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Vulnerable Healthcare Workers

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.

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Such a Nice Man

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.

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Victim

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.

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Attention Must Be Paid

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.

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January More Voices: Me, Too

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.

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Love Is the Key

Collecting dust on the rustic wooden shelves above a sturdy workbench in my basement are models of history-making ships, spaceships and military fighter planes. There’s an enormous replica of the Space Shuttle Atlantis, complete with iconic NASA logo and a massive orange fuel tank nestled next to its launch tower. Not far off is a black-and-brown plastic replica of the forty-four-gun frigate USS Constitution, its hull held together by two gigantic bolts.

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Beyond Diagnoses: Seeing and Sensing with Soul

Lori is here today with a chief complaint of dizziness and headache. At least that’s what my medical assistant tells me. But after practicing family medicine for almost twenty years, I’ve learned that there’s usually more to the story.

I recognize the expectation to match the story and physical exam to a reasonable diagnosis, especially one that the patient can trust. All in 20 minutes. No pressure at all!

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Letter to Myself as a Third-Year Medical Student

At most medical schools, the first two years are spent in lectures, labs and classroom learning. The third year is when students begin rotating on various clinical teams in the hospital and clinics, finally seeing patients as part of a large educational medical team. As I moved through pediatrics, ob/gyn, surgery and other core rotations during my third year, I took notes at the times when I felt out of place or discouraged.

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