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

March 2026

Translucent

For thirty years, I worked on other people’s crises: fighting at 3:00 a.m. for an inpatient bed, sitting with families as addiction took another son, pushing for emergency housing, walking into nursing homes rank with neglect. I lived in a visible world of action and consequence.

The end came in my home office. Even behind the flat safety of a screen, I could no longer hold the frame of a telehealth call. My body became a lead weight sinking into the chair, pulled down by a force I couldn’t name. The pain on my face was a map I could no longer fold away. I closed my laptop for the last time and moved to my bedroom.

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That One Event

It was the summer I was hated. Living in North Carolina, where they still called it the War Between the States, my Yankee accent stood out. Pending my schedule I trained as a community organizer by day or went door-to-door canvassing money for social change in the evenings. To pay my rent I worked a rotating schedule as triage receptionist in the Emergency Room. I was the one asking your name, address, and insurance, asking you to spell things for me, telling you to move your car out of the ambulance bay.

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Mr. B

I couldn’t help but gag at the stench in the room. Mr. B greeted me with a smile.

“Pretty disgusting isn’t it. Rotting flesh. The smell. Nothing like it. Your mask won’t help you much.” He gave a loud chortle as though he had told the funniest joke ever.

The year was 1965. I was a student nurse. This was my first encounter with gangrene.

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Jet Fuel

Not many people can say they are comforted by the smell of jet fuel. But I can.

I was working as a new medical scribe in the emergency department when a crew of flight nurses rushed in with a trauma patient. As they passed by me, in uniforms I recognized, the scent of jet fuel whisked me back to some of my most cherished childhood memories.

When I was growing up, my dad was a flight nurse. My mom sometimes brought us kids to the base during his 24-hour shifts so we could eat lunch with him. If we were lucky, and maybe when others weren’t, while we were there he’d get a call to fly out to rescue someone in need.

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Pushing and Pulling

Medical training consists of years of daily pushing and pulling. As a medical student, or during residency, you are constantly pulling in senior residents for consultations to provide desperately needed guidance ensuring that you don’t hurt anyone; or else you’re pushing away those same senior residents when you finally feel, It’s okay, I got this.

If you ask for help too early, you’ll meet with stern and frustrated rebukes: “I’m busy! Why are you calling me? You should be able to manage this by now!”

But if you call too late, it’s: “Why didn’t you call me? What the hell were you thinking? You coulda killed him!”

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A Back-Broken But Whole Life

I was on a blind date, a week short of turning 21, when the Triumph I was riding in crashed into a light pole on the Bronx River Parkway. My date thought the car was burning and rushed around to pull me out; the door was locked, and by the time he got back to the driver’s seat he realized the car with spewing steam, not smoke, so he just held me still.

When the ambulance got me to the hospital, it turned out I had jackknifed over the lap belt and broken my back.

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Apprenticeship to Waiting

I write this in a gap in the clinic. My patient, Ms. A, a recurrent non-attender, is running late.

The last time she came, Ms. A sat very still while I watched the tremor in her left hand. “Is it Parkinson’s?” she asked, before we had really begun.

Now, I wait for her return, for her test results, for her disease to reveal itself. In neurology it sometimes feels as though I am in apprenticeship to waiting, learning its rhythms from the patients I see.

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Senior Center

The constraints of traditional marital roles put Rita at a disadvantage when she was unexpectedly widowed in her 80s. Finances, cars, and home repairs had been her husband’s purview. But Rita was determined to learn to manage her own affairs, despite her grief.

Her learning curve was steep and her missteps frequent. She initially needed reminders not to pay bills set up for autopay. Duped by scammers, Rita had to cancel credit cards and open new bank accounts a few times. After learning the art of the screenshot, she frequently texted photos of mail to her daughter with a query: “Scam?”

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Moment of Truth

Twenty-five-year-old male, Type 1 diabetes with recent left-leg amputation, poor glucose control. 



Routine case, I figured. I was the senior endocrinologist at a community health center, teaching resident physicians and caring for medically underserved patients.

I had prepared a chair to my immediate right for the medical resident, Anna, so that by turning my head slightly away from my desktop computer I would be able to see her face clearly. Although she didn’t know it, I was deaf–and with one of my cochlear implants failing, I needed to lip-read to understand speech.

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