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

So I Was at This Dinner Party…

Atlanta, 2004. I’m seated next to a stranger at a large table at my brother’s home; I know no one there except my brother and his family. My son stayed back in New York with his dad, and my daughter was playing in another room. When the woman next to me hears where I am from, she mentions that she had once lived across the river from me. I knew her town well.

“It was nice there,” she said. “But’”–she lowered her voice–“we had to move.”

I knew why right away, but I had to hear it from her. “Oh?” I asked innocently. “Why?”

“Oh, you know,” she leaned in and whispered. “The Blacks.”

Here was my chance, and I didn’t miss a beat. “Oh, I know,” I replied. “They’re so noisy, and they make such a mess. I have two of them living downstairs in my house. They drive me crazy sometimes.”

She looked confused.

“My children are biracial,” I smiled at her. And I immediately felt terrible for embarrassing her, as she fell over herself apologizing.

But another part of me didn’t feel terrible. “I’m sorry,” I said, “but it  just goes to show you: you never know

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Stubborn as a Mule

I remember my mother referring to me from early childhood on as “stubborn as a mule.” That trait has held me in good stead when dealing with authority figures or doctors who have tried to talk me into doing something I knew wasn’t right.

The event I remember most, though, comes from my grammar school years. A girl in our class was “retarded” (the term used then), as was her mother. She came to school with her hair uncombed, clothes dirty, and wearing no underpants. Each day at recess a group of boys encouraged her to go on the hanging bars so they could run under and look up her dress.

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Can A Twenty-Two-Year-Old Medical Student Speak Up?

In 1970 I was a twenty-two-year-old first-year medical student riding down from New Haven with my classmates and our medical school dean to Washington, DC to join other medical students lobbying members of Congress to end the war in Vietnam. The organizers had arranged for us students to sleep on the floor of some dorm rooms at Georgetown University, which we did. (The dean, I am sure, did much better than that.)

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Racism in Medicine Kills People. I Have Seen It.

The year was 1997, or thereabouts. She called on an otherwise slow day in the AIDS service agency I had started and was running on fumes and prayers. Her name was Mary.

Mary’s voice was trembling. She had been raped, and beaten, and feared she had AIDS. I knew she needed medical attention, so I got into my car to find her house, a tiny home next to the railroad tracks.

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The Sin of Silence

When I was twenty years old, I read Elie Wiesel’s 1966 book, The Jews of Silence. I learned that silence is a sin—that passively watching something heinous happen without actively speaking out against it is almost as bad as participating in the negative behavior. While this lesson did not result in my joining marches or writing letters to political leaders, it did make me more cognizant of the necessity to speak up when I witness injustices.

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July More Voices: Speaking Up

Dear Pulse readers,

The July More Voices theme is Speaking Up.

I think most of us would like to be the one who speaks up to right a wrong or to call out an injustice.

I’ve done that on occasion, but I can remember other times when I’ve remained silent.

Here’s a time when I spoke up:

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We Can No Longer Remain Silent

A patient walked in with her child, who was probably about four years old. I greeted the child, but he wanted nothing to do with me. He said, “I don’t like her. I don’t like that color!” I thought maybe I’d misunderstood him. Then he said, loud and clear, “I don’t like Black.” His mother, obviously embarrassed, told him that wasn’t a nice thing to say, and I had to carry on with the visit as if nothing had happened.
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I Am a White Woman

I am a White woman with privilege. My parents preached that all people are created equal, but we lived in White communities. Talk is easy. When I was in high school, my father was transferred and we moved. With many more Black persons in Virginia, Maryland, and D.C., my mother’s true views emerged. It was 1962, and as we drove places, her talk was a stream of stereotyping racism.

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#ILookLikeASurgeon

I finished general surgery training in 2002. At that time, it felt like a whole new era in medicine, or so I thought. I was off to solo-private practice in “liberal,” northern California. I had naïve optimism as the first Black graduate of my residency program, one of few Black women practicing general surgery, and the first woman and Black person to practice general surgery at this hospital.
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The Threshold

I suit up. Hand sanitizer, gown. Hand sanitizer, mask and goggles. Hand sanitizer, adjust the goggles that have steamed up from the mask. Hand sanitizer, gloves.

Through the door of the ICU, I see my patient, staring off towards the windows, and his hand grasps at the air. I lean forcefully to drag open the suctioned sliding door. I enter the room and introduce myself. “I’m Doctor Tamarelli with psychiatry! Your doctors asked us to check in with you!”

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Checking In

My black friends and colleagues have been through a lot in the past few months. They are not okay.
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Many have lost family and friends to COVID. Lay-offs have affected my black friends more than my white friends. Recent murders of blacks, at the hands of police and civilians, show the continued deadly effects of American racism.
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Gail’s Pencil Box

I was in the fourth grade in 1956, when I became one of the first black students in Kansas City, Kansas, to desegregate Abbott Elementary School. That year was filled with learning experiences for everyone involved— teachers, parents, and both black and white children—but by the end of the school year the ugly incidents had been few. I had great expectations when fifth grade rolled around, but nothing could have prepared me for what was to come.

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