gentlemason62 said:I'm a third-year medical student. During a recent rotation in the ICU, I nearly fainted—I managed to step out of the room before actually collapsing. I assume it was vasovagal, mostly because what I was looking at was pretty grim: a patient in their final moments. Today, during rounds, I felt that wave of weakness again while the attending was taking a patient's history. This has never happened to me before; I've handled cadaver labs without blinking. It’s terrifying that this is happening now, especially with living patients. Please help me—any tips for mental conditioning? How can I become a doctor if I can't handle this? I'm convinced it's psychological. Though, my vision has been a bit off lately (I've worn contacts for years), and I wonder if eye strain could be causing the dizziness. I'll see an ophthalmologist, but please, how can I fix this?
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Hey.
First things first, and likely the most important point: as a medical student, you shouldn't assume these symptoms are purely psychological or related to your vision.
Before jumping to conclusions, rule out organic causes. I'd suggest seeing your primary care physician for a standard workup.
Psychological support is great, obviously, but it won't make a physical syncopal episode just vanish.
A basic workup would include blood work, an EKG, and blood pressure monitoring. Depending on those results, you might need more specialized testing.
Good luck!