February 23, 2011
To Whom It May Concern:
I am medical student at ___ scheduled to take the USMLE step 1 on April 18, 2011 in ___. I was diagnosed with type 1 (insulin dependent) diabetes in 1990. Since 1996 I have been managing my diabetes through continuously wearing an insulin pump. The pump supplies me with a continuous basal rate of insulin necessary for me to function. I can only detach from my pump briefly, as detachment comes with the risk of clotting the infusion sight as well as slipping into diabetic ketoacidosis.
Therefore, I am writing to request that I be allowed to wear my insulin pump for my USMLE exam. Below, as per your request, you will find the model and serial number of my pump, as well as a picture of me and my pump. Included in this e-mail you will also find a letter from my endocrinologist.
Stupid NBME! Why do you waste my time with such silly tasks? Do you really think that I'd use my diabetes and insulin pump as a way to cheat on a standardized exam? How would I even go about doing that?! Also, what if I had just chosen to wear my pump in my bra during the exam and skip this mishugas all together*. Let us just hope I don't have to threaten suit for access to my medical supplies this time like I had to do for the MCATs...
*With my luck, hiding my pump would mean that it would decide to alarm during the exam. Then, how would I explain to the testing center that my chest was alarming without getting in serious trouble?