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

Paul Gross

An Editor’s Invitation: Parenting

I just returned from a conference in Toronto. At one point, I was sitting at a table with three strangers–family physicians from distant locations. One was cradling a toddler. Another was visibly pregnant with her third child. Before long the four of us were passing around cellphone photos of our offspring, blessing one another with little cries of admiration.

That’s how long it took for us to go from strangers to intimate friends.

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An Editor’s Invitation: Telling the Truth

To me, there’s something sacred about honesty, and telling the truth is one of the things that attracted me to the healing professions. Inside an exam room or a therapist’s office, any magic that happens arises out of honesty: We talk about what’s really going on in the body or in the soul. We acknowledge our fears. We say things that, in the telling, bring us relief.

The truth can be painful. I know. I was once given the diagnosis of type 1 diabetes. But what stung more than the truth itself was the way in which that truth was delivered to me–in a waiting room, by a receptionist.

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An Editor’s Invitation: A Fresh Start

The New Year offers all of us a chance for a fresh start–to look at things differently, to act differently, to try new things or to take on old issues in a new way.

Illness can be an invitation to a fresh start. As we slog through the muck of sickness, it’s tempting to strike a deal with the powers that be: When I recover from this, I’m going to start taking better care of myself.

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A Conversation About Race, Fear and Connection

Paul Gross

In the wake of recent events, many speak about the need for conversations about race. In our country, the implications of race are a moral issue, a humanitarian issue, a justice issue and, yes, a medical issue. (One need only examine how racial categorization affects rates of death.) But what would this conversation about race look like?

Today, Pulse’s editor provides one offering. In August, we’ll invite all Pulse readers to join in with their stories, when Race will be the theme of More Voices.

I grew up in Stuyvesant Town, a middle-class housing development just north of Fourteenth Street on the east side of Manhattan. Built after World War II, Stuyvesant Town was a leafy and desirable place to live. There was a long waiting list to get in, and priority was given to World War II veterans, like my father.

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Icy Cold

“Your hands are cold.”

I heard these words throughout my third year of medical school, the year during which we first touched patients on a routine basis.

My hands were cold. I was nervous; how could I not be? What a strange experience for me–asking strangers to disrobe, then touching their bare skin.

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Terms and Conditions

If you are writing about a patient, his or her identity must be protected. Either you should obtain
written consent to publish the piece or you must disguise a patient’s identity so that his or her
friend or family member would not recognize the individual. In this case, the name must be
changed. Other helpful changes might be: sex; physical characteristics (e.g., age, hair or eye
color, body habitus); presenting illness; occupation; family constellation (number or age of
children). Please let our editors know what you’ve changed. If you have questions please use
the Contact Us form to query our editors.

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Now We Are Five

Paul Gross

“I’m glad that you’re the one calling me with this.”

John’s comment takes me aback. It’s an unexpected, almost tender, confession from a twenty-year-old young man whom I’ve called with some good news and some not-so-good news.

“The good news is that your HIV test is negative,” I tell him. “You do not have AIDS. But the not-so-good news is that you tested positive for chlamydia, another sexually transmitted infection.”

I want to give him a moment to let this sink in, but he jumps in anxiously: “Can you treat it?”

“Yes, we can treat it. It’s easy to treat. It’s curable.”

“And I’ll be okay?”

“Yes, you’ll be fine. Once we treat it, the infection will be gone.”

I hear the sigh of relief.

We discuss where he might have picked up this infection–not entirely clear–and to whom he might have passed it along, also unclear.

That’s when he offers up his comment: “I’m glad that you’re the one calling me with this.” Not quite a compliment, not quite an intimacy, and yet a little of both.

I’ve cared for John episodically since his teens. During this week’s visit, he discussed his recent, unsuccessful, attempt to support

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The Story of Pulse

One Monday morning, a number of years ago, the administrators at the family health center where I used to work instituted a new and time-consuming procedure for registering patients. They did this in an attempt to satisfy the rules and requirements imposed by the many different insurance plans our center accepted.

There was just one problem: the administrators forgot to tell anyone what they’d done–not even the center’s medical director, who happened to be on vacation at the time.

As the clerical staff stumbled over a brand-new, complex set of protocols that day, a line of patients, mostly poor, snaked around the lobby, out the front door onto the sidewalk. Tempers grew short. A fight nearly broke out. We providers sat in the back twiddling our thumbs, waiting for patients to trickle into the exam rooms.

Finally, after an hour-and-a-half, enough patients had been registered so that the line could finally fit inside the lobby. The exam rooms were all filled, and the doctors and nurses were desperately trying to make up for lost time.

At that moment, the health center fire alarm went off–signaling one of our periodic fire drills.

Needless to say, it couldn’t have happened at a

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What is Pulse?

Every Friday, Pulse–voices from the heart of medicine publishes and distributes a first-person story or poem, together with a visual image or haiku, about health care.

Launched in 2008, Pulse was created by members of the Department of Family and Social Medicine at Montefiore Medical Center and Albert Einstein College of Medicine in collaboration with colleagues and friends around the country.

At a time when the pioneering work of Rita Charon has established the value of narrative medicine–an approach that places a premium on personal perspectives within a healthcare encounter–Pulse makes narrative medicine available to all and accessible to anyone.

Pulse tells the story of health care through the personal experiences of those who live it–patients, health professionals, students and caregivers. While medical care is often rightly criticized for being cold and oblivious, Pulse highlights the humanity and vulnerability of all its actors. In doing so it promotes the humanistic practice of medicine and encourages advocacy for compassionate health care for all.

Since its launch, Pulse has drawn the attention of the national media and policymakers. Widely used by medical educators to promote humanism and professionalism, Pulse enjoys a broad readership drawn to its diverse voices, compelling writing and authenticity.

Pulse welcomes

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