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

I Needed to Challenge

Working for an agency that was dominated by men made me all the more aware that I had to prove my worth.

One of my monthly duties was to rate my job performance, in a number of areas, on a scale of 1 to 5. I would then submit a monthly report to my director and review it with him. I always made it a point to deliver it on time and to make an appointment for my interview.

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Doctor Knows Best

I worked as a PhD clinical psychologist for many years and was respected for my knowledge and hard work. There were exceptions, of course: mainly from the male psychiatrists I crossed paths with. This should have prepared me for my experiences as a patient, when I saw male doctors for health issues. Not so.

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When Fat Isn’t Just Fat

It’s a common conversation: A female patient presents to her male doctor with unexplained weight gain. “I’m not overeating,” she says. “I try to exercise, but it’s getting harder and harder to do that.”

The physician is dubious. “You just need to be more active,” he responds. “You need to stop eating so much,” he adds. “Here’s a diet plan. You just need to stick to it.”

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The Stigma of Being an Emotional Woman

I didn’t need May’s “More Voices” theme as a prompt to reflect on the role sexism has played in my life: Two recent experiences had already done so. I just saw a touring-company production of To Kill a Mockingbird. At one point, Jem rebukes his younger sister, Scout, for showing emotion—accusing her of “becoming more like a girl every day.” Shortly after, my great-niece, a stellar high school sophomore, shared an essay she’d written on gender stereotypes in The Odyssey—using quotes to show how Homer criticized women for displaying too much emotion and embarrassed men for displaying any emotion at all.

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May More Voices: Sexism

Dear Pulse readers,

My wife and I have raised two daughters. When our girls were little, and I was casting about for stories and characters to inspire them, it struck me with visceral force how the vast majority of cartoon and fantasy characters were male–from Micky Mouse and Bugs Bunny to Kermit the Frog and Winnie the Pooh. From Donald Duck, Daffy Duck and Yogi Bear to Rocky and Bullwinkle. Bert and Ernie. Felix the Cat. Superman.

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The “Accidents” That Shape Our Life’s Purpose

Completing my internal medicine training in the summer of 1962, I packed my car and, together with my wife and three young children, set out to find a place to practice internal medicine in a town with a good public school system.

While looking for a home from which to practice, I scrounged around for some work–police calls, house calls, calls from the ER–while my family lived on peanut butter and jelly sandwiches.

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Panic in the Outside Messages Folder

As I scan the numerous folders of my electronic medical record in-box, typically I open the “Outside Messages” folder with some trepidation. This folder contains messages from other hospitals detailing emergency room and specialist visits, hospitalizations, and test results concerning my patients.

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It Could Have Been Me

When I was a sophomore in high school, I went with the band director’s son and wife to a weekend band clinic a couple of hours away from my South Carolina home. This was the 1950s, when bench seats in cars were common, so we all rode in the front seat. On the way home, Mrs. Mills suggested we stop in a town forty minutes from home to attend church—not an unexpected suggestion in that Bible Belt place and time.

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It Was My Choice, Not an Accident

As my parents aged, accidents became an integral part of their lives—and mine, as their caregiver. These accidents ranged from falling to losing bladder and bowel control. Each time something happened beyond my parents’ control, they lost a part of themselves—of their sense of independence and adulthood. Perhaps Jacques said it best in William Shakespeare’s Twelfth Night with the final lines of his “All the world’s a stage” soliloquy: “Last scene of all,/That ends this strange eventful history,/Is second childishness and mere oblivion.”

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April More Voices: Accidents

Dear Pulse readers,

When I was a college sophomore, my mother called me in tears to tell me that one of my Canadian cousins had died in a car accident. A bright, vivacious university student, Orianne had been dozing in the back seat of a Volkswagen beetle driven by a friend, who’d apparently lost control of the car. It swerved off the road and rolled over, killing her.

No one else in the car was injured.

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An Unmeasurable Vital Sign

“How do you do it?” my dear friend asks me. A marriage and family therapist, she finds it hard to hear about the physical ailments of my senior patients—all of them over sixty-five, all homebound due to mobility impairment from a serious illness or injury. “I could never do it,” she says. “With my patients, I help them create new beginnings. For yours, there are none.”

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Through Their Last Days

John was sitting up in bed as I approached his room. “Come on in, Sister. Father has just left.”

Somewhat hesitant, I entered the room aware that his wife and daughter were in tears. I asked John if there was anything I could do for him. “Sing for me” he replied, and I began singing the words to YOU ARE MY SUNSHINE. John immediately bellowed out the song, and his wife and daughter joined in. Through their tears they gave me the courage to enjoy a heartwarming visit with John.

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