A Question of Trust

Years ago, when I first joined the family-medicine faculty of the Medical College of Wisconsin (MCW), I spearheaded a project to build stronger connections with the surrounding communities, primarily made up of people of color and low-income individuals. Deepening our ties with these communities would, we hoped, give us more understanding of our patients’ health needs, and might help them to feel more receptive to our efforts.

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No One Ever Asked

Today I greet Mr. Williams verbally, which is very different for us; usually we say hello with a hug.

“Mr. Williams,” I say, “I’m not going to hug you today, with this pandemic.”

“I get that, Doc,” he answers, adjusting his mask; I can’t tell if he’s smiling or not.

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I Would Like to Call It Beauty

Gearing up for my night shift in the COVID-19 intensive-care unit, I don my personal protective equipment (PPE)–a white plastic air-purifying respirator (PAPR) hood. The hood connects via a tube to a large battery pack that I strap onto my waist over my scrubs. I turn on the battery and shiver when the rush of cool air blows past my ears. I walk into a bright white antechamber where a safety

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Life With Father

Life With Father

After forty-three years as a nephrologist-internist and teacher, I recently retired from medicine. This final stage of life is a time of reflection. Was I a good physician? On a more fundamental level, was I a good friend, husband and father?
Despite its many challenges, I have never regretted following my cherished vocation. There were far more rewards than regrets. By contrast, my record as a father feels a bit less

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Extracurriculars

Extracurriculars

If harsh words fall, but no patient is around to hear them, do they make a sound?
This particular night on my trauma-surgery rotation as a fourth-year medical student, the question weighs heavily as a page alerts the team that a patient with multiple gunshot wounds will arrive in ten minutes.
Everyone’s kind of excited. Anxious, too. Jittery.
1:00 am. Down in the ED, the main actors stand masked, gowned and

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Saying the D-Word

It was late in the evening, and I was ready to start my night shift as an intern in the intensive-care unit. I sought out my fellow intern, who was finishing his shift, so that we could perform signout–the ritual of passing the patients’ information from one clinician to the next.
“Mrs. Klein in Bed 15 might go,” he whispered.
“Go? Go where?” I asked. “It’s 10 o’clock at night.”
“I

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Some of the Hardest Weeks

Some of the Hardest Weeks

Editor’s Note: Since the end of March, Pulse has been carrying special edition pieces on the impact of the COVID-19 virus on patients, families and healthcare workers. In response to recent events, we bring you this special edition on Racism, which is also the theme of this month’s More Voices. In weeks to come, we hope to continue addressing both Racism and COVID in our special-edition series.

Today’s

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In the Biodome

In the Biodome

As a pulmonary and critical-care medicine fellow, I care for patients with a broad variety of respiratory ailments. But little did I know, as I examined my patient Mr. Smith in the outpatient pulmonary clinic this past winter, that I’d see him again only months later as my first patient with COVID-19.
Mr. Smith was tough as nails. A stoic retired steelworker and former smoker, he suffered from significant emphysema, but

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This Is Why

February 2016
Tierra Nueva, Dominican Republic
I’m in the last of five days caring for patients at rural clinics in western DR, along the Haitian frontier.
Tierra Nueva, miles from anywhere, is a collection of clapboard shanties and shacks scattered along a dusty, unpaved road that dead-ends at the border. People survive here by coaxing vegetables out of the earth via scratch farming. The lucky ones have a goat and

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