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

March 2026

I Almost Didn’t Survive

I almost didn’t survive the accident that I can’t remember. It was New Year’s Eve, 1979 and my parents, both nurses, were headed home when a drunk driver ran a red light and T-boned their car on the passenger’s side. Their dog was frightened and ran away. My mom was taken to the hospital to evaluate for internal injuries. My dad was not harmed, but he stepped in a jar of honey that was broken in the accident. At the hospital, he remembers squishing and sticking down the cold, clean tile floors to get to his injured wife.

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A Perilous Breakdown

It was late afternoon on the day of the winter solstice in 1983, and my car had broken down on the freeway. The damp, gloomy weather and encroaching darkness were textbook precursors of what was to come. I, and the friend who was with me, had walked to an emergency phone to call for roadside assistance, and we were walking in the emergency lane back to the car when traffic suddenly slowed.

A speeding van swerved into the emergency lane to avoid colliding with the car in front of it—hitting me instead. There was a loud thud as my body dented its bumper. The force of the impact propelled me upward; my forehead smashed the van’s windscreen before I ricocheted off the vehicle. My friend watched me fly through the air and land like a rag doll in the grass. The whole event unfolded in seconds.

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Efficiency

There is a cloud that comes for me. I cannot name it exactly. It’s like smoke—the kind that seeps rather than billows, curling at the edges of the conversation the moment I step into a patient’s room. It starts as a feeling. Then a sound. A clock, ticking somewhere behind my sternum, low and insistent, counting down something I cannot afford to lose.

Ten minutes until rounds. Eight. Five.

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Hold

I lean back in the reclined hospital chair, and the nurse places my baby heart to heart on my bare chest, for the first time. She covers us in blankets. Me with my mask, long hair up, a giant blanket covering my body, and a little pink and blue knit hat under my chin. I stare at the clock, the second hand, because I don’t know what else to do. A few beeps brings me back and I stare at the monitors beside the isolette. He forgets to breathe, his heart rate dips too low, his tubes on his legs, arms, nose and mouth get tangled. It is a relief when the nurse comes in to say time to put him back. I untangle his hand from mine, a fairy hand around my pointer finger barely covering my finger pad. The nurse helps me settle him into his incubator. Standing beside his machines, watching his vitals normalize under his clear plastic cocoon, I still feel his tiny warm body, heart beating, on my chest.

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The Missing Piece of a Terrible Puzzle

I didn’t know I was a victim of gun violence for more than forty years. Once I hit my twenties, I knew I had been sexually assaulted as a child. I carried bits and pieces of that memory, always in fragments: opening the door to a stranger, a breeze through an open window, curled into a little ball by my toy chest. I held these pieces tightly even though they didn’t make any sense.

Years of therapy followed. I tried talk therapy and EMDR, self-help groups and books. I kept searching for the missing piece that would bring me back together. I knew there was something important I had forgotten.

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A “Straightforward” Neurosurgical Procedure

I once introduced myself as a retired academic emergency physician, bioethicist, and wilderness medicine specialist. These days, I prefer part-human, part-hardware.

It began in Antarctica. My gait deteriorated; my cognition slowed. My wife noticed both — gently, though with her unfortunate track record of being right.

Back home, a carousel of neurologists took their turns. Their theories ranged from imaginatively inaccurate to implausibly terminal. I suspected idiopathic normal pressure hydrocephalus. Most dismissed the idea. One brave neurologist agreed. Her colleagues dismissed her, too.

A neurosurgeon entered. Calm, competent, reassuring. “Let’s place a ventriculoperitoneal shunt,” he said. “Straightforward procedure.”

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Biopsy

Either nothing
or leukemia or nothing or
multiple myeloma or nothing
a tumor, the long needle, the shattered
bone, the blood cell count, the EKG, the EEG,
nothing, the cyst, the rash, the clot, the scream, the sigh,
the “let’s just be sure,” the “let’s rule it out,” the “this may pinch

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Death on a Freeway

The way I learned as a pediatric resident was by doing.

One night, during a neonatal rotation at the county maternity hospital, my call partner and I were paged for a “Code Blue” in the pediatric treatment room. I arrived after my partner. She looked at me over the nurse’s head and shook her head. No hope.

The boy had blood coming out of one ear. He wore an oxygen mask. The nurses were attempting IV access.

The boy’s parents were at the door, watching.

“What happened?” I asked. My partner said the boy had fallen out of a van on the freeway. The father had pulled over, run back, picked him up, and brought him to the hospital.

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My Mother’s Life, My Life

A motor vehicle accident (MVA) changed my mother’s life forever, and maybe my life as well.

When she was 16, my mother, as a pedestrian, was hit by a drunk driver who went through a stop light. She had such a severe compound fracture of her femur and tibia that she was in traction for three years: in the hospital, her leg hanging in the air from pulleys, for three years when she was 16, 17, and 18 years old. We don’t do that to patients anymore. She also had multiple surgeries during those three years: for pinning; for osteomyelitis; and for skin grafts—which left 4-inch-square scars on her “good” thigh where skin was removed to cover a 3-inch-square divot in her “bad” leg.

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A Calling Quietly Found

In 2021, I began carrying what felt like a small but steady flame—a vision of public health that was more than a professional title. In the hills of Meghalaya, India, where beauty and burden exist side by side, I learned that my work was not only about data or reports. It was about healing that reaches beyond charts and protocols, into the fragile spaces where fear and denial quietly coexist.

Between hospital walls and distant villages, I encountered more than illness. I witnessed how tradition, financial hardship, and long journeys shaped decisions about care. I saw families sit with diagnoses that altered their future. Public health, I came to understand, is not only prevention strategies or surveillance systems. It is standing at the intersection of science and humanity—where research meets compassion.

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