The one thing I have always been fascinated with is the human being; to me this is the only perfect

being that has appeared on Earth. At the age of fourteen my passion for Science and especially Biology started to become clear. Too many questions about human beings suddenly popped into my head. I had a question for every minutest detail about how the human body works and the human origin. With every question and every answer, I always found myself in front of miracles. This fascination grew up with me through high school and on to Medicine School. In Egypt, Med School has been considered the most prestigious school for years, thus only students with the highest grades in high school can join it. To me studying at high school was a real challenge for it was the only bridge I can use to walk over to reach Faculty of Medicine. Ironically enough, the place I thought I would find the answers to all my questions in offered me more questions. I saw a lot of miracles in Med School, but never got used to them. Heart Catheterisation is a simple example; we are miracles making miracles. When Internal Medicine stepped in, studying and dealing with patients proved to me that the best way to understand our mysteriousness is through our own sufferings and weak points in life. The sympathy I had for those patients made me realize that we are not machines and Medicine is not about reading the human's manual. Perhaps I will never understand human origins and miracles, but at least I can help understanding and soothing their aliments and illnesses. Being overly deductive and treating a patient as a multiple choice question is not the track a good doctor would choose. I used to observe physicians from different departments and try to learn as much as I can from each. To me this is how I raise myself up; I'm always on the move trying to do something useful. For instance, during my Transitional year I used to work with a lot of cases in different departments, but my thirst for medicine was never quenched till I joined Internal Medicine. The University hospital receives 200 thousand admission yearly. Although my colleagues and I used to work for 120 hour a week, the Residents were very supportive and it was a great learning experience. I find it that every time I join a new group or job, I get out of it with a lot of personal gain. For example, last year I volunteered in a public health campaign aiming to prevent the transmission of Hepatitis C. I had to visit, with the group, farmers in their fields and their houses and do whatever we can to fulfill our aim. The whole group was happy with how the simple farmers were really attentive and by the end of the campaign they were very thankful. Group work can be the key to success for any project and one can never know what would add to him/her. Hence, I would never seize to let my soul experience new opportunities. Every case is a mental challenge where one gathers information, processes it, gets the differentials and helps the patient. Its amazing how subtle variations in the

presentation could alter the plans. Internal Medicine is my passion, Evidence Based Medicine is the fuel . Being a perfectionist makes me not only fond of patient management but also of the mechanism of disease. I have been equally interested in "simple" repeated cases as well as a case report for I don't believe that "repeated" cases exist. Every case has its own circumstances and differences and above all: each of these "repeated" cases is a case report for the patient --most probably it's the patient's first time experience of the illness or at least he/she are experiencing different degrees of pain and different experience of the disease. Although I love analyzing cases and finding logical and medical reasons behind each patient, it is not always the best way when it comes to interacting with patients. I remember a terminal cancer patient screaming of pain all day long. He had already had his maximum dose of analgesics and still feeling the pain. I approached him in a hopeless attempt to calm him down, when I realized that his pain was nothing but imaginary. He only wanted someone to show care, which I tried to do then. In the morning, he was very grateful and thanked me for his one night sleep. I remember this very patient because he taught me a lot that night. Having read a lot in so many fields and having dealt with so many people, one gains an instant sense of tolerance and a great appreciation for knowledge. I learnt that with the right amounts of patience, co-operation, sympathy, and a strong yearn for knowledge; one can help others and achieve his/her goal at the same time. I believe that this is how I would feel if I become an IM Resident in the U.S.A; that I would be able to convey my goals in having an enriching experience with such modern healthcare system, and assist others in conveying theirs. I have always aspired to travel, meet new people, get exposed to different cultures, to develop new thoughts and talents, and to really learn about life everywhere. Medicine is the career that suits my personality where I love deduction, critical thinking and interaction with patients. I trust in my abilities and my experience, but my aims and ambitions fine me to work more, learn and progress. My aspirations and dreams are my priorities and with persistence and determination, I will make sure to see them through.


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