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

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Being Different: My Struggle and My Motivation

Editor’s Note: This piece was a finalist in the Pulse writing contest, “On Being Different.”

When I was in elementary school, I was bullied by my peers into believing that being different was bad.

I grew up thinking that speaking my mind was undesirable if my thoughts didn’t mirror those of others. To my peers, liking the “strange” foods of my parents’ Haitian cuisine, such as tripe or oxtail, was weird. I wore my older brothers’ hand-me-downs, which led to incessant teasing at school.

Although I grew up in Brockton, Massachusetts—a mostly Black, Haitian and Cape Verdean town—much of this negativity came from kids who looked like me. Sometimes that’s what felt most hurtful. Looking back, I attribute these interactions to internalized racism among my peers and to the old adage “Hurt people hurt people.”

Over time, I learned to become quieter, to automatically agree with others and to avoid speaking up, even when I thought something wasn’t right. This pattern of fading into the background persisted throughout my adolescence and young adulthood. But despite my efforts to assimilate by acting like my peers or trying to be interested in what they liked, the one thing I could never change was my skin color.

No matter how well I blended in on other levels, my Blackness seemed to define how others saw me. My skin was too dark, my braids were an oddity to some, and my using words like “dope” or “aight” made me seem illiterate to peers who didn’t understand slang.

The issue of race was a constant strain, but it also eventually motivated me to become a nurse.

When I was in elementary school, my grandmother was diagnosed with kidney disease. My grandmother spoke no English, and my mother had an accent; accompanying them to the dialysis clinic or hospital, I heard some staff members addressing them in the slow, careful tones used with children. Maybe this was an effort to be gentle, but hearing it, even at that young age, made me feel small. When my grandmother died, a few months later, my mom, speaking from a place of hurt, told me that she’d died because of bad doctors: “They don’t care about people like us.”

Experiences like this spurred me to take nursing classes at Brockton High. I did well and enjoyed practicing my skills on the mannequins and on my classmates. This encouraged me to continue to a higher level of training.

Studying nursing in college was a huge departure from my earlier experiences, though. I’d begun my training not knowing that the profession is predominantly white.

My nursing school was a private Catholic institution in Weston—one of the state’s ten richest towns. The school is a “PWI” (predominately white institution), as I realized early on, looking around my classes.

Over the next four years, I often wondered if I’d chosen the wrong school. The other students’ glances made me uneasy, and I felt constantly judged by how I acted or looked.

“Wow, I wouldn’t think you’d like that song!”…”You’re the first Black person I’ve ever met.”…”Maybe the camera isn’t picking you up because of the lighting.”

My classmates didn’t realize how hurtful their words were, and I was afraid to speak up—afraid of singling myself out further, given that I was one of only a handful of darker-skinned students.

It felt like elementary school all over again. I was either too Black or not Black enough; I couldn’t just be me.

Throughout college, I never escaped that feeling—even in the hospital where I completed my clinical rotations. I was used to hearing my peers commenting on my appearance, but I wasn’t prepared to hear my patients do so too.

As I put on my jacket one afternoon, a patient said sympathetically, “You must be used to warmer climates.” I remember her look of shock when I answered, “I was born in New England.”

Another patient happily told me about her travels while I fed her. As soon as she mentioned Africa, I knew where the conversation was headed:

“How was Africa? Did you like living there?”

It felt as if all the taunts of the past were returning to haunt me.

“I’ve never been,” I told her with a tight smile, “but I hear it’s beautiful.”

I tried to make excuses for these patients: They’re from an earlier era; maybe they don’t understand the impact of their words. Maybe they’re so used to having white nurses that seeing a Black student nurse is genuinely a shock for them.

As uncomfortable as these interactions felt, what really got under my skin were my fellow nurses’ comments. A white male nurse asked why I put “those things” in my hair, referring to the gold filigree tubes around my braids. It took great effort to maintain a professional demeanor and simply say, “Because I like it. I think they look nice.”

In stark contrast, Black patients and staff members offered encouragement and helped me to remember who, and what, I was truly working for.

My patients of color were elated when I told them I was in nursing school—”You’ll be a great nurse!”—and said how nice it would be to have someone who looked like them involved in their care. The Black nursing aides expressed pride in me, saying, “If anyone can get that degree, you can!” On evening shifts, some would answer my patients’ call lights so that I could finish my assignments or study for an exam.

Reflecting on these experiences, I noticed that the majority of nursing aides in my hospital were Haitian or Cape Verdean, but nearly all of the nurses were white. This epiphany made me think about my parents, who didn’t have the opportunity to go to college, but made sure that their kids did. I realized that if I succeed, so will they; my success will also be a victory for all those who’ve felt let down by the healthcare system.

As I’ve gotten older, I’ve reached the conclusion that being different doesn’t make me strange.

Different backgrounds and experiences are invaluable to a team. People should have differing opinions and thoughts, so they can bounce ideas off one another to come up with solutions. So what if I’m different? Any of my patients who also feel different deserve someone who will represent them and help them to feel seen.

This awareness has inspired me to work in community nursing. I want to care for unhoused patients—those without insurance, who are on long waitlists for treatment in clinics. I want to restore the trust of people who’ve lost faith in nurses and doctors because of experiences like my grandmother’s. And because I didn’t have a diverse healthcare staff to look up to during my doctor appointments or nursing-school studies, being able to inspire others like me feels so vital.

Everyone deserves access to health care—and even more importantly, all human beings deserve to be respected.

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Mariama Joazard is a first-generation college graduate and the only daughter of four children to Haitian parents. She graduated from Regis College School of Nursing in May 2023 and is now a full-time registered nurse for Boston’s Healthcare for the Homeless clinic, as well as a home nurse to an amazing boy. During her senior year, her mentor Madeleine Lopez encouraged her to enter Pulse’s “Being Different” writing contest, and her older brother Steeve, an English teacher, provided great encouragement and advice for this new endeavor. “This is my first time writing publicly; I never had an interest in writing before. I don’t have any immediate plans for writing more stories, but I might in the future, if presented with the right opportunity. Sharing this very personal story has been difficult. It has not been easy to share some of my most vulnerable memories with strangers. My hope is that others who’ve felt similarly will find comfort in knowing that they are not alone, and that they too can succeed.”

Comments

12 thoughts on “Being Different: My Struggle and My Motivation”

  1. I am realy shocked about your testimony. We are at the 21th century, the racism you talk about is absolutly shamefull. The colour of the skin says what about a person ?!
    I realy hope you can achieve your degree and become a great nurse, and have the respect that anyone of any colour (of the skin, the hair ot the eyes) deserves.

  2. I 100% agree that everyone deserves respect. Your patients will be blessed by the care and respect you give them. I wish you well.

    The words “Hurt people hurt people” resonated with me; they gave me a new perspective on the peers who bullied me.

  3. Thank you for sharing your story. Having worked in Dorchester at a community health center for 16 years, I can attest to how much your caring and work means to your clients.

  4. Thank you so much for sharing so vulnerably. I am starting my day on my psychiatry AI with your words, and they are powerful medicine. <3

  5. Mariama, It has been an honor knowing you and having you work with our family. You are so kind and thoughtful and your experiences have clearly shaped you to be an amazing nurse. You lead with grace and compassion and bring so much joy to everyone around you. Keep sharing your story because it matters.

  6. Having gone to a pretty much all white nursing school, but a very mixed race medical school, and practicing in Community Health Centers, your comments ring so true to me, and it pains me that you had to, in these decades, go through the obvious trauma of merely being Haitian and black. Thank you for voicing this, it is so, so important if we’re going to be an inclusive medical community, and hopefully your voice will minimize the racial issues the next generation will face, and that we will all embrace all learners and all clinicians. Keep speaking!

  7. Your patients are so lucky to have you, and I know you will be a huge asset to those who have been locked out of appropriate healthcare. Brava to you!

  8. Fantastic! I love how your strength in self grows throughout the piece. So proud of your determination…I feel it awaken the strength in me.

  9. As you so beautifully express it, being different doesn’t make you strange. It makes you strong. Your patients are lucky to have you and one day your (white) colleagues will realize it too. Wishing you the best in all future endeavors.

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