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Dome - What the dead teach

December 2010

What the dead teach

Date: December 1, 2010

In what has become an annual memorial, students reflect on death, the human spirit and other immeasurable lessons from the anatomy lab.

Medical student Jamie Schroeder adds his note of appreciation for the spirits of the anatomy class cadavers that he and his fellow classmates learned from.
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Medical student Jamie Schroeder adds his note of appreciation for the spirits of the anatomy class cadavers that he and his fellow classmates learned from.

Before Jamie Schroeder met his first patient, he wondered how he would react. Would he be anxious? Uncertain? Instead, he felt a calming sense of purpose when he saw the body of the donor who would guide him through the intricacies of human anatomy.

The gratitude came later.

“It’s such a gift that each donor presents you,” the first-year medical student says. “When you start at Hopkins, they say that this is your first patient, and that really resonated with me. I worked on an 83-year-old man who seemed to have had a good quality of life without too many degenerative diseases. And it was inspiring to see how bypass surgery had prolonged his life.”

More important, he says, the encounter helped him come to terms with the reality of entering a profession where death is always present.

Schroeder was one of a group of anatomy students who planned a ceremony to honor 26 anonymous donors whose bodies initiated them into the complex world of heart and nerve and sinew. Such tributes are becoming a school tradition. For the past seven years, Hopkins students have publicly acknowledged their debt to the cadavers they dissect—part of a national trend to pay respect to the men and women who donate their bodies to advance medical education.

Held Nov. 3 in the second floor atrium of the Armstrong Medical Education Building, the student-run event offered poetry readings, musical performances and periods of silence for a gathering of roughly 90 students and faculty members. It was an opportunity to reflect on death, the human spirit and other immeasurable lessons from the anatomy lab.

“We’re here to talk about the unique experience of learning from another person’s body,” said Max Romano, the medical student who coordinated the ceremony.

“As physicians and engineers and artists we will spend much of our careers learning by seeing, touching and listening, but perhaps never again in such an intimate way as in this course.”

Intense and intensive

Anatomy is one of the first courses scheduled for Hopkins’ 120 first-year medical students. This year’s class also included 14 graduate students in anatomy, medical illustration and biomedical engineering.

Students work on cadavers who are identified only by a number, age, gender, race and cause of death. It is a particularly intensive course of study—five hours a day, five days a week for nearly two months. As students learn about systems and regions of the human body, they may build bonds with their “patients” as well as their classmates, notes Ronn Wade, director of the Maryland State Anatomy Board.

“By the end of their courses, students often feel deep appreciation for the cadaver-patients they work on,” he says.

These days, they create simple and profound ways to express it.

“This wonderful practice of honoring the anonymous donors reminds me that the “good ole days” were not as good as the days are now,” says David Hellman, chairman of the Department of Medicine at Johns Hopkins Bayview Medical Center, who graduated from the school of medicine in 1977.

“To my knowledge, my class did nothing like this. Our professors were respectful and expected the same of us. But the ceremony of gratitude is a new addition—one that speaks to the wisdom and value of having a diverse student body and a curriculum that allows and encourages reflection.”

Day of the Dead

This year’s ceremony loosely followed a Dia de los Muertos (Day of the Dead) theme, recognizing the Mexican tradition of commemorating dead family members and loved ones. A central table decorated with flowers and handmade tributes also became a repository for unspoken thoughts. Students dropped notes to donors into a silver bowl filled with water. Before long, multicolored messages covered the surface like a skin of rose petals.

The event inspired a variety of other tributes as well. Mark Teaford, director of the anatomy course, thanked the 2010 donors for providing students with an opportunity to work together toward common goals while also revealing the uniqueness of each human body.

“I am in awe of how you help each and every one of us to learn and see life more deeply,” he said.

Katie Washington, an M.D./Ph.D. student from Gary, Ind., shaped her gratitude into a poem. It read, in part:

You signed your names on the dotted line
and breathed life into our dreams
with no doubts about who we would be
or how strange your gift might seem.
We’ve read tales of your lives
in the lines of your eyes
and we’ve wondered what they have seen.
With memories of scars and smiles
we wonder what this might mean
to you....

Medical illustration student Kaitlin Lindsay performed “Ashokan Farewell,” the plaintive air for violin that served as the theme for Ken Burns’ documentary film series on the Civil War. She also contributed to a display of anatomical sketches that her fellow artists created by directly observing donors’ bodies.

Lorena Leite, a medical student from San Francisco, stole a day from her studies to bake traditional bread for the reception that followed the ceremony. With help from friends, she prepared pan de muertos, a sweet yeast bread, and atol de elote, a hot drink made from fresh corn, milk, sugar, cinnamon and star anise. It is the custom, she says, to entice the spirits of the departed to attend the Dia de los Muertos ceremony by offering them such specialties. Only afterwards may the living begin their feast.

For this occasion, the medical student fashioned her loaves in human form.

“The ceremony allowed me to honor the donors in a way that I like to honor people I care about,” Leite says. “I felt that the relationship I built with this person after working with him for seven weeks needed to be honored. When everything is moving so quickly for us, it is easy to just keep going forward with your life. This reminds me of what we’ve already received.”

—Linell Smith

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