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

September 2025

Fifty Years Later: A Revolution in Nursing

I began my nursing career in 1975 at a hospital in New York City. I was a young woman from a small city in upstate New York, eager to grow professionally and also to broaden my worldview. Although I later relocated to advance my education, the experience of living and working in New York City changed my life in countless, positive ways. It was a great honor to volunteer after September 11th, as a way to give back to this wonderful city.

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Infinite Excuses

A long day makes me want to get home, and I’ll have
to explain, again, why I’m late to pick up the kids. The merge
onto the Expressway slows. At least the drivers stay patient,
taking turns. We keep stuttering forward until I see the cause
of our delay–two cars against the median, front and sides
crumpled metal. Next to them sits a white, windowless van.

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Dialyzing in a War Zone

I was born and raised in the city of Hebron in the West Bank, the part of historic Palestine that is governed by the Palestinian Authority. I recently graduated from Hebron University School of Medicine, established in 2019. Here is a brief description of what it’s been like to study medicine here over the past six years.

To many, the existence of a medical school in Hebron comes as a surprise. Yet, under the shadow of military occupation and adversity, our education continues—demanding, unyielding and intimately tied to the realities that shape our lives.

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A True Exam Room

I recently accepted an opportunity to work in a new clinical setting. I now spend one day a week at a harm reduction site that serves people who are currently using or have used drugs within the past 12 months.

To my surprise, I’d passed by the nondescript brick building housing the site countless times. Clients come in to a room known as the “exchange”—a large space where they can make a cup of coffee or a bowl of oatmeal, grab some snacks, trade used needles or pipes for clean ones, or pick up a hygiene kit or a new T-shirt. Social workers make the rounds to assist folks with these tasks; as the clinician, I meander and chat with the clients, introducing myself as a doctor and offering to help them with any medical questions.

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Thank You, Betty

It’s dark outside. I get out of the car and rush into the emergency department. I’m a fourth-year medical student, and this is my last shift here.

I walk in, place my coffee on the table—dangerously close to the keyboard—and open up the electronic medical record. I’m surprised to see that there isn’t much going on. Just one new patient—a woman with some back pain.

Great, another lumbar pain–probably muscle strain, I think. I’ll give her some acetaminophen and a lidocaine patch. That ought to do the trick. It usually does.

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Stranded

“Wait here,” Dr. X said. “Someone will come and set up your next appointment and give you a copy of your lab results.” So I sat down on one of the plastic chairs, took my Kindle out of my purse, and waited and waited in the exam room. The staff must be busy, I thought.

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