Two things I want to talk to y’all about to #MedStudentTwitter especially #premed #PreMedTwiter
1/20 I have a close family friend. So close, that blood couldn’t make us any closer. In fact we all called him baby brother. We’ve been inseparable since middle school.
2/20 We did the same activities. We lived streets away from eachother. Our houses were literally an open door policy. If he saw a car in the driveway, it was always “let me stop by and see what everyone’s up to.” I would tell my mom “yo, I’m about to walk to X’s house.”
3/20 We both were on the debate team. So we traveled a lot together for school. I was captain—Kids complained that I treated him special. I did. Outside of debate, he was also very athletic. So we went to every type of game he had.
4/20 Starting college (I moved to NC), I started missing out on more things. His prom, his tournaments. He signed to an Ivy League for football, and I missed signing day. And soon it was the same for him as he went to college. But we’d come home for breaks and live it up.
5/20 Some summers I didn’t come home (taking pre-med courses, internship, etc). Then I came home for some post-back courses and grad school. He’d come home after graduating as well. Everything was back to normal.
6/20 We both got busy. He was in finance. I was in science, and applying to medical school. He was finally moving to LA for work and I remember crying because it was my little brother getting his first career job.
7/20 Shortly before I began med school he had a traumatic brain injury. Someone found him on the street unconscious/bleeding. His body was foreign to us all. He was a 6’4, pure muscle, charismatic person. Now he was voiceless, dependent, helpless. But we were happy he survived
8/20 Over the last 3 years he was taken care of. Everytime I came home, I saw him. Talked to him. Showed him pictures, videos, replayed songs. And the best thing about it was that he was improving.
9/20 He knew who I was. Remembered songs we play over and over. Could recall facts before his TBI. Slowly eating on his own, maneuvering his electric chair. He had bad days, even months. I would call to stop by “Rita, today’s not a good day”. But he was making steady progress.
10/20 2 days ago, his sister calls me. Which I knew was weird because we’re a FaceTime-typa family.

The combination of possibly aspirating food followed by seizure left him pulseless. And unresponsive to 30 minutes of CPR.
11/20 I was screaming at her. “What are you saying!? What are you saying!?” I already knew the answer because she had told me to sit down. He had passed away.
12/20 I’m sharing this story because these are unforeseen events that not only happened while I was in medical school, but during the biggest pandemic I’ll probably know during my lifetime.
13/20 We had been released from clinical duties and all my classmates drove home. But I stuck around because being an out-of-state student meant home required a 1hr30min trip to the airport, in a city thats a growing hub for COVID.
14/20 After the phone call, I packed my bags. At 2am I got on the road and drove straight home. 18hrs in one shot. When I finally laid down, I cried the whole night.
15/20 Another reason for this thread is to highlight something that I’ve always told premed students. If you’re in it because your parents want you to be a dr or for a lucrative career or some other external motivation, let me tell you now. Medicine is not worth it.
16/20 For many, medicine is what patches us together. It brings us joy; gives us purpose. But I’ve seen it also be the thing to tear you down. The schedule, the demands. Death. If the motivation isn’t genuine, it’s not worth it
17/20 I knew this field required sacrifice. But putting on a brave face, when all you want to do is break down...

I know an ER doc whose family has moved in with her parents so she doesn’t infect them with COIVD. She FaceTimes her daughter goodnight.
18/20 In the 3 years I have been in school, my mom has completely lost her vision, I’ve lost my uncle. My father died right before Step 1 studying. And now I’ve lost my brother. Yet amidst all of that, the world kept spinning and medical school kept going.
19/20 Last reason for this thread: understand there’s a balance between the location of your medical school and the location of your support system. Although I love where I’m at, medical school is stressful. Imagine having no one to calm your lows + celebrate your highs.
20/20 Had a lot of reflection during my drive. Thanks for letting me share some. I hope this perspective is useful #premedtwitter. I hope everyone is doing ok during this time. All the health. All the love.
You can follow @AsuquoRS.
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