fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

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fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

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May 2022

Going in Peace

All too often in my forty years of practicing medicine, I’ve seen patients die hard, lonely deaths—lying on a stretcher under the emergency department’s glaring lights, or all alone in an ICU bed.

In extreme situations, the patient is covered in medical equipment: a breathing tube in the mouth, defibrillator pads on the chest, monitor leads on the torso, IV lines dangling from the neck and arms. When family members finally enter the room, it’s heart-wrenching to see them weep over their loved one, to whom they never got to say goodbye.

But it doesn’t always happen this way.

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Popping the Question

Last week it happened again. It starts with a hesitant smile, a subtle pause, eyes looking me up and down, and a gaze that tentatively rests at my stomach. I sense what is about to occur, and I wait like the proverbial deer in the headlights. Then comes the timid question: “Are you expecting?”

I pause awkwardly and briefly contemplate my response. Because my patient is inquiring out of love and genuine curiosity, I tamp down my sarcasm and mumble, “It’s my pants style.” The patient lowers their eyes and murmurs something apologetic.

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Unmasking the Problem

In the spring of 2021, as a third-year medical student in the midst of the pandemic, I worked on a research thesis while continuing to build my clinical skills. Every other week, I would visit the endocrinology clinic and see patients with my research mentor.

It was a day like any other at the clinic. Wearing the usual blue surgical face mask, I knocked on the exam-room door, and asked permission to enter. After sanitizing my hands, I began my introductory spiel while heading to the computer. Sitting down, I glanced at my patient, Jim—a man in his fifties, sitting across from me.

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Coffee, No Cigarettes

She smoked. There was always a pack of Lark cigarettes on the kitchen table next to a half-empty cup of lukewarm coffee. I couldn’t stand the smell of coffee for years because it was comingled in my nostrils with curling cigarette fumes. I had to beg her not to smoke in the car, where the combination of motion and tobacco smoke nauseated me until I had to yell to my father to stop the car, just in time to open the door and throw up on the side of the road.

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How a Female Doctor Should Look

The new attending pulled us aside after morning rounds. I would be the intern on his team, along with a senior resident and some medical students. I pulled out a notebook from the bulging pockets of my white coat, ready to jot down notes about his patients or write words of wisdom. “I expect the ladies on my team to wear dresses or skirts with high heels, hair styled, and make-up done. Men should wear shirts and ties.” I was too stunned to speak. I looked around hoping to find another shocked expression; however, the team was conveniently mostly male.

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I Needed to Challenge

Working for an agency that was dominated by men made me all the more aware that I had to prove my worth.

One of my monthly duties was to rate my job performance, in a number of areas, on a scale of 1 to 5. I would then submit a monthly report to my director and review it with him. I always made it a point to deliver it on time and to make an appointment for my interview.

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Doctor Knows Best

I worked as a PhD clinical psychologist for many years and was respected for my knowledge and hard work. There were exceptions, of course: mainly from the male psychiatrists I crossed paths with. This should have prepared me for my experiences as a patient, when I saw male doctors for health issues. Not so.

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When Fat Isn’t Just Fat

It’s a common conversation: A female patient presents to her male doctor with unexplained weight gain. “I’m not overeating,” she says. “I try to exercise, but it’s getting harder and harder to do that.”

The physician is dubious. “You just need to be more active,” he responds. “You need to stop eating so much,” he adds. “Here’s a diet plan. You just need to stick to it.”

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The Stigma of Being an Emotional Woman

I didn’t need May’s “More Voices” theme as a prompt to reflect on the role sexism has played in my life: Two recent experiences had already done so. I just saw a touring-company production of To Kill a Mockingbird. At one point, Jem rebukes his younger sister, Scout, for showing emotion—accusing her of “becoming more like a girl every day.” Shortly after, my great-niece, a stellar high school sophomore, shared an essay she’d written on gender stereotypes in The Odyssey—using quotes to show how Homer criticized women for displaying too much emotion and embarrassed men for displaying any emotion at all.

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