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St. Louis Magazine - April, 2008
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In This Issue

Features

Flashback - 1964 Because We Know How to Get the Blood Pumping We Love Baseball The Provocateur Because We Can Claim These Guys as Our Own The Numbers Game Because Marcus Townsend Won't Let Inner-City Baseball Die Foul Ball Because Without Us, They'd Probably Still Be Playing Barehanded Because We've Got the Best Blog Our Hallowed Ground The Wal-Mart Effect Neighborhood As Universe The Next Neighborhoods? Greener Acres Road to Recovered Gravity & Grace

Departments

Reflections in Flint Mamas, Don't Let Your Babies Grow Up to Be Horsemen Symptom Addict A Kick in the Head A Major League Decision Simon Says Rock Flex Time Upwardly Mobile How Suite It Is The King of String The Fast and the Fearful Q&A: Simon Doonan A Family Affair Things We Love Manhattan Mysteries The Splendid Mr. Douthit The House That Art Built Little Bosnia The Naked Goose Kitchen Q&A - Brendan Noonan Liquid Assets - Gin Goes Back to the Future Frugal Foodie - Zaytoon First Look - Skybox Review - F15teen A Conversation with Zach Smith
2008.07.01 - Awesome Amphibians
Frogs, toads, snakes, lizards, newts, salamanders and caecilians, oh my!...
2009.01.09 - Voices of Torture: Perspectives From a Witness and a Survivor
Join us for an evening that will awaken your conscience. Hear firsthand...
2009.01.10 - HOUSKA "HI-DEF" : phd gallery celebratesthe high definition colors of painter Charles Houska
HOUSKA “HI-DEF” phd gallery celebrates the high definition colors of...
2009.01.10 - Zen Meditation Workshop
East Meets West -Meditation Workshop JAN 10th 2009 Creating a Community of...
2009.01.11 - Opera Passions
Rising star Kelly Kaduce has captivated Opera Theatre of Saint Louis...

Symptom Addict

Need to get a day off of work this spring? Talk to the expert on acting ill

Symptom Addict
Photograph by Katherine Bish
Ken Konchel is an actor who performs for a very select audience. As a pretend-patient in both the Washington University School of Medicine Standardized Patient program and the Saint Louis University Clinical Skills program, he’s been playing a sick man for young doctors-in-training for some 15 years.

What sort of symptoms have you had to simulate? So many. Right now for Wash. U., I’m doing shortness of breath. I’ve done depression. I’ve done back problems. Gastric ulcers. Lower GI things. There are some of us doing three or four different characters in two weeks’ time and keeping track of all our allergies and our conditions and where it hurts and our backgrounds and our family medical histories—it’s a lot more involved than people realize.

Has anything bizarre ever happened during a session?
One time a student was so nervous that—you know the thing that they use to look in your ear and they put a plastic, pointy cone on the end of the instrument? Well, she used that on my eye, and she poked my eye pretty good. No lawsuit, though! [Laughs]

How much does it pay? It ranges from $15 to $30 an hour. The genital-rectal exam is the most invasive, and quite frankly, the least popular. You get paid the most for that. I started with it, but I kind of burned out after about eight years. So I “retired” from that, and now I just do the [medical] histories and the physical exams.

You got tired of being poked and prodded?
I couldn’t have said it any better
.

Have you ever been instructed to act like a jerk?
Yeah. I heard stories recently about a situation where the patient was supposed to be extra-agitated, and some of the teaching associates took it to this level of performance that was Oscar-worthy, from what I heard. My best friend made this great suggestion that we should have some kind of Oscar ceremony at the end of the semester.

What advice would you give to people pretending to be sick when they call in to their bosses to play hooky from work this spring?
You probably want to offer some kind of condition that your boss wouldn’t want to know the gory details about—something really gross, like a lower GI problem.