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

Acceptance

During a recent trip to Manhattan, I attended a matinee and found a survey from the theater taped to my seat.  As I carefully filled it out, the woman seated next to me—a senior citizen like myself—loudly took exception to a question on it about gender identity. “There are only two genders,” she proclaimed, “female and male.  These ‘binary’ or ‘trans’ choices are nonsense.” I perhaps should have confronted her about her closed-mindedness, but I remained silent.

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July More Voices: Trans

Dear readers,

I adapt slowly to new things. I’m skeptical of new technologies, the latest fashions and the most recent fads. While I like to think of myself as progressive when it comes to matters of politics and social justice, the truth is my gut is often conservative about interpersonal matters and the stuff of daily life.

So in recent years, I’ve been astonished at the rapidity with which something that was invisible when I was growing up–a person changing their gender–has become commonplace.

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Reflections from the Reservation

On the precipice of starting my career, I packed my car and set out on the two-day trip from California to the Four Corners, to be a pharmacist at a clinic on the Navajo Reservation. Beyond checking patients’ medications, I wanted to be engulfed by the people and culture of the region—its Red Rocks serving as a balustrade between my new community and the old life I was leaving behind.

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Life and Death in My Hands

My hands that are so accustomed to resting on the wrinkled skin of my aging patients, often in the last moments of their lives, have once again become restless in these times. I reach for a hand, only to remember with a start that we live in a sterile world now. There was a respite, a few bright months here and there where my patients’ confused minds clouded by Alzheimer’s could see my whole face. They met me for the first time over and over again, always recognizing the humanity of my smile.

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Stand Your Ground

I was too damn polite. Blame my Midwestern upbringing that hardwired me with nice girl, don’t be pushy settings.

I was too deferential, cautious about antagonizing the mental health professionals I needed as allies. I worried that I’d come across as presumptuous, as difficult if I suggested that I—without benefit of their training, clinical experience, or certifications—saw something they were missing.

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Stalemate

Once I looked forward to his visits, but years later I dreaded them. My change of heart began after he was laid off from his janitorial position. He worked diligently, applying desperately for jobs, but the economy was slow, and no one was hiring. The stress of not being able to make ends meet was crushing. His blood pressure rose, and he grew angry and depressed.

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Never Read Your AVN*

An early morning Zoom class, “Dealing with the Inner Critic,” to return my brain to a poetic rather than medical mode. I have several projects simmering, some raw, others partly cooked, but none completely finished, ready for consumption.

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Happy Father’s Day!

I awoke from a deep sleep today—Sunday, June 16—with a sudden urge to call my dad, nearly 10,000 miles away in India, and wish him Happy Father’s Day. A second later, I remembered that he’d passed away almost 15 years ago.

Was he in a “better place,” as everyone assured me he was when he died at age 69 of metastatic prostate cancer? Could I call him there, as I’d done for years after I left India in my early 20s?

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Caregiver Stress and No Regrets

My husband and I took care of my mom for five years, when she had Alzheimer’s. She just couldn’t handle Assisted Living/Memory Care, so Hubby and I became the “Memory Care Unit.” There were days when I was stressed, exhausted and overwhelmed. Yet, I have no regrets.

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Fear of COVID

Penny was enraged when she learned that we were no longer wearing masks at our hospital. “That’s murder,” she said. “Everyone should wear a mask at all times.”

I explained that I was following the advice of our infectious disease experts. There are downsides to masks: They make communication and patient assessment more difficult, especially in psychiatry. It’s harder to build rapport when we can’t see each other’s faces.

“You’re killing people,” she replied.

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Quasi Niente

On Wednesdays, one of the residents in my clinic precepting group usually presents a didactic. However, last Wednesday, the junior resident was absent, and I decided to present a case of a “challenging patient” instead. The patient himself wasn’t really challenging, I explained to the residents, but he was in a challenging situation. I had a 20-minute telemedicine session the following day, and I wanted the residents’ advice on how I should best spend my time with the patient.

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Understanding, Forgiving, and Loving

The older I get, the more ridiculous I find regrets. Why waste even one moment on a past that I cannot change? Instead, I try to focus on the present by living a life that gives me no regrets—one of theatre, books, adult education classes and family.

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