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

Pamela Adelstein

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Searching for Activism

My senior year in college, I took a course called Women and Radicalism. It was an exciting class. We studied radical movements on the left and right, with a focus on women’s participation. The course featured a weekend retreat with women activists. For two days, women took the stage to describe their causes and advocacy roles. I attended many sessions, in awe of these phenomenal women who were making a difference in the world. I noted that most of them had been thrust into their cause by a personal adverse event, such as gun violence or an environmental catastrophe.

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Tug of War

A tug of war lives within me, and my physical body and soul are struggling mightily. Gratitude pulls one end of the rope, and burnout yanks the other. I feel immensely grateful that I can meaningfully contribute to people’s care during the pandemic. I’ve triaged, tested, talked with and tended to countless patients since COVID-19 began. I am blessed with wonderful family, friends and community plus a job with deep purpose and meaning. Each workday I feel enriched by those around me.

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Asking Permission

When our children were young, my husband and I taught them about the need to ask permission before performing actions that could have consequences. As part of our strategy, we highlighted whenever a poorly thought out choice triggered a positive or negative outcome.

To my bemusement, even into their early adolescence, our kids would ask if they could have a snack or dessert or watch an extra show. I would bring great ceremony to my reply, in the hopes of perpetuating their impression that asking for permission was still necessary.

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Dear Worried Mother

I can’t stop thinking about you.

Last night, at about midnight, the phone aroused me from my happy slumber. It was Vance, the on-call resident, needing advice from me, as the supervising physician, on how to help a worried mother—you—who’d called our family health center’s after-hours service about your daughter’s worsening asthma.

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Birthing

Saturday night in my living room, I was surrounded by the parents of the children in my daughter’s kindergarten class. I had boldly offered to host a parent social. We were playing Two Truths and a Lie, one of my favorite icebreakers. My turn had come, and I shared three statements. One of my truths was that my daughters were intentionally born at home. Immediately everyone declared this as the lie, joking that I asked for an epidural as soon as I arrived at the hospital. I understood that no one knew me, yet I was thrown by this gross misunderstanding of who I am and the deliberate choices that I make.

When I was pregnant for the first time, I could not conceive of walking out of my house as two people and then returning home as three. As a family physician who practiced obstetrics, I was well-acquainted with the ups and downs of hospital births. I had seen intervention beget further intervention. I resented the television mindlessly blaring while a woman was laboring. I cringed at hospital staff who would chitchat as if the birthing woman was invisible. Once I learned about the improved outcomes for low-risk home

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In-Between

Something doesn’t feel quite right these days. I’m in-between, hanging in the wind, waiting for the next set of closed doors to open, for what lies behind those doors to emerge. The earth moved from winter through solstice into spring, yet temperatures still dip. Which jacket and shoes to wear? How many blankets are needed at night? We just sprang the clock ahead, but I haven’t yet adjusted and my sleep is off. A big birthday lies ahead and I want to get into celebratory mode, but I still dwell in this decade, which was capped off by a trying and tumultuous year. Least exciting of all, I’m in that liminal phase dubbed perimenopause by Western medicine.

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