Med school is the ideal culture medium for the lush development of eating disorders, exercise disorders, and/or self-harm. If those hostile bugs were previously kept at bay by your healthy flora, this is their debutante ball.  Put a bunch of highly motivated type-A students together; drown them in information at an extraordinarily rapid pace; demand the facade of professionalism at all times; create a structure where students are always testing and applying for the next step, never arrived, always competing; institute a schedule that can only be surmounted by control, control, control; and isolate them from previously healthy and supportive relationships with family and friends. Coping mechanisms morph into control mechanisms. 1400 calories, 35% protein, 3 miles, 200 reps, 6.5 hours sleep, 49 emails, tick this box, meet this deadline, peek that there’s still blood running through your veins, check if you still have the capacity to feel pain, relish in your sense of temporary dominion, tell yourself this is for the greater good, that you have to become this to emerge later as a doctor. And maybe it’s true. So one day we can tell everybody else how to be healthy.