All people depicted in this story are fictional and any resemblance between them and real people is accidental.
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Chapter 3: Dr. Jekyll and Mr. Hyde
Just like my freshman year, my sophomore year was intense right from the start. School consumed all that I had to give. But unlike my freshman year, I now had a different, nicer roommate, and she had a boyfriend who lived off campus, so I had the room to myself most nights.
Until Christmas break I didn't feel the need to date anyone or otherwise have sex. Whenever I felt lonely, I closed my eyes and thought about the amazing experiences I had the previous summer or during the end of freshman year. Sometimes, when I was alone in my room, these thoughts were accompanied by my fingers playing inside my pajamas, turning the purely metal act of thinking about sex into physical pleasure.
But then, after I had learned that Zack had moved on, fantasizing about him didn't work anymore. Late at night, after hours of studying, when I was finally ready to go to sleep, the hurtful feelings would come back, preventing me from falling asleep.
That whole summer I didn't think I had felt anything for Zack. I was so careful not to hurt his feelings, not to let him get too attached, that I didn't notice I was getting attached myself.
It wasn't that I loved him or anything. I never felt the need to be with him forever or to have children with him or any other stupid thought girls often feel when they are with a guy. I just felt happy when I was with him, and unhappy when I wasn't. It was that simple. And now, when I had lost him for good, I was stuck with the unhappiness.
So in order to be able to sleep again I knew I had to do something. I had to somehow numb my feelings. Make the memories and the sadness that followed them go away. I know that many people in similar situations turn to alcohol or even drugs. My fix was sex.
As I mentioned before, I wasn't lacking guys hitting on me. That was true for sophomore year just as much as it was for the year before. Before Christmas break I didn't feel the need to respond to their affection. I had my memories of Zack, and of-course, my fingers. But now my memories of Zack were too painful to bare, and I needed to make new ones. Or at least, be in a place where I didn't have to remember anymore.
So I started saying yes to guys. I would go out with them to wherever they would propose, sit with them for a while, drink something, eat something, talk about things that usually bored me to death, and then I would usually invite them to my room, where I would spread my legs to them and let their dicks inside me, to numb my pain.
It took me about a month, and something like six or seven such encounters, all with different guys, to stop thinking about Zack. To stop feeling hurt. Actually, to stop feeling anything at all.
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Not feeling anything helped me focus on school and succeed. Thanks to my grades, I won scholarship after scholarship, which were important to allow me to keep attending this Ivy-League collage without bankrupting my parents or sentencing myself to a lifetime of returning student-loans.
At times I still felt the urge to fuck someone. When I did, I would wait until someone would hit on me and would just go with the flow. The flow usually lead to either my bed or theirs. In three different cases, the guy was persistent and nice enough so I agreed to have a second time with him, and then a third, and so we ended up fucking for a few months at a time. I guess these guys considered me to be their girlfriend, but to me they were nothing than a source for regular sex. In all three cases it were they who broke up with me, as they realized I didn't feel anything for them and was there purely for the sex.
My focus on school allowed me to graduate from pre-med summa cum-laude, and to get accepted to the Yale Medical School.
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Medical school was different than collage in that we were a relatively small group, all taking the same classes. Couples started to form pretty fast along the first year, and these couples were relatively stable, with many of them getting married before graduation.
I wasn't into coupling. I couldn't understand how so many of my classmates found the ones they believed were the loves of their lives, before they even stood on their own feet.
Obviously, not everyone was coupled. There were a few students still single, mostly men. During the four year program I came to know almost all of them, in the biblical sense. In most cases this was a one time thing, but in two cases it lasted longer. One of them, Alan, who I started sleeping with at the beginning of my fourth year, stuck with me all they way to the end.
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After four hard, lonely, but also inspiring years of med-school, I graduated with honors. I was able to select almost any hospital in the country for my internship, and had two eager parents who wanted me to choose one in the bay area. But I chose a large teaching hospital in Pittsburgh, PA. I would really love to say I chose this hospital due to its high standard of treatment and advanced research, which is all true, but the sad truth was I chose this hospital, and by association, Pittsburgh, because of a Alan.
Alan grew up in Pittsburgh (he was the first member of his family not to graduate from CMU), and when we were to make our choices, Alan begged me to join him there. At the absence of other strong candidates, I agreed, and placed Pittsburgh as my first choice. Unfortunately, Alan and I broke up before our internship even started.
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My third rotation as an intern was in the surgical ward. Academically speaking, this rotation has been the toughest thus far, with the largest number of conditions and procedures to memorize. I had no intention of becoming a surgeon. I wanted to be a doctor so I could treat people, not organs. But still, I couldn't ignore the glamor that surrounded surgery, so I wanted to ace that rotation to prove to myself I could be a surgeon if only I chose to.
Dr. William Gallagher was an attending in the surgical ward. He was about 35 years old, around six-foot two, had light brown hair and blue eyes, hidden behind large horn-rimmed glasses. While the immediate responsibility for mentoring the interns fell on the residents, William was responsible for overseeing this mentorship, and, the thing I cared most about, had the ultimate responsibility for intern evaluation.
We were introduced to Dr. Gallagher as part of the surgical staff when we started the rotation, but the first time I really noticed him was when I had to present a patient during rounds, one week into the rotation.
Presenting patients is one of the most stressful tasks an intern has to perform, and doing so in the surgical ward is especially so. My patient was a 51 years old woman who was diagnosed with breast cancer and went through lumpectomy in her left breast. I updated the staff of the woman's status and mentioned what tests she still needed to go through before being released to the care of her oncologist. I knew this case top to bottom. I understood the procedure she went through, knew what pathology tests they were running on the tissue they had extracted and all the lab results that were already available. The residents were pleased with my presentation, but Dr. Gallagher wasn't satisfied.
"What are the treatment alternatives for a patient with her condition?" He asked.
"The alternatives were either a lumpectomy to remove the tumor and the affected tissue around it, or mastectomy, which is a complete removal of breast tissue," I replied, citing what I had learned.
"Correct," he said. "And given this patient's condition at admission, what course of treatment would you have recommended?"
I hesitated. The medicine said her case was a clear-cut mastectomy. Her tumor was just too big for a partial removal. But this wasn't the procedure she went through. Someone, who was much more experienced than I was, saw her case and decided to go against what I knew for a fact was the correct treatment for her.
"I don't know," I said.
"Look at the chart," he said. "If that were your patient, how would you have treat her?"