From squiggly lines to pretest probabilities

1:36 PM

Author | Joyce Loh

"I think it's that squiggly line." We stood huddled around a laptop in one of the library group study rooms, puzzling over one of the lecture slides, unable to tell which pink blob in the sea of pinkish-red lines in the microscopic slide was the red neuron. While racking our brains over the image, someone jokingly said, "I can imagine us looking back at this moment and laughing about it." And he was right, somewhere in the whirlwind of our third year, a pink blob of cells had transformed from a meaningless jumble of shades of pink on a page to a meaningful decision on treatment choices.

                              Celebrating the end of M3 with friends

© Copyright 1995-2024 Regents of the University of Michigan

This transition has been bumpy at times – from struggling to navigate through an electronic health record on my first rotation only to scramble to learn a new system at a different facility, to deciphering medical acronyms, nervously presenting during clinical rounds, to trying to avoid contaminating sterile fields during surgical rotations. Nonetheless, at the end of my third year, the way I think about medical problems has fundamentally changed.

Yet I have to say, the more medical knowledge I learn, the more distant the memory of what it is like to be on the other side of the doctor-patient relationship - the side in which clinical outcomes and pretest probabilities do not automatically pre-populate and everything is a terrifying unknown.

"Joy, come over here for a minute," my mom anxiously calls from downstairs. Her face had rapidly become swollen and increasingly itchy over the course of half an hour. It was a textbook case of hives (likely due to consuming some shrimp). "Take some Benadryl," I unconcernedly counseled. The swelling eventually went down. Seeing my mom's worried expression, it belatedly occurs to me that only a few years ago even the most benign conditions appeared threatening to me too.

Starting med school, I was overwhelmed by the colossal amount of terminology I didn't understand. At that time, I remember our doctoring faculty smilingly telling us to treasure the moment. We would eventually become so accustomed to using medical jargon that we would forget what it was like to be a layman. He was right - we've come so far that it is hard to recall exactly what it was like to be us a year ago! Within a course of a year, once indecipherable squiggly lines have unscrambled into a message.

 

Media Contact Public Relations

Department of Communication at Michigan Medicine

[email protected]

734-764-2220

Stay Informed

Want top health & research news weekly? Sign up for Health Lab’s newsletters today!

Subscribe
Featured News & Stories Smiling portrait of Philip and Myrna Fischer standing together in a formal setting.
Philanthropy News
Benjamin M. Hampstead Named Philip B. and Myrna R. Fischer Research Professor of Neurology
Benjamin Hampstead, Ph.D., the Philip B. and Myrna R. Fischer Research Professor of Neurology at U-M, advances Alzheimer's disease research.
drawing on orange background of colorful pills floating with body parts in them in pain
Health Lab
Cerebral palsy medications given to adults may not match needs
Prescribing medications that treat the most obvious parts of adult cerebral palsy pain and symptoms without examining for the underlying cause is a common experience for adults with cerebral palsy. This means that proper treatment is being overlooked and these medications can cause further complications later in life.
Department News
Congratulations to Sarah Steiner
Congratulations to Sarah (Pierre Coulombe Lab) on her induction into the U-M chapter of the Edward Alexander Bouchet Graduate Honor Society.
Kelly Beharry headshot
Points of Blue
Kelly Beharry, MD/MPP student: Transforming compassion into lasting change
University of Michigan medical student Kelly Beharry found her path at Michigan, where she is learning to become a physician and champion for child health equity and human rights.
two older people taking blood pressure over breakfast
Health Lab
To keep high risk patients out of hospitals, at-home monitoring shows promise
Remote patient monitoring at home was associated with a major reduction in hospitalization in high risk patients.
sneezing woman with flowers in background red shirt
Health Lab
Why your seasonal allergies may be worse this year
A Michigan Medicine allergist explains why allergy seasons are getting harsher and how to treat symptoms.