- Joined
- Apr 17, 2006
- Messages
- 232
- Reaction score
- 0
Panda Bear said:As I am at Duke I can sing Kumbayah with the best of them.
I wager your patients love you mate.
Panda Bear said:As I am at Duke I can sing Kumbayah with the best of them.
aliziry said:I wager your patients love you mate.
Panda Bear said:Oh they do. Many of them have expressed dismay that I am leaving in June as they say I am the first doctor they have ever had who treats them with respect.
But part of that is not patronizing them or treating them like helpless children. I also don't adopt that irritating pretend compassion which is de riguer nowadays. You know what I'm talking about. Indigent or not, disadvantaged or not, sometimes your patient is just coming in to have his blood pressure meds tweaked a little and does not need the full monty of compassionate caring. Sometimes they just want to be treated like real people and not a member of a monolithic ethnic or social class which is also fashionable around here.
I had some bad experiences years ago telling people (lots of condescending looks and equating me to my father) so I think this whole process made me feel much more comfortable talking about it (I guess I actually accepted it) even with interviewers who didn't read my file before. I never got ANY negative reactions from interviewers where it was brought up. Before I would avoid/change the subject. Although I have experienced the stigma the general population has against people on governmental assistance and criminals (which sadly extents to their families many times) everyone just commented on my tenacity and never pushed the subject.michjen23 said:THANKS for making my day! It was so nice to hear there is another premed student out there who has a parent in prison, who felt the same angst about it being looked down on by people. I never told any of my friends in college about my parents for that reason, only my very best friend knew. I completely agree with you about trying to use that space to explain away a confusing family situation without letting it take over my application, and of course instead of scaring some poor interviewer. I am so relieved it went so well for you, and that you didn't get any harsh reactions.
aliziry said:I agree but the key word is sometimes. Not everyone from every group is the same. Are all whites rich. Are all blacks poor. No. That is my point. The ADCOMS will see whos full of bollucks and whos not.
Panda Bear said:Oh they do. Many of them have expressed dismay that I am leaving in June as they say I am the first doctor they have ever had who treats them with respect.
But part of that is not patronizing them or treating them like helpless children. I also don't adopt that irritating pretend compassion which is de riguer nowadays. You know what I'm talking about. Indigent or not, disadvantaged or not, sometimes your patient is just coming in to have his blood pressure meds tweaked a little and does not need the full monty of compassionate caring. Sometimes they just want to be treated like real people and not a member of a monolithic ethnic or social class which is also fashionable around here.
chandelantern said:I'm not trying to argue, but your comments on this thread do not elude to you caring at all about your disadvantaged patients. From what I remember while reading your posts, you said stuff like "hopeless crack heads" and "keep them in their place" and that they have no ambition (which sounds like you think they deserve to be in the positions they are in or at least it is their own fault if they don't rise out of it.) You may be able to provide adequate care for these individuals, but all I have witnessed from your posts is arogance.
Panda Bear said:I guess my point is that you will eventually encounter many patients who will not succumb to the compassion algorithm they will cram into your head over there at Mayo.
You will realize this when you watch some earnest young resident lecturing a hoary old recalcitrant doper who was shooting heroin before you were born about the need to change his ways.
Panda Bear said:I guess my point is that you will eventually encounter many patients who will not succumb to the compassion algorithm they will cram into your head over there at Mayo.
You will realize this when you watch some earnest young resident lecturing a hoary old recalcitrant doper who was shooting heroin before you were born about the need to change his ways.
chandelantern said:I can tell your very passionate about this issue and I'm sure I sound like an optimistic with blinders on to the rest of the world. I am not disagreeing with you that individuals who are in these positions will likely never change their ways, but I still feel they deserve respect as human beings. I know I haven't seen half of it, but my father is an alcoholic and drug user and I have worked at a community clinic where there are many people who have similar lifestyles (one clinic solely for iv drug users). I agree that lecturing them on how bad drugs are and yada yada isn't going to probably make a difference - but harm reduction can. what about using clean needles? reducing the spread of infectious diseases? if it was entirely hopeless, why do you devote your time and energy?
Sorry to the OP - this has deviated far from your initial question.
sjmirror said:my question concerns the AMCAS application that asks about "disadvantaged status". to be brief, i'm currently a sophomore a top private school (HYPS), on basically close to a full ride (need based scholarship). ive taken the mcat already (long story why), and got a mid 30s score, however, my gpa is in the lowish 3.4 range. im indian.
im thinking ahead to the application, having just seen a copy of last year's, and am not sure whether i should put myself down as disadvantaged when i apply. i grew up in a single parent household (father was estranged; dunno where he is now), mom is a computer administrator. my family got food stamps while i was in elementary and middle school, etc, etc, until my mom got her computer programming degree and got a job. amcas' criteria for disadvantaged status seemed to be strictly that - if your family ever good food stamps, welfare, etc, then you should put it down.
i would want to writethis down if it lets the adcoms get a fuller picture of my background, but i dunno if they will think that im no longer "disadvantaged" because of the school i attend; and thus perceive me as dishonest or something. in that case, i would should just not bother and not discuss it at all.
so i guess my q boils down to, that perception is probably a very subjective thing. my siblings have done pretty well despite our background; all went to top colleges, etc. ive done alrite in college too - i even have a summer job now at a biotech private equity firm because of connections ive made in college. these are not the things that typically characterize someone who is poor. yeah, i was hella poor growing up (and still am, actually), but does going to a private school, etc, partaking in all of its opportunities, disqualify me from still writing about my background?
thanks all.
chandelantern said:I can tell your very passionate about this issue and I'm sure I sound like an optimistic with blinders on to the rest of the world. I am not disagreeing with you that individuals who are in these positions will likely never change their ways, but I still feel they deserve respect as human beings. I know I haven't seen half of it, but my father is an alcoholic and drug user and I have worked at a community clinic where there are many people who have similar lifestyles (one clinic solely for iv drug users). I agree that lecturing them on how bad drugs are and yada yada isn't going to probably make a difference - but harm reduction can. what about using clean needles? reducing the spread of infectious diseases? if it was entirely hopeless, why do you devote your time and energy?
Sorry to the OP - this has deviated far from your initial question.
sjmirror said:haha, its ok. its just annoying to have to read over panda's posts, he sounds like a huge douchebag and a pretty crappy doctor.
Panda Bear said:Who says I don't respect them as human beings? I'm just pointing out that many who live at the bottom of society are locked in a pattern of behavior from which they will never escape unless we either declare martial law and force them to clean up at gun point or spend a small fortune for every patient to track, feed, medicate, and physically restrict them from access to drugs.
Even then they will find a way to indulge their habits. As you will find out, the drug addict who can't scrape bus fare to get home after you discharge him is resourceful enough to support a 400 dollar a week drug habit. Just shows you what you can do when you are motivated.
dbhvt said:Panda,
I am a little confused. The conversation may have reached a different topic now, but it seems like, for you, the population is composed of two types of individuals. 1) disadvantaged crackheads-- the members of the mostly immobile underclass. We have compassion for these people and would love to help them improve their lot, but realize it is pointless because they are in an intractable position. 2) not disadvantaged noncrackheads--people with the personal resources and motivation to work for a goal that involves delayed gratification. If you happen to be one of those rare individuals who would have been placed in group 1, but somehow managed to get into group 2, you were in group 2 all along and don't deserve any extra help or applause for what is not an incredible acheivement, but some confusion as to what group you originally belonged to.
Did I get this right?
Panda Bear said:No. You got it wrong and you are confused. The population is mostly composed of normal people with the usual fund of talent and ambition most of whom are fairly happy with life except that when you and I see them they have varying degrees of illness which depending on the severity are things they will either get over or will end up killing them.
And no, I am not a cheerleading squad and you don't deserve any applause for the incredible achievement of making good decisions. This used to be sort of expected of people. The fact that making good decisions is neither required nor expected is more a symptom of the general decline of common sense in our approach to the underclass and a very good reason why so many people are locked into it.
Now, you can get all indignant and huff and puff and throw your politically correct platitudes around but you'll see what I'm talking about some day.
dbhvt said:3) I reject the idea that you have a monopoly on truth because you are a resident, have seen a few more addicts than I have, and, as I recall, are about 10 years older than me.
Panda Bear said:I have no monopoly on the truth, however there are some general truths about addicts. Wait and see.
michjen23 said:It is good that you are here Panda to make sure that you tell us all "This used to be sort of expected of people." At least now I understand that a large part of the generation I will be interviewed by are part of the club that harps about in the good old days, and back during the war...but I doubt they would have the guts to say what you seem to believe to a real person's face which appears to be that you enjoyed the good old days because back then people like me were forced to stay in "their place"... At least I know I wasn't wasting my time worrying about people like you
You don't need to resort to attacking others here, Sir. Furthermore, if you had even half the life experience of Panda then you'd be in a place to talk. Try being more constructive in your comments.sjmirror said:haha, its ok. its just annoying to have to read over panda's posts, he sounds like a huge douchebag and a pretty crappy doctor.
Panda Bear said:And where do you go to medical school again?
(sound of crickets chirping)
EvoDevo said:You don't need to resort to attacking others here, Sir. Furthermore, if you had even half the life experience of Panda then you'd be in a place to talk. Try being more constructive in your comments.
Thanks,
The Management
sjmirror said:ive shadowed enough doctors to be able to tell from your posts that you're not a particularly compassionate or intelligent one.
sjmirror said:to be clear - im not criticizing his "life experience", whatever they may be. i do have a problem with his judgment (or lack thereof). he seems to be taking his life experiences too seriously. while they may have been formative for him, he can't extrapolate that to everyone else. he insists on doing so, so i dont find his posts constructive. anyway, i posted on the thread originally to get some feedback on whether or not my own experiences would qualify me for putting myself down as disadvantaged. this question has been answered. thank you.
Then don't go calling people "douche." Often, the perjorative ends up describing the accuser more than the recipient. Case in point. Besides, openly insulting other users is a violation of the TOS and grounds for a suspension of posting privileges. Capiche?sjmirror said:to be clear - im not criticizing his "life experience", whatever they may be. i do have a problem with his judgment (or lack thereof). he seems to be taking his life experiences too seriously. while they may have been formative for him, he can't extrapolate that to everyone else. he insists on doing so, so i dont find his posts constructive. anyway, i posted on the thread originally to get some feedback on whether or not my own experiences would qualify me for putting myself down as disadvantaged. this question has been answered. thank you.
No. It is not in any way a ridiculous concept. The point is, they are that much more impressive than another person with the same stats and ECs who did not have to overcome the circumstances of their birth and struggle their way out of mediocrity and misery. They deserve the scholarships, and the courting, and the early decisions, far more than your "average" premed with wealthy parents who never held a job in his life. I am impressed with these people because I honestly don't know if I could have done what they did. I am certainly ambitious, and have had the opportunity to develop my intelligence, but would that be the case if my early life had been worse? I honestly don't know. I work in a homeless shelter and I am occasionally amazed at the intelligence of some of the residents - most of which has unfortunately morphed into manipulation, rationalization and cunning. One girl, if she had not been pimped by her mother for coke at age 12 (and consequently developed an addiction herself), might well have become a med student someday. She is that bright, and has a very strong personality. Instead, she has HIV and HepC and sells her body on the street.Panda Bear said:"Disadvantaged" is a ridiculous concept. Some of the people on this forum clamoring for "disadvantaged" status are probably some of the most intelligent and articulate people in the country who will have no trouble getting into medical school and the best residency programs.
Panda Bear said:The other thing I want to know is this: If being married and having children doesn't count as being disadvantaged because these things are self-inflicted, why does having a history of drug use qualify one as disadvantaged? I can't think of anything more self-inflicted than shooting heroin or managing the complicated logistics of a crack habit. I mean, bad as the problem is crack doesn't grow on trees or fall like manna from heaven. It takes a concerted effort to be a drug addict. Hell, it takes most people a concerted effort to begin being drug addicts.
Let's not even talk about the large quantities of free will required to inflict a meth lab on one's self.
TygerTyger said:Some of the posters act as if being disadvantaged is some kind of choice or perk. When you have to put yourself through college, your application is obviously affected. Some of us cannot buy MCAT scores with expensive review courses and create extracurricular lists that are as impressive if we work full time, or study as much as people whose parents are happily footing the bill. I am lucky to be able to balance two jobs, one 35+ hours and another 15+ hours with decent extracurriculars and good grades, but it is ridiculous not to acknowledge class differences can make it very hard for some people to put together an application as competitive as actually reflects their abilities. Why do some people on this forum hate poor people?
EvoDevo said:As to your original post: go ahead, though it may not make a whit of difference. FWIW, I had similar numbers to you and an even "worse" life experience and it never qualified for "disadvantaged." Your mileage may vary. In my opinion, "disadvantaged" is code nowadays for "under represented minority."
michjen23 said:I guess I misunderstood my father when he cried about wishing he could kick his habit for years, I should have said nah you want this I must be misunderstanding your pain and emotions? Or according to you panda I should have reminded him that back in the "good old days" people didn't complain about their problems (well of course.. unless it is having too many hours to work during residency or needing some days off here and there, because obviously that is a hardship that deserves some space on the internet .
I should have reminded him of all his choices being free will before he killed himself from the guilt of his own life...It is really sad that you believe the pain of being a "crack head" is equilvalent to the disadvantages you seem to think you have faced raising your family...last I checked it probably took you some "concerted" effort to become a father?
You're not paying attention:aliziry said:Not everyones case is the same. Making black and white judgements based on your life experience makes no sense. Not everyone can join the Marines. No I am not knocking the military at all. Alot of people probably had a harder upbringing than you did. And what does this have to do with being an URM.
EctopicFetus said:First of all unless someone puts your lips to that crack pipe the first time it is nothing more than choice... then....
Disadvantaged? please.. I came here with my mom and dad when I was 18 months old, they didnt speak a lick of english and had $400 to their names.. My dad fixed a/c's, delivered pizza and drove taxi cabs while my mom worked in a clothing store while learning english at a community college and eventually earning her nursing degree, then my dad went on and got a better job..
Disadvantaged? yeah tell me about it... Would I use this excuse to try to take a spot from someone else of course not... take some responsibility for your actions, my parents would whip me silly if my grades werent in order, I would have priviledges taken away.. you do know TV and playing outside are priviledges for kids. I went on to play HS football and then on to an Ivy league college where I worked every yr I was there. At one point I had 2 jobs and majored in chemistry.. Disadvantaged... whatever....
michjen23 said:You win! you and your parents are wonderful now does that give you an excuse for bashing people with drug problems? It is really sad that someone like you who has clearly accomplished so much needs to put people who have nothing down
EctopicFetus said:Uh I didnt bash people with drug problems I merely pointed out that they have this drug problem by choice. I know people whose parents are EtOH addicts and for this reason never put booze to their lips. This is the same I reason I never used heroin...
Also Im not putting anyone down I am simply saying making excuses for people is a crock of liberal bs. You lie in the bed you make.
EctopicFetus said:There is this real fine line and at some point you have to say tough poop. Am I wrong? Couldnt every person have an excuse? Clearly there are people who have it tougher than others. I dont doubt that for a second. Heck like 40% of my classmates dont take out financial aid... I am disadvantaged because my mommy and daddy cant cover 50K per yr..
The real question isnt whose fault it is that someones parents are f ups.. rather the question is why should Johnny be "disadvantaged" because his parents arent crackheads but we should allow timmy into med school because his mom cant lay off the crack pipe.
BTW the government is far from the ideal source for these issues, clearly you have to agree that just because the govt defines something some way or decides to act a certain way it doesnt make it right.
In my world there is no room for apologists. No one is perfect, I do things that piss my wife off but what I dont do is blame someone else for my actions or inactions. People can change if they want to.
EvoDevo said:Then don't go calling people "douche." Often, the perjorative ends up describing the accuser more than the recipient. Case in point. Besides, openly insulting other users is a violation of the TOS and grounds for a suspension of posting privileges. Capiche?
As to your original post: go ahead, though it may not make a whit of difference. FWIW, I had similar numbers to you and an even "worse" life experience and it never qualified for "disadvantaged." Your mileage may vary. In my opinion, "disadvantaged" is code nowadays for "under represented minority."
Finally, as much as you may not want to hear it, YOU HAVEN'T CARED FOR PATIENTS. You're not even in medical school. I am, and if there's one thing that I've learned is that you'd better listen to those ahead of you with real world experiences. Would you presume to tell me or Panda (both former Marines) what life is like in the service of your country? I sure hope not. So why would you try and do it here?
if you want to be straight-up and blunt to people, then the military is perfect for that. i say this because im detecting a hint of an undertone re the military. it seems to me that extrapolating military experience to civilian medicine doesn't fit. there's always going to be inefficiencies and patients who piss you off in civilian medicine, but that comes with the job (and the high pay). and if that pisses you off so much, just do military med, where for the most part everyone you treat on base is probably pretty healthy, doesn't do any serious drugs, etc.
the guys i know from my high school who joined the military, or who i met in rotc were pretty matter of fact about having to do so; either for the scholarship money or the experience. none of them now presume themselves more of "anything" as a result, hm?\
im just addressing the salient stuff here that relates to my OP, because this thread seems to have devolved into a discussion very tangential to it.
aliziry said:The reason I put that link was that the AAMC wants to identify people they feel are disadvangtaged. Not everyone who checks that box are reall disadvantaged and ADCOMS know that. We dont know how much weight they really place into these things, but that does not mean we should bash everyone who checks that boxs as lazy and wanting a leg up.
EctopicFetus said:Uhhh really? I could have checked that I was something other than white when I applied.. but you know what I just didnt want to feel that I didnt earn my admission, or that I earned it unfairly. Clearly if you are premed you know how competetive the atmosphere is and people will check whatever they can so that they can get in. I am not labeling them as lazy but clearly they "want a leg up" or they wouldnt check the box. Right?
I just think we should look at people based on what they accomplished, I worked all thru undergrad 10-20 hours a week, that should be taken into account but the fact that i may or may not feel "disadvantaged" shouldnt.
sjmirror said:What the hell are you talking about? You're not even addressing the points in my reply. I never said anything about being "straight up and blunt." I was merely responding to your thinking that, because you have "shadowed some doctors" that you now know how to be a doctor.EvoDevo said:Then don't go calling people "douche." Often, the perjorative ends up describing the accuser more than the recipient. Case in point. Besides, openly insulting other users is a violation of the TOS and grounds for a suspension of posting privileges. Capiche?
As to your original post: go ahead, though it may not make a whit of difference. FWIW, I had similar numbers to you and an even "worse" life experience and it never qualified for "disadvantaged." Your mileage may vary. In my opinion, "disadvantaged" is code nowadays for "under represented minority."
Finally, as much as you may not want to hear it, YOU HAVEN'T CARED FOR PATIENTS. You're not even in medical school. I am, and if there's one thing that I've learned is that you'd better listen to those ahead of you with real world experiences. Would you presume to tell me or Panda (both former Marines) what life is like in the service of your country? I sure hope not. So why would you try and do it here?
if you want to be straight-up and blunt to people, then the military is perfect for that. i say this because im detecting a hint of an undertone re the military. it seems to me that extrapolating military experience to civilian medicine doesn't fit. there's always going to be inefficiencies and patients who piss you off in civilian medicine, but that comes with the job (and the high pay). and if that pisses you off so much, just do military med, where for the most part everyone you treat on base is probably pretty healthy, doesn't do any serious drugs, etc.
the guys i know from my high school who joined the military, or who i met in rotc were pretty matter of fact about having to do so; either for the scholarship money or the experience. none of them now presume themselves more of "anything" as a result, hm?\
im just addressing the salient stuff here that relates to my OP, because this thread seems to have devolved into a discussion very tangential to it.
Care to address that, mate?
aliziry said:I know what you are saying. I had to work 30-40hrs since I started school. I was taught that hard work is my only salvation and I believe it. I dont have time to do all of those fabulous ECs that my mates do but I dont want a handout. I am certain that work ethic and drive will speak louder than my ECs and less than stellar GPA(3.4). The box probably just has bad conotations. But checking something other than your race is not the same mate.
EctopicFetus said:Ahh here is where the slippery slope lies mate. I could easily have checked disadvantaged (not sure if it was an option when I applied) I also could have easily checked something other than "white" on my box.
Bottom line is you have to go with your heart, do you want a handout or do you want to earn it. Look I have no problem with African Americans or Latinos checking what they are. I do have a problem with someone who is 1/16th latino or african american or native american who has lived his or her whole life as a white person and checking these boxes. It is simply dishonest.