I did not know to ask for a bereavement day to mourn a baby I hadn’t told anyone existed. Since they did not know, how could I ask for comfort, acknowledgement of loss, special handling in the weeks following the miscarriage? Everyone at work felt mean and cruel and quick.

My husband hadn’t been particularly happy about the baby; we were just digging out from the first two, so I was pretending to be put out. How do you grieve what you said you didn’t want when every ounce of you was thrilled, and no one knew of your rock-skipping, wing-flapping happy?

Charlie, a fifty-year-old gay man and my patient for many years, comes for an office visit. His complaints are a cough and listlessness.

He is an outgoing, highly respected architect who teaches at a prominent university. He’s left few precious stones unturned in his life and has been remarkably successful. He has a wonderful, loving marriage.

I was a young, eager chaplain at a community hospital, completing rabbinical school. So eager, in fact, that I misread a referral regarding a patient who actually requested no chaplain visits. When I went to visit her, there was another woman with her. The patient then advised me that she didn’t want any chaplain visits.

But she was kind and compassionate, and must have seen that I was a novice. She invited me to sit with her. As I came closer, she said to me: “Rabbi, I can’t believe that I have only three weeks to live.”

Morning rounds, on an August Tuesday. I’ve got two senior residents with me, along with two interns and a third-year student. We’re working our way through a list of patients scattered across several floors of the hospital. Most of them we had met just the day before. And a few, of course, were added overnight.

Beepers and cell phones shrill together, letting us know that one of our patients needs attention. We run up the stairs and find the code team already there. The student watches the interns performing chest compressions, wanting to participate yet glad not to be called up.

Throughout my adult life, I have tried to develop a strong voice—as a single mother, educator, writer and woman. This ability to speak for myself has made me feel impenetrable. Through self-expression, I have managed to survive the challenges of my life.

Then, in mid-July, I lost my voice—literally. I woke up with a severe case of laryngitis and now, six weeks later, still grapple with not being able to talk above a raspy whisper. My inability to communicate has made me feel vulnerable; I am dependent upon others to either speak for me or to have the patience to try to decipher my feeble attempts to speak.