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

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

January 2025

Grin and Bear It

Making it through medical training, an ableist system, with a disabled body, took all the grit I could summon. In residency, I managed severe pain and exhaustion from an autoimmune condition. Work hours were grueling, and I needed to sleep nearly every minute I was not in the hospital. Attending medical appointments or working make-up shifts for peers who covered sick call in my “free time” on post-call days was torture.

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A Legacy of Strength and Perseverance

As a noun, grit is defined as “courage and resolve, strength of character.” It often emerges in the face of great challenges. We associate grit with heroic figures: army captains holding their ground against tremendous odds, navy commanders saving sinking ships, air force pilots navigating disaster zones. Yet, many gritty individuals remain unsung heroes, quietly shaping lives. My maternal grandfather was one such hero.

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Grits and Grit

My husband and I took care of my Alzheimer’s-ridden mom for five years, and as any caregiver knows, we all have had to develop “true grit.” “Grit” to me is inner mettle and perseverance.

Any disease is difficult to deal with, but with Alzheimer’s, you’re often dealing with an ungrateful stranger, due to the changes in the brain. The “stranger” part didn’t bother me as much as the “ungrateful” part did.

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The Art of Listening

Reflecting on the start of my medical studies and career, I realize that it took me more than ten years to refine my ability to practice the art of listening. Partly that may have been because English is not my mother tongue; but it was also because listening is an arduous task. As Kate Murphy writes in her book You’re Not Listening: What You’re Missing & Why It Matters: “Understanding is the goal of listening, and it takes effort.”

My first hard lesson in this area occurred when I was a medical student, doing research at a needle-exchange program. A patient named Haris had been screened for HIV, and his test result was positive. He was the first patient to whom I had to give such bad news.

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Delicious and Durable

The room was packed and energy buzzed in the air. I couldn’t help but smile as students and parents hovered around our food safety stations. Some were scanning nutrition labels, and others were laughing as they guessed how much sugar was in a soda, or how much fat was in a potato chip, or how many calories were in a candy bar. It felt amazing to see everything come together, but behind the scenes was tons of hard work.

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Mind over Matter

With age has come fear. A fear of walking outside ever since I fell two years ago and fractured my pelvis. A fear of driving at night, despite cataract surgeries having eliminated hazy vision. A fear of flying that has kept me grounded for more than two decades. I wake up every morning, fearing what the day will bring. A good day is a boring one that has nothing out of the ordinary happening.

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January More Voices: Grit

Dear Pulse readers,

When I think of grit, I think of someone who perseveres–and sometimes triumphs–in the face of hardship.

When I was nineteen years old I hitchhiked alone across the US and back. Was that grit? Or was it teenage wanderlust and foolhardiness?

Making my way through medical school certainly involved hardship–and I persevered. Was it grit that got me through, or was it a fear of failing?

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