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

An Editor’s Invitation: Making Assumptions

As a physician, I make assumptions all the time.
When a child or teenager presents to me with chest pain, I assume that the pain is not being caused by heart disease–the thing that they or their parent are most worried about.
Yes, I do my due diligence to confirm that assumption. But that snap judgment occurs as quickly as the words “chest pain” are out of a youngster’s mouth.
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Reflections on Ageism

As a pre-med student, I volunteered in the emergency department of a local hospital, and I also worked as a personal trainer for MacWheelers, an exercise program for adults with spinal cord injury. Looking back, I now realize how often I made wrong assumptions about elderly patients I cared for. I assumed they were too weak and fragile for simple tasks. As a personal trainer, I was overly restrictive on which equipment they could use and the types of movements they could safely perform.

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Transition

“I’ve been having some gender issues lately.”

I was on the phone with my eighteen-year-old granddaughter Amy who had recently moved across country to attend college.

“Want to talk about them?” I asked.

“I want to be a boy.”

“Wow! Where did that come from?”

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The Phone Call

My husband picks up the phone. It’s his mother. 

A few weeks earlier, I had suffered a placental abruption during the twenty-third week of pregnancy with my third child. I am still spinning in a vortex of shock, grief, guilt and regret. Did we do the right thing? Should we have tried to save her? Why didn’t we tell them to do everything? Why did I sign the DNR? 

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The Feeling

So, this is what it feels like to belong.

I found myself crying as I danced through the streets of downtown Boston, celebrating my first Pride parade since coming out. While Lady Gaga songs and rainbow costumes provided a backdrop for my ecstasy, my joy arose from the feeling of belonging, a sense of connection bringing me closer to myself and to every person within that crowd of thousands. That was the feeling of my first Pride.

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Creating Understanding

I was born a Brobdingnagian in a world of Lilliputians. As a child, I towered over my classmates, both female and male, and most of my teachers. Even as an adult, I stand out in a crow-and I hate it. Being tall has contributed to my psychological angst: it has given me a negative self-image; it has made me the victim of teasing (“How’s the weather up there?”); and it has made me feel like an outsider from mainstream society.

Being a part of the LGBTQ+ community may cause its population to feel a similar sense of isolation and depression. Or, it may not. I do not know. What I do know for certain, however, is that being different should be okay–and that no one, especially ourselves, should condemn us for not fitting some predetermined mold.

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An Editor’s Invitation: LGBTQ+

When I was a freshman in college, my closest friend told me that he was pretty sure he was gay.

I was perplexed. I knew that gay men existed, but I’d never known one. (Of course I had; I just didn’t realize it.)

Not long after, my friend began a journey of exploration, of figuring out who he was–yes, he was gay–and I had the good sense to reserve judgment, to listen and learn, and to remain his friend.

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On the Frontline

There are those who speak heatedly about abortion, either for or against, from a distance, their voice hypothetical. There are those who sit with a woman, listen to her story, see her broken heart revealed and hold her hand as she cries, “I can’t have this baby.” And then there are those, truly on the frontline, who perform abortions.

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On Becoming an Abortion Provider

A young woman comes to my office: she’s pregnant, and she wants to discuss her options. In my medical practice, this scenario repeats itself on a daily basis.
Occasionally the patient is a high school student or in college on a sports scholarship. Oftentimes she’s a single mother with several children, her home already bursting at the seams. Sometimes she’s with a partner she knows would not be a good parent to her children. Or often she is married and financially stable, but engaged in a demanding career, or just simply decides that it’s not the right time.
Some of my patients are ambivalent and want me to help them explore options. Others are already certain that they want an abortion.
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The Making of an Activist

 
As a medical student, I was covered by my mother’s health insurance plan (thanks, Obama!). At that time, however, her (my) insurance carrier and my university’s health system were in the midst of renegotiating their contract–and therefore my insurance was not accepted at the university-affiliated gynecology practice. In need of a pap smear and a refill of my birth control prescription, I turned to Google and found there was a Planned Parenthood clinic within walking distance of my apartment.
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A Son’s Death, A Mother’s Love

On March 11, 2017 I lost my beloved twenty-five-year-old son to the disease of addiction. He was a beautiful, creative and compassionate person with enormous potential. Receiving the call from the police that he was dead from an overdose was a nightmare no parent should have to experience. Driving to his drug dealer’s apartment to identify his body was not close to any situation I had read about in parenting books as he was growing up.

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Choice

It is 1989. My earliest memory of myself is of riding on my dad’s shoulders and holding a placard that reads “Pro-Choice.” Chants of “Her Body, Her Choice” reverberate around me. I’m barely four years old, but this is not my first protest. In my family, abortion has never had a question mark after it.

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