Please help!! Having some serious issues

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walderness

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I am feeling completely and totally overwhelmed right now. I came across this site in my research, and I’m really hoping for some help.

I graduated from Berkeley in May 2005, worked for a consulting firm in San Francisco for a year when I began applying to med school to begin in fall 2007. I was a very competitive candidate (3.8, 36 mcat, clinical ex), worked very hard. In the middle of application season, a car accident left me a complete C6,7 quadriplegic. I have full arm function, weak tricep, no finger movement. As a result, I was stuck in bed and all applications were withdrawn.

The next 6 months, until July 15, 2007, I was in the hospital. Then, I went up to Johns Hopkins until Sept. So obviously, I could not apply again for fall 2008. My plan now is to apply for fall 2009. I am facing the following problems:

1) I do not meet the technical standards of any school. Most of them include the following:

Motor: Candidates should have sufficient motor function to elicit information from patients by palpation, auscultation, percussion, and other diagnostic maneuvers. A candidate should be able to do basic laboratory tests (urinalysis, CBC, etc.), carry out diagnostic procedures (proctoscopy, paracentesis, etc.), and read EKGs and x-rays. A candidate should be able to execute motor movements reasonably required to provide general care and emergency treatment to patients. Examples of emergency treatment reasonably required of physicians are cardiopulmonary resuscitation, the administration of intravenous medication, the application of pressure to stop bleeding, the opening of obstructed airways, the suturing of simple wounds, and the performance of simple obstetrical maneuvers. Such actions require coordination of both gross and fine muscular movements, equilibrium, and functional use of the senses of touch and vision.

I do not meet these criteria since I lack finger movement. They could assert lack of essential function regarding the ADA, even though the physiatry specialty does not require these procedures. I know, I have shadowed a physiatrist who happens to be a quadriplegic.

2) As a result of incapacitation in the hospital, my MCAT will now be expired by 1 year. I took it in August 2005. I have heard that sometimes they will provide leniency. Catastrophic injury should be a good excuse. I just spoke with UC-Davis’s director of admission – he said flat out no, clarifying that “we’ve had students that have been ill, before, sir. We didn’t make exceptions, then” I almost lost it on the phone. I can’t take that test again, especially with no hands.

3) As a result of being hospitalized in Arizona, Georgia, and Maryland over the last year, I have no state of residency. I am still recuperating in AZ, but no AZ schools take out of state. Limitations in CA as well. I don’t have the luxury of going anywhere in the US since I still need a lot of care to maintain my bowels and bladder.

3 strikes before applying. I am seriously distraught at the moment. Anyone hear of any precedence on this? Sooo much value in a physiatrist w/ spinal cord injury. I’m feeling like not only did I lose movement, control of bowels/bladder, sexual function, etc, I am losing everything I’ve worked for over the last 10 years. I typed this in 5 mins with a pencil strapped to my hand so apologies for clarity and for any whining, its all just sort of hitting me right now…
 
man, i'm really sorry to hear about what happened to you. i can't really offer any advice about this particular situation as i haven't started school yet nor am i on an adcom.

i hope someone else on here is able to chime in. good luck though.
 
I also don't have any concrete advice for you, but wanted you to know that I wish you all the very best and you will be in my prayers! Hopefully someone (maybe Lizzy??) could chime in here?
 
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wow... i'm really sorry to hear about that.

seems like there must be exceptions, though. for example, do psychiatrists have to do any procedures? surely there's no technical standards for them? the quadriplegic you shadowed--was he paralyzed before he applied, or after? i would call more admissions directors about the technical standards as well as the mcat. that seems like a ridiculous stance for uc-davis to take, especially since it will be extremely difficult for you to retake. basically, i would just call as many med schools as you can. there has to be a precedent or a sympathetic ear somewhere. i'm sure given your already strong academic background and now your perspective on being a patient, you'll make an excellent doctor, and someone is bound to recognize that and work with you in your education. good luck!!! 👍👍👍
 
I'd get in contact with some deans of admissions at the schools you are interested in, tell them exactly what you've said here and see what they have to say.
 
I'm really sorry, dude.

dd128 is right. You should hit the phones and see who is willing to hear you out. UC-Davis might not bend the rules for you, but other schools might.
 
Thanks for all the responses.

Taylorcraft,

The doctor was a physical medicine & rehab doctor, in practice, prior to his injury. PM&R specialty is rare and SCI is rare. To be both, separately, has to be a 1 in a million shot.


I have heard of a lot of doctors who were injured in med school or after out of med school, none prior to. Would love any references!!

I have talked to several directors of admissions. Most refer me to the technical standards and tell me to take it up with a complaint to the dean. So I will.

UC-Irvine and U of A have been soooo encouraging. But then, residency is a separate issue from them. And they say that they ,may accept me, but then, tech standards will then exclude me.

So much up in the air…just applying to schools is scary enough, let alone issues that could exclude you altogether. Any and all advice is very helpful...
 
There was a paraplegic doctor on faculty at Hopkins who spoke to us during lunch. I'm pretty sure his injury occurred before entering medical school, but I'm not sure. His name is Dr. S.B. Lee and he is a clinical instructor in physical med & rehab, specializing in spinal cord injury medicine. I obviously don't know him, but maybe he or someone at Hopkins would be appropriate to talk to, especially since you spent time there. Best of luck and sorry for your hardship.
 
Unfortunately, I can't offer much in terms of any advice. However, I want to wish you the best of luck. From reading your posts, I don't see your strong determination, of pursuing your dream, letting you down. Now, you have one more person rooting for you and your success. You will be in my prayers throughout your journey.
 
I remember reading about a blind man who graduated from medical school. It's discussed here: http://forums.studentdoctor.net/archive/index.php/t-190469.html

I know his case is different from yours, but I remember reading (if my memory serves me correctly) that for some procedures he would walk someone else through the procedure with verbal instructions and that person would follow his instructions and do the procedure. That was how they tested him. Perhaps you could consider applying to his school.

Good luck!
 
“we’ve had students that have been ill, before, sir. We didn’t make exceptions, then” I almost lost it on the phone. I can’t take that test again, especially with no hands.

That person has no soul.

I agree with people saying to call other admissions offices. I am sure some medical schools will help you out. There is no reason why you cannot be a psychiatrist or similar specialty.

I wish I tell you more. Best of luck.
 
I am stunned by your story. I am even more stunned by the level of resolve you have shown. Absolutely incredible. If your attitude is accurately reflected by your post, I am completely blown away...it makes me feel like a worse person just listening to how you have managed to handle this. If you are able to get into medical school, you truly will be an inspiration to everyone.

...I just spoke with UC-Davis's director of admission – he said flat out no, clarifying that "we've had students that have been ill, before, sir. We didn't make exceptions, then"

That is, perhaps, the most robotic, inhuman thing I've ever heard. What an absolutely evil thing to say.

walderness said:
3 strikes before applying. I am seriously distraught at the moment. Anyone hear of any precedence on this? Sooo much value in a physiatrist w/ spinal cord injury. I'm feeling like not only did I lose movement, control of bowels/bladder, sexual function, etc, I am losing everything I've worked for over the last 10 years. I typed this in 5 mins with a pencil strapped to my hand so apologies for clarity and for any whining, its all just sort of hitting me right now…

Don't you dare apologize for whining. With your level of determination I have no doubt you will both: 1) Get into medical school, 2) make a fantastic psychiatrist. Keep plugging away. Get on the phone with every admissions office that you can. Let them know your story and follow the dream that you've had for so long.

Man...I don't know what to say. I'm completely blown away. I sincerely wish you all the best.
 
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