Sayra in Psychiatry

SAYRA NIETO GOMEZ UMKC MEDICAL STUDENT

As a junior in high school, I watched a documentary about the Himalayan Cataract Project and completely fell in love with ophthalmology… or so I thought. The idea of restoring sight for the most impoverished felt like a calling with a spiritual essence. I, therefore set out to be as competitive an applicant as others told me to be. I was accepted into a minority opthalmology program, networked my way through conferences, met a mentor in California who invited me to work with her, and was accepted into a global ophthalmology research program. My dream was becoming a reality, yet something didn’t feel quite right to me. In my free time, I enjoyed reading about psychology, PTSD and neuroplasticity. However, no titles read “Ophthalmology.” My clinical rotations guided me toward psychiatry quite inadvertently. When others focused on COPD management secondary to tobacco use, I entertained the idea of maladaptive coping mechanisms, maybe abuse? As some complained of noncompliance, I analyzed a patient’s true reliance. Sometimes, the unconscious goal was a secondary gain for more human interaction. When a patient’s life was filled with loneliness, they simply needed a distraction. Much like a fundoscopic exam magnifies pathology, I peered deep into the psyche of who they were, they are and want to be. The beauty of life’s complexities was coming into focus. Yet, I was blinded by the goal of ophthalmology. God, what was my prognosis? Upon deeper speculation, in the pursuit of ophthalmology was an internal hesitation. To refute was my main motivation.

But with psychiatry: I felt the exhaustion of the older female with insomnia. For the teen with chest pain and normal workup, I felt her tachycardia. I felt the distractibility and frustration of the young schoolboy. The man hospitalized for SI – I felt his lack of joy.

I understood their experiences at a much deeper level because, in some form or another, I had lived it, learned it from my mother. It took facing, unlearning and relearning to overcome adversity. I’m grateful for my hardships. They tell me where I need to be. “Sayra in Psychiatry” The thought led to the resignation of my previous declaration.

I now desire to heal the blindness of one’s mind. In psychiatry, medical management treats physically, while patience and passion heal humans quite holistically.

I see my people walking blindly. Their children’s children following footsteps, learning who to be. Undiagnosed parents and kids always saying they’re okay, but at the same time struggling. One day, I will see the stigma and the facade crumbling.

For now, I see my footsteps as a foundation. And my melanin, a light for the next generation.


I Have a Dream

KATE BURNES UMKC MEDICAL STUDENT

Abstract painting of Martin Luther King Jr. during his "I Have a Dream" speech. Shades of blue, purple, white and black are used.
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This painting captures a photograph of Martin Luther King Jr. when he gave his “I Have a Dream” speech during the March on Washington in August 1963. In his speech, Dr. King challenged the nation to end racial discrimination and uphold the values of freedom and justice for all. As future physicians, we must have a dream to not only provide medical services, but to provide equitable care for all patients.

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