2023

As an intern in 1984, one of my first patients was a woman I’ll call Emily. Soft-spoken, with a wide smile and light brown hair, she was in her mid forties, from rural North Carolina. She’d had intractable headaches for decades. Despite extensive medical workups, no cause had been found.

“I will never let my children have sleepovers,” a mother told me firmly. I was talking to her child as my patient, and he wanted me to convince his mother otherwise.

What do you do when you hear about a sex assault that happened years ago, and you currently interact with the perpetrator in your daily life? What if that perpetrator is seemingly a nice person, and you are friends with his female partner and his family?

What if the perpetrator is a patient of yours, and you are also the primary care provider for his family?

What if the perpetrator is a coworker or a supervisor at your workplace, and you spend time together in meetings and engaged in work tasks?

I overheard the comments from across the busy clinic. The two students working with their assigned patient were gamely trying to dodge his questions and redirect the conversation. But despite their efforts, he persisted with his intrusive line of commentary: “You girls are pretty. You’re both too pretty to be single. Do you have boyfriends? Are you getting married? Why aren’t you getting married? You need to get husbands before your looks start to go. You should wear your t-shirts a little tighter.”

The barrage continued without pause. The students began to look a little desperate.

It was the start of my third year of medical school. My first clinical rotation was on the inpatient psychiatry ward. I put on my white coat, filled my pockets with clinical guides, and donned my stethoscope. I recall feeling both excited and daunted.

At that time, it was the job of the student on the team to interview and examine new admissions before the resident and attending physician saw them. We students would then report our findings and write up a formal H&P, or history and physical exam.

He could have been named Mr Congeniality. He was warm and friendly to people around him, always ready to do a favor. I met him when he worked a summer where I was working. His masters degree wasn’t enough to get the jobs he wanted, so he decided to apply to PhD programs. He and I became friends over the summer, and I helped him with feedback about grad schools, housing, and so on. His wife and child had stayed that summer where she had a full-time job so she could continue working.

When I was twenty, I scheduled my first gynecological exam. I went to a doctor recommended by girlfriends. The appointment was late in the day – five p.m. Maybe this should have alarmed me, but I thought the doctor was busy and had a heart for patients.

I woke up feeling groggy and disoriented. Staring at the ceiling, I did not recognize where I was, whose bed I was in. Looking down, I noticed that I was half-dressed and beside me was a man I knew of as the father of my daughter’s boyfriend.

I learned in elementary school that there are four kinds of sentences: declarative, exclamatory, imperative, and interrogatory. A case could be made for assigning the phrase “Me, too” to several of these categories. It could be considered declarative—an assertion of solidarity. Or perhaps exclamatory—a cry for affirmation. Or imperative, for these two simple words carry with them the voice of a command, especially by women who have been sexually abused or harassed, to be heard and valued.

Dear Pulse readers,

She came to me many months after the birth of a healthy child. I’d looked after her during the pregnancy, and her husband had accompanied her on many of those visits. He was a nice man–pleasant and attentive. I did my best to include him in our conversations about the pregnancy and upcoming birth.

Now she was pregnant again, and she’d come to see me alone. Her husband wanted her to continue the pregnancy, she said, but she wasn’t so sure.