Artificial Intellect

BY SARAH STEVE 

 “I’m Sarah. I’m a medical student.” these are the first two things people I meet learn about me.

‘Sarah’ – it’s simple, there’s not much to gain from that and ‘Medical student’ which means, “oh you’re obviously smart,”  stated with an indecisive look considering if they should admire me or run in case they might catch the disease as well.

‘Well we’d hope so wouldn’t we.”

Knowing what I do of myself, I’m just as surprised as they are that someone would give me this much responsibility. But they did, so maybe I need to get over it…. I am smart – or at least very good at making a lot of smart people think I am.

“Hi, my name is Sarah and I am a second year Medical Student from Monash University. Your GP today has asked me to…” Name. Brand. Product. This is how I am presented.

They don’t teach you the robotic voice to go with it, this comes naturally, maybe not naturally but eventually.

Maybe not naturally but eventually.

Maybe not naturally but eventually.  

See how annoying that is? – believe me, it doesn’t become any less annoying if you’re the one responsible for the line. I am smart. I am a fragile input and output system. With time, I will become more impersonal, more detached and less human.  

Fighting to stay maintain a sense of identity and purpose – to remember why I wanted to do this in the first place is harder than I imagined.

And motivation? I chuckle at my naivety… ‘I just want to help people’ – those days are gone. I am driven by an abundance of stress. I frantically pore over the information and jargon. Somehow, I download everything onto my memory card in time for the exam.

We’re high achievers and perfectionists with an underlying mild to moderate case of OCD. Among our peers, a distinction equals recognition and a high distinction? That’s practically fame. We all want to be a limited-edition, to be part of an elite series – it’s not good enough to be good, we want to be the best.  

I am a Human replica of a Moore’s Clinically Orientated Anatomy ebook. I am filled with apparently connected, yet random, confusing facts disorderly and collated onto a mental hard drive… but my software is insufficient, I can’t keep up. Failed downloads and poor connection speed leads to a permanent state of confusion. I am told it will all make sense, it all comes together – but even these academics, intellectual giants and conquers of their field – they have their limits, they have unanswered questions… so what hope is there for me? How will I ever understand?

But I do understand. I must. The cogs continue to turn, the formulas, terms and foreign languages downloaded, filed and saved ready for recall.

To survive in this field I must breathe, drink, eat, sleep but above all study.

But to love my life – I don’t have a simple answer. I am determined not to get lost in the mechanics of this beautiful profession. Medicine pairs knowledge and technology to bring hope in hopeless health reports. Doctors daily to do what was impossible 10 years ago, sometimes what was impossible yesterday. Diseases once feared and millions died from are now history – We are creating history every day and I will be a part of this in some way or another.

However, I fear that as my optimism dissipates, the excitement and drive will be gone completely clouded by the mundane; mechanical routine, rounds and checks – eventually my software will malfunction.

Do you think one day you’ll be replaced by robots? That you’ll be put of a job? No, I more concerned that my endeavour to become an artificial intellect – to be perfect will render me obsolete, it will be the thing that ends my career, that kills me one way or another.

We were not born to be a machine even if we were, we need regular maintenance and product development – I can’t become a limited edition overnight, this prototype phase will be ahead of me for a while yet.

Medical breakthrough wasn’t launched by an app but by a person. I am a person; my network connections stretch beyond medicine. I need to open other tabs and search through other browsers. At times, I need to hit the reset button, get some air and pull out my sketchbook.  

I will try but I will never perfect the art of medicine. I will hurt people. People will die despite my best efforts, perhaps even because of them.

Regardless of my perfectionism, I cannot hold myself to an artificial standard because I am real.

I’m Sarah. I’m a Medical Student.

I’m a person who studies Medicine.  

You will never be successful if you have a mental illness

By Molly Maxwell

‘You will never be successful if you have a mental illness’. 

This was a lie that I had unknowingly been telling myself for the 5 years.

After a significant battle with mental illness in year 12, the trajectory of my life felt like it had changed forever, and I felt like I had made it out of school by the skin of my teeth. So I started on my daunting journey of leaving my depressive episode behind. In the years following, I was able to recover and put my past behind me. I felt well enough to pursue a science degree in the hopes that I could maybe…possibly… probably not, but maybe… get into medical school one day. I worked hard to relearn how to function and focus and learn and in December of 2019 my dream was realised when my frantic refreshing of the application portal yielded a successful result.

I immediately started bawling my eyes out, not because I was happy or relieved but because in that moment I had finally proved to everyone around me and myself that I was not a failure and that I was normal and that I was no longer the sad teenager who would never amount to anything.

But BOY  could I not have been more wrong. It took the first year of medical school and the wondrous quandaries that a global pandemic presents to show me that this was not at all the case.

Throughout the last 5 years, I put so much pressure on myself to remove my identity from that of the depressed teenager that I failed to let myself actually address the mental challenges that I continued to face. Looking back now, the obviousness of how my mental illness affected me is almost comedic, but my desire to be normal and my “high-functioning” outer shell prevented others and myself from noticing just how much I was struggling. In early lockdown, I began to spend hours each day ruminating on anxious thoughts that consumed me and once again took away my ability to focus, and learn, and care about almost anything; thoughts that couldn’t be brushed off as uni stress or friendship issues anymore.

Over the years, issues like this had occasionally seeped out. Times of high stress and traumatic events would cause my brain to overflow where I felt like I desperately needed help, but every time I could never follow through. This was all because subconsciously, I had believed that if I couldn’t get into medicine without help, I didn’t deserve to be there at all.

As I sat in isolation, I realised that not only was my mental illness becoming all-consuming but my inability to treat the problems that I was having for fear of never making it as a doctor may actually make me unwell enough to fail medical school and ironically, not become a doctor. So finally, I got help. I relinquished my internalised stigma towards mental health and medication and for the first time in my living memory I finally experienced not having every thought and action derived from some part of my illness. It was not easy but it was worth it and my only regret was that I hadn’t done it sooner.

I write this in the hopes that someone, maybe you, will read this and take this as a sign that you do DESERVE help. That help will not make you less successful or whole or talented or any number of the wonderful things that you likely are. Treat yourself how you would treat the ones you love the most and together we can begin to change the stigma of mental health in medicine.

Phone counselling service @ Monash

Call 1300 788 336 [1300 STUDENT]

Telephone counselling open 24 hours.

  • From Malaysia: 1800 818 356 (toll free)
  • From Italy: 800 791 847 (toll free)
  • From elsewhere: Students +61 2 8295 2917 | Staff +61 2 8295 2292

More information can be found here.

Or contact MUMUS Community and Wellbeing

The Old World

BY ABRAHAM SHAMSHAD

“We can’t help you son, now get out of here!” The shopkeeper grew indignant with my persistence. He motioned to the door of the decaying grocery shop. I paused a moment, rethinking my tact as I took in the acrid odour that surrounded us. A thin film of dust rested undisturbed on all the products on the shelves. The fresh produce section was starkly empty, as were canned goods and toiletries. At this point all he seemed to be selling were birthday cards. Not that anyone had any use for them anymore.

Despite his command, I stood steadfast across from the counter, and insisted again. “They said you could help me. They said you’ve done it for others.” I made an especial effort to keep my tone calm and measured, and his exasperation seemed to subside for a moment.

He looked around the dilapidated remnants of the store and lowered his voice before responding. “Son, you can’t just waltz into random stores and demand we provide your escape. I could report you to them right now. Now get out of here before they make us disappear like those-”

The wind chime sounded, interrupting the shopkeeper, announcing the entrance of an elderly lady. As she shuffled into the store, he motioned to the door again. Frustrated by the hopelessness of the encounter, I complied and returned to the eerily quiet street. The only noises were the birdsong and the overtone of a gentle Autumn breeze. I meandered down the sidewalk, avoiding the knee-high weeds that were growing between the flags of concrete, until I reached my car. I climbed inside the weary machine and considered my next move.

I had been so giddy with hope when I had heard the myth of the mysterious shopkeeper that knew how to out manoeuvre the manoeuvrers, manipulate the manipulators, and infiltrate the infiltrators. But now, I realised the myth had been mostly constructed in my own mind out of desperation. The defeat of the situation started to overwhelm me.

Maybe there wasn’t an out. Maybe this is how it would end. Maybe my forlorn longing for the old days would ultimately be my undoing. Maybe I’d sat around with my fellow conquered thinkers and shared tales of the old world too often. Maybe there was no longer room for freedom or scholarship or advancement or civility.

I calmed my spiralling mind and turned the key in the ignition. The car coughed to life, the weakness of old age muzzling its once proud roar. It staggered over the uneven road as I navigated empty streets with empty sidewalks. I looked into the windows of the decrepit buildings I passed, and every now and then I saw the silhouette of a person, a grey phantom inside, too frightened to come out, but too curious to retreat from their window.

I retrieved my worn radio receiver from the glovebox, a memento of the old world, and tuned it just so. After a few moments of static a deep, raspy voice burst through the audio haze. Despite its harsh tone, the honestly of the voice was oddly soothing to my shot nerves and broken spirit.

“…we’ve just seen the collapse of what was one of the last relics of our sovereignty in the recent repurposing of Parliament House for the resource operations of The Foundation…

The city around me was slowly decomposing into the ground, falling victim to years of disrepair. Erupting between buildings and from cracks in the tarmac was fresh greenery, the lush brightness exaggerated by the dreary back drop.

…in the wake of all we’ve been through; the plague, the riots, the famines that followed, and the usurping of our democracy by those very people who claimed they would save us; these may be horrific developments to behold…

My concentration was detached from the broadcast as I felt that all too familiar itch on my forearm resurface. I scratched in vain at the site where my Quantum Dot had been implanted. I often wondered if the persistent irritation it provided was purposeful, a constant reminder of the fact that they were stalking you, that they were controlling you, that they owned you.

“…Oddly enough, it seems that virus a decade ago was just the dawn of our problems. Believe me, I never thought I’d say that “back in my day, I lived through a pandemic, but it was but a drop of water in the tsunami of evil that would flood our planet”. But after all we’ve lost, it’s more important now to remain strong, maintain your faith, and fight them. You are not alone. And remember, during a trial so hard, against an enemy so treacherous, resistance is victory.

The transmission ended with a crackle of static, prompting me to stow the radio receiver. I let the car roll to a stop at an intersection. The honking of horns and chatter of voices that used to fill this city centre lived on only in my head. I stepped out onto the road and continued the rest of the way on foot. A great stone colossus stood at the end of the road. It sprouted out of the ground; a grey behemoth of an heirloom left behind by the old word. The graffiti and deterioration that masked it did little to hide the pride with which it stood. I walked between the giant stone pillars into the massive foyer. Inset in the ground lay the cornerstone. Carved into it, these words appeared: “Greater Love Hath No Man.”

I heard the old man approach before I saw him. The scrapping of his cane on the ground as it found a new purchase always preceded him. He came to stand beside me and looked down at the stone. “You’re late,” his voice was hoarse and quiet. Almost a whisper.

“I got held up.” I kept my answers clipped and direct.

“Any luck?” he asked.

I shook my head with defeat. Without turning to him I asked a question back. “Did you hear the broadcast?” He nodded with a heavy sigh. “Why would they use Parliament House?”

There was a pause before he gave a deliberate and precise answer. “To dampen our morale.”

“They’re doing a good job,” I responded with a sad chuckle, “I never thought it would be quite this difficult.”

“It is not easy to find something that you do not know exists,” he said matter-of-factly as he turned, and started to shuffle away with the aid of his cane.

“So, what’s the point then?” I called after him, frustration raising my voice.

“To die hating them,” he responded over his shoulder, “that is freedom.” He moved onward, receding into the greyness of the day outside, leaving me there, with nothing but the foregone cornerstone for company.