What I Didn’t Learn in Medical School – Martín Olvera, Rural Doctor

Article published at: Jan 15, 2025
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My name is Martín Olvera. After finishing medical school, I was assigned to social service at a rural health center in the Sierra of Chiapas. There was no laboratory, no ambulances, no internet. Sometimes, not even electricity.

Julián was the first patient I couldn’t save. He was 14 years old. He arrived almost unconscious, brought in the back of a truck by his father. He had a very high fever, bleeding gums, and a dull expression. We laid him on a worn-out stretcher while I checked his vital signs with a stethoscope that was years old. Probable diagnosis: hemorrhagic dengue.

I placed an IV line, gave him oral paracetamol because it was all we had. We hydrated him manually. I used cloth towels that a local woman had brought from her home to make compresses. I wrote down his vitals in a notebook. I sat by his side all night.

At 4:17 a.m., I learned he had passed away. The silence was brutal. His father, standing, looked at me and said:
“Thank you for trying, doctor.”

That night I understood that medicine doesn’t always fail because of lack of knowledge, but because of lack of resources. Julián taught me what university couldn’t: pain isn’t only physical; it’s also structural.

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