We’ve all been there. You’re in medical school, sitting in a lecture hall — maybe the course is pathology — and for the first time since starting your studies, you’re actually learning about real diseases, not just benzene rings and the Krebs cycle. You’re furiously note-taking, and you reach back to work out a kink in your neck. There it is! A palpable, enlarged lymph node. You have lymphoma. You must. Because that’s today’s class topic.
Almost ten years ago, New York Times medical reporter Abigail Zuger wrote, “If stereotypes are to be believed, one of the best ways to develop hypochondria is to enroll in medical school, and one of the best ways to get over it is to graduate.”
Though “medical school syndrome” hasn’t been well studied, some theories have explored the notion that it stems from young, healthy students being confronted by new information on disease and illness for the first time in their lives. Unaccustomed to the dense and sobering onslaught of such information, they feel vulnerable to every horrifying malady. Once they’re out of the lecture halls and a bit more inured to seeing illness, the syndrome fades.
Or does it? Let’s not underestimate the number of hypochondriacs among us maturing docs as well! In what I’d term “late stage” symptoms, it’s not learning about something new that gets us. Rather, it’s finding something in ourselves — a strangely shaped bump or an unusual constellation of symptoms — that doesn’t fit a pattern. That, I’d argue, is the perfect trigger for rejuvenating the hypochondriasis we buried at graduation.
It’s often said that doctors are the worst patients, and perhaps that’s precisely because we’re all too familiar with what it means to be sick and to have the vulnerabilities and fears of the ailing. It isn’t fun. For those same reasons, maybe we haven’t really proverbially grown out of our hypochondriasis. Maybe it’s alive and well; operating at every turn as we navigate through cancer diagnoses, pronouncements, rotten luck, and close calls.