As a psychiatric consultant, my days are spent sitting and waiting for a page. When I get one, I read the medical chart, make a phone call, and then I put on my white coat. The people I’m going to see have often never seen a psychiatrist before. Putting on the white coat adds the…
Author: Steve Server
Steve Server is a psychiatry resident. He received his MD at the University of Chicago Pritzker School of Medicine in 2023, and his PhD from the University of Chicago in 2022 in History and the Conceptual and Historical Studies of Science. His dissertation, titled "A Test of Conscience: Navigating Mexico's Servicio Médico-Social (1935-1940)" explores the emotional dimensions of medical students' professional development while on rural service. His research interests include medicine and public health in modern Latin America; history, theory, and practice of psychiatry; history and theory of medical ethics and the medical humanities; medical education; and medical epistemology.
In the Chair, On the Couch: Haircuts and Mental Health
It’s sort of hard to remain current with haircuts as a resident. I usually like to go every six weeks or so to keep my coif from becoming too sheep-dog for clinical medicine. But sometimes, I push it a little longer, with the justification that, “Well, if mustaches are in, so too must other trends…
Ulysses Contracts and the “Authentic Self”
“‘In flowery meads the sportive Sirens play, Touch the soft lyre, and tune the vocal lay; Me, me alone, with fetters firmly bound, The gods allow to hear the dangerous sound. Hear and obey; if freedom I demand, Be every fetter strain’d, be added band to band.’” In the above, Odysseus addresses his crew as…
“I am your Doctor”: a prelude to power in medicine
In my acclimatization to being a resident, there are a lot of things that have taken some getting used to. The first is claiming a greater responsibility over patient care than one had during medical school: when I sign an order now, it becomes reality—a lab is drawn, an EKG is performed, a consult to…
“Competent and entrustable”: recentering the virtues in medical education evaluation
In just a few weeks, I will officially be an MD. As a resident, I will provide medical care to sick patients while under the supervision of senior physicians who will help hone my skills. It will be an interesting, challenging time in my life, one that gives me a little bit of anxiety, to…
Let’s teach doctors there are more ways of knowing
Almost three years ago exactly, I published an essay here on Synapsis titled “In Defense of Humoralism.” In it—to briefly summarize—I highlighted how common ways in which patients understand the etiology of their illnesses and formulate folk treatments can often be understood as humoralistic. Consequently, physicians dismiss these ideas as superstition, as they do not…
Finding Sick: Dispatches from the Emergency Department
Steve Server// At about 3:30 am during my first week in the Emergency Department, I realized that the space was different from anywhere else in the hospital. Though it was my second night shift in a row, I wasn’t tired. Or if I was tired, there were too many signals, too many sights and sounds and feelings…
Medicine’s martial metaphors: “Fighting the good fight”
Steve Server // In 1977’s Illness as Metaphor, Susan Sontag offered a prescription for the “most truthful way of regarding illness—and the healthiest way of being ill” (3). As Sontag noted, some of the ways in which humans make meaning on “the night-side of life” may hamper our ability to suffer in a “healthy” way (3). “As long…
Our Olympian Fables: On difficult personalities
Steve Server// The Perfectionist. The Eccentric. The Paranoiac. The Loner. The Mercurial Partner. The Serial Dater. The Sociopath. The Narcissist. The Coquette. The Milquetoast. Archetypes of difficult personalities populate our books, our movies, and our TV shows. Where do they come from? How do we understand their social function? It is worth considering the extent to which these archetypes are borne or at least…
Pain is complex. We should treat it that way.
Steve Server// “What sort of pain is it?” Often, when health care providers inquire after patients’ pain, we get a sort of flummoxed look. In response, we sometimes get a confused chuckle. As first year medical students, we are trained to differentiate sorts of pain: crampy vs. electrical/burning; dull vs. sharp; localized vs. radiating. As our medical…