When Nick* initially came into our care, he’d already been seen by dozens of physicians, who across the board made a unifying diagnosis – Nick and his family suffered from hysteria, and his symptoms were nothing more than a manifestation of psychological illness.
Given his history, the attending physician delegated the case to me, thinking it would be a quick visit suitable for a medical student. Yet as I pulled open his chart to look at his latest imaging report, my hands began to tremble. "This has to be a mistake", I thought to myself as the resident physician and I quickly pulled up the MRI. As the images came into view, our doubts subsided at once. Littered throughout Nick’s brain and spinal cord was our answer. At only 9 years of age, Nick had advanced metastatic brain cancer.
As a medical student at Harvard Medical School and Boston Children’s Hospital, I’ve had the privilege of caring for hundreds of patients. And each of those patients has taught me invaluable lessons, not only in scientific and medical knowledge but also in empathy and understanding.
That’s why I was initially shocked when I opened Nick’s records and found previous notes repeatedly dismissing his symptoms and his parents’ concerns. Despite this, my residents gave me a simple yet sage piece of advice: give every patient the benefit of the doubt, because you never know the full story.
I walked over to Nick’s hospital room, sat down with him and his family, and let them tell me their story: about how Nick had been vomiting for months and how physicians at five different hospitals had all been unable to help. I learned how Nick was a star player on his basketball team before he began experiencing these symptoms. I even learned about the confrontation between Nick’s mom and a doctor at the previous hospital, who banned her after she repeatedly questioned his diagnosis and began seeking second opinions.
After nearly two hours, I collected my notes and let Nick and his family know that we would do everything we could to help him. In the end, it was only because I had obtained a complete history that a pattern began to emerge – Nick’s primary symptom was vomiting, but he also experienced an on-and-off headache that persisted for months. He also was weak – much weaker than expected. The team agreed something felt off and shortly after, we ordered Nick a head MRI, something no other hospital had previously done for Nick because “it wasn’t necessary”.
In the end, it’s Nick who helped me, teaching me the ultimate lesson in medicine – humility. At institutions like Boston Children’s, billions are spent on acquiring state-of-the-art medical technologies and performing cutting-edge research. Yet, in patient care, no technology is a substitute for humility - keeping an open mind, empathizing with patients’ experiences, and learning their stories.
As for me, I’ve decided to pursue a career in pediatric oncology and medical innovation to care for kids like Nick. Throughout my training, I’ve been blessed to receive world-class training in both medicine and scientific research. I hope to bridge these worlds, using my experiences in patient care to inspire my work in developing novel cancer therapeutics and to use my scientific background to provide for patients to the best of my abilities. As I pursue this career, I hope to bring with me the reminder that the most important job I can do as a future physician is to truly listen to my patients and understand their stories.