. It was a poignant reminder of the honor and responsibility physicians carry, being present in patients’ lowest moments. I walked away with a profound understanding of our duty—to share the weight of these moments with respect and reverence, embracing the privilege of standing alongside our patients during their most challenging times.

Sonder: A Call to Kindness

Hunter Hiegert, MS3, Class of 2025

A mob of doctors, an entourage of studentsEager to impress, chock-full of prudenceAs rounds persists, patient rooms fly byDespite their smiles, we don’t even say hi
 
And in the midst as I begin to wonderIn creeps the feeling of immense sonder.Countless lives unique from you and me.Limitless moments of hope, sorrow, and glee.
 
Stories untold, with lives unknownDreams fulfilled, yet candles unblownThe realization experiences are infiniteA potent sense of overwhelming belittlement
 
These fleeting thoughts, quick as a breathStill time marches, inevitable deathYet in this vastness, a purpose revealedTo live with kindness, a weapon to wield
 
Each life in need, a beacon of opportunityAwake each day, emit positivitySo no matter the duty, large or smallEmbrace humanity, our selfless call

A 24 y/o F

A 24 y/o F

Angela Gutierrez, M2, Class of 2026

I envision this as the captivating genesis of any HPI, or like the opening scene of a

standard case presentation, or when preparing ourselves for the narrative of a vignette leading to

a thought-provoking question. Fictional patients based on real people. However, unlike these

fictional patients, this is real. This is mine.

Continue reading “A 24 y/o F”

Diamonds in the Rough: Working as a Track Coach at an Inner-City High School while in Medical School

Diamonds in the Rough: Working as a Track Coach at an Inner-City High School while in Medical School

Liam Lynch, M2, Class of 2026

“Going to track practice every day was my escape from the monotony of medical school.
Going to track practice was their escape from things much worse.”

If you’ve met me, you know that running has been and will always be one of the most
pivotal parts of my life. It’s the reason I went to college, the reason for my drive and fortitude in
life, and an integral part of my daily routine. My yearly vacations center around where I’ll be
racing next and even my med school research revolves around running. In short, running is
intimate and intertwined with who I am.


Thus to me, nothing would be more worthwhile than giving back to the sport that has
gotten me to where I am today: Track & Field. We’ve all heard that volunteering in medical
school is one of the most crucial extracurriculars. Residencies will want to see a physician who
cares about their community and someone who gives without expecting anything in return. The
conclusion seemed natural; I was going to volunteer as an assistant track coach somewhere.


I reached out to many nearby Kansas City high schools: Shawnee Mission East, North,
and Bishop Meige. Bluntly put, these were the rich schools; they had the infrastructure and
funding to allow me to volunteer on a come-and-go basis. They didn’t need me at these rich
suburban schools but would take me and let me pad my resume.


Wyandotte was different though. Despite the strong, caring, and capable leaders I
encountered, decades of gentrification, rezoning, and defunding had led to its steady decline.
According to U.S. News & World Report, Wyandotte High School consistently ranks in the
bottom 20th percentile in all metrics for Kansas, ranking in the 2%, 3%, and 7% in math,
reading, and science proficiency, respectively. Freshmen make up 42% of their enrollment while
graduating seniors make up only 15%. The total minority enrollment is 98%, and 90% of
students are economically disadvantaged. Suffice to say, this school was very different from the
ones I grew up with and the other schools I was looking to volunteer at.


Wyandotte’s process was different, too. Head Coach Richie Bryant invited me for an
interview, which was something none of the other schools asked for. I figured that being an ex-
collegiate athlete turned medical student was qualification enough to volunteer—all the other
schools thought so too—but I agreed to an interview nonetheless. At the very least, it would
make my decision of where to volunteer easier.


I arrived at Wyandotte, passing the police officers and metal detectors stationed at the
entrance; it was already a stark difference from my own high school days. We went through
hallways displaying the trophies and banners of the school’s glory days that only those old
historic schools have. Then, after meeting Coach Keegan and Mr. Black, we sat down in the
bleachers of their basketball gym.

Continue reading “Diamonds in the Rough: Working as a Track Coach at an Inner-City High School while in Medical School”

Community: then, now, and there

Emily Casteen, MD Class of 2026

As a Narrative Editor of Med Intima, I have the privilege of sharing the experiences and stories of members of the KUMC community. I’m so grateful for my classmates in Group 23 who sat down with me to reflect on their own journeys finding community during M1 year. Their vulnerability and courage are an inspiration to me! Above all, this piece seeks to remind us that we are not alone. 

Continue reading “Community: then, now, and there”

My Interventional Radiology Shadowing Experience

Samira Shorey, MD Class of 2026

“Honestly, it’s just a fun little blog post! I like keeping track of my experiences, perspective on medicine and specialties on my blog. I wanted to share it with others.”

This Monday, I jumped out of bed with unbridled excitement. I turned on some funky music and started getting ready to shadow an interventional radiologist.

Why was I so excited? Well, I had it in my mind that IR was the perfect specialty for me. It’s radiology + hands on procedures – two things I loved. You could not go wrong with that, I thought.

Continue reading “My Interventional Radiology Shadowing Experience”

A Little Death

Lindsey Glass, M.A. Speech Pathology, Class of 2024

I remember it clearly; the realization of what death was. Every living being dies. That meant the most important person in my life, my mom. I was around the age of four and realized my mom would die someday. The absolute disbelief and devastation. I threw myself on the kitchen floor, completely inconsolable. My mom comforted me. I do not remember what lead me to this realization, perhaps our pet hamster had recently passed. But my mom? She would die someday. This could not be. I refused to accept this fact. Eventually, after much of her kind and soothing words, she comforted me, and I moved on. This was part of life and I had to accept it. Now at the age of 32, honestly, I do not think I really accepted it, especially my mom dying someday.

Continue reading “A Little Death”

The Way We Remember

Cecile Hermanns, M1, MD Class of 2026

I met RM in September of last year. We were paired together as part of a yearlong program where medical students meet with dementia patients and learn from their experience. We ended up meeting in her kitchen on Saturday mornings, sitting at the kitchen table and drinking coffee.

RM has early-stage dementia. She was able to tell me about her life and remember details about mine. I received some phone calls about our plans – what cookies had we decided to bake? When was I out of town? – but overall, our conversations were like any others. Except I was surprised by the depth of familiarity we reached with one another in such a short time, the way she felt comfortable sharing anything and everything with me. As a medical student I could tell that I was perceived as someone confidential, a person to confide in and trust. 

Continue reading “The Way We Remember”

Scripted

Adam Wilson, M1, Class of 2026

            I love theater. I participated in my high school’s drama club, and each year I go see a few plays and musicals in KC. There is something magical that happens on stage—human ingenuity creates dazzling sets, talented actors and actresses draw me into their worlds with wonderful performances, and beautiful music ferries me through the show. And when I was asked to come back to my high school to teach the tech crew how to operate the sound and light boards, of course I had to help.

            Returning to theater gives me a chance to reflect on what lessons and parallels I can draw. Most salient to me is the process by which characters are made legible (made comprehensible) on stage, and how I make myself legible to others by playing a script that others can understand based on notions of familiarity and acceptability. For example, in the case of many members of my former high school’s drama club, they must make themselves and their lives legible in a limited range of forms to access scholarships and better education on their college essays. I play the part of a medical student; therefore, I must play it adequately by exuding confidence and competence. If I were to falter at playing this part, I would expect some derision from my peers based on previous experiences of failing at playing my roles appropriately.

 “What have I done to myself to make myself more legible?” I often ask myself.

Adam Wilson, M1, CLass of 2026
Continue reading “Scripted”

Finding a Friend, Finding a Home

Emily Casteen, M1, Class of 2026

The blizzard smothered the squeaky old subway as it slowly pressed toward the station. Nighttime had arrived, and the darkness was brightened only by a bit of shimmer from the ice and snow that stubbornly prevailed against any shovel. I rested against my cold, hardened seat, ready to enter this frosty wonderland with a new sense of excitement; I was going somewhere new. Comfortable in my alone-ness, I was quickly awakened from this slumber as I exited the station. I was lost in the city with every street sign covered in a white blanket that chilled me to my core. 

Not long later, a shadow made itself out to be a friendly face, a fellow lost traveler. “Where’s the door?!” she shouted, her voice rising above the gusts. Traversing together, we found not only the door but also a piping hot pizza waiting for us inside; we had finally arrived. Thawed by the pepperoni and the conversations of those around me, I warmed up to folks who would become close friends—the kind that have you over for dinner and make their home your home—and experienced the deepest joy as I opened my life up to these new people. 

Continue reading “Finding a Friend, Finding a Home”