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

Stories

Unmute

Unmute

His name announces itself as a banner across my ringing phone. We share the same last name.
I hit Mute, buying time while I do the math: Answer his call now and stave off three missed calls and two long-winded voicemails, with him clearing his throat in the background; or take the call, along with God knows what kinds of trauma he’ll inflict on me. I have avoided calling him lately. Subconsciously, I know this call won’t end well.
I hit Unmute and immediately realize that my math was wrong: I’m too late.

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Vision Quest

After finishing my third-year clinical rotations in medical school, I was feeling sleep-deprived and stressed out. The problem, I finally realized, was the ridiculous amount of pressure I’d put on myself to impress my attending physicians and get good grades.

My father is an ophthalmologist and cornea/cataract specialist. After routinely rejecting his career advice throughout my undergraduate years, I’d entered medical school–and, to my father’s delight, found myself increasingly fascinated by his field.

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A COVID State of Mind

I’m a fourth-year psychiatry resident in the final months of training, and I have signed on to continue as an attending physician at my hospital.

In mid-March, my team was consulted on a patient in the ICU. She was one of the first identified COVID-19 cases in Michigan, and our hospital’s first such patient.

The patient was being treated with psychotropic medications, and one of them was decreasing the effectiveness of an antiviral drug she’d been prescribed for COVID-19. Her caregivers asked us to suggest a different psychiatric drug that wouldn’t have this effect.

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Love in the Time of COVID-19

COVID-19 changes everything–even, or especially, love. It demands that we love differently, and in new ways. For me, this is what #loveinthetimeofcovid19 looks like.

My husband, Lunan, and I are both doctors. Lunan, a urologist, is completing his final year of training in New York City, and I am a family-physician educator at a medical school in Miami.

We are living separately this year–one of the many sacrifices we’ve made in pursuing our medical training over the past twelve years. Since August, he and I been traveling back and forth to see each other two or three times per month. Now we’re not sure when we’ll be together again–and for us, that has been the most painful and personal part of the daily reality of COVID-19.

I love being a family physician and caring for my patients, but the mobile health center where I work was shut down this week as we transitioned to telehealth. Without personal protective equipment, we couldn’t safely care for our patients within our clinic’s tight confines.

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Not What I Expected

Not What I Expected

As I struggled my way through nursing school, I never expected my first job as a nurse to feel like this; I was too busy dreaming of the day when I could hold the title of Registered Nurse.

I never expected to come home crying. I never expected that, at times, I’d mumble the words “I hate my job.” I never expected many of the challenges I face daily–but here I am, six weeks into my first hospital job, fighting to make it. Here I am, figuring out what it means to be a nurse, learning what to expect.

It is early afternoon, and I have just finished administering my last midday medication. I emerge from the patient’s room to find that five call bells are buzzing; there is no other nurse or aide in sight. I begin to wonder if everyone is purposely disappearing in order to test the new kid.

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Put to the Test

Put to the Test

I’m a primary-care doctor in Washington state. I was recently confronted with a ticklish and painful situation.
Here are the facts and the sequence of events:
On a recent Wednesday morning, I saw a forty-five-year-old woman in my office for an earache. She told me that a member of her church had been diagnosed with coronavirus, and that many schools in the area were being closed because of possible exposure. Later that day I started to receive emails and phone calls from families in my practice, giving more information about this situation.

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Corona, Contagion, Confusion

Corona, Contagion, Confusion

My husband Joel, age seventy-six, has tested positive for the virus–the new big C.
Joel developed a low-grade fever on March 1. We were in San Francisco, visiting our ten-month-old grandson and his parents. They’d all had bad colds, and our grandson was still coughing and producing large amounts of sticky nasal stuff, so I wasn’t surprised when Joel got sick. (I figured that I eventually would, too.)
We went to a local urgent-care clinic. A competent physician assistant examined Joel, then assured us that he didn’t have the coronavirus: His vital signs were all good, and except for a 100.5° fever, he had no symptoms.

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Greetings and Salutations

Greetings and Salutations

I have seen tribesmen in the West African country of Mali meet each other on a narrow dirt path and stop to spend several minutes chanting highly scripted greetings. When they part, shortly afterwards, there is an equally elaborate farewell.

As a psychiatrist and medical educator, I’ve seen my colleagues carrying out a parallel ritual: Two doctors hurriedly passing each other in a hospital hallway and cheerily but tersely saying, “How are you?”–neither slowing down to hear the other’s response. The greeting is equally formalized; it’s just shorter.

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Lovebirds

Editor’s Note: During a summer internship with Pulse, medical student Kristen Lee had the opportunity to interview Mr. C, who comes to a Bronx family health center for medical care. He was accompanied by his wife, who never goes to the doctor for herself but frequently joins her husband to make sure that he’s giving his doctor accurate information. They are both immigrants to the Bronx–he from the Dominican Republic and she from Puerto Rico. Their immigrant story is uniquely theirs and also typically American. See their photo at the story’s end.
Mrs. C: I’ve known him for forty-five years. That’s how long we’ve been married. I was old when we got married, like thirty-three. He was seven years younger than me, but we’re still here. We met when I went to the Dominican Republic. My big sister was married to a Dominican guy; that guy was close to him. And he told him that to get to the US–

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King of Pain

King of Pain

I am a retired union plumber with the state of Illinois. I’ve had laparoscopic surgery on both knees, a lower back surgery that required two stainless rods and I’m not sure how many screws, and three cervical fusions. I now suffer from neuropathy (nerve dysfunction) in my feet. They’re painfully numb: A shoe could come off, and I wouldn’t know it. I find it difficult to get around–not to mention embarrassing when I go back into a restaurant looking for a sandal.
I don’t understand why in today’s world, with medical research moving so fast, I’m in so much pain.

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Desperate Measures

Desperate Measures

In my very first job as a doctor, working in a London hospital in the 1980s, I always took a ridiculously detailed past medical history for every patient I saw. I started to notice how many elderly women had had septicemia, a life-threatening infection in which enormous amounts of bacteria enter the bloodstream.

The neighborhood surrounding the hospital had once been the worst slum in London, and it didn’t take me long to guess that these infections were probably caused by illegal self-induced abortions during the hungry years of the Depression.

When I asked–slowly, carefully, subtly–I was told some intensely personal and secret stories.

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