fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

Tug of War

A tug of war lives within me, and my physical body and soul are struggling mightily. Gratitude pulls one end of the rope, and burnout yanks the other. I feel immensely grateful that I can meaningfully contribute to people’s care during the pandemic. I’ve triaged, tested, talked with and tended to countless patients since COVID-19 began. I am blessed with wonderful family, friends and community plus a job with deep purpose and meaning. Each workday I feel enriched by those around me.

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Angel of Healing

A small wooden figure watches over my office. Four inches tall, hand-carved, neatly painted wood—an angel figurine with golden hair, majestic wings and a simple pure-white gown. Throughout my day seeing patients as an internal medicine and pediatrics resident, this angel watches over me—a constant reminder.

Two years ago, as a fourth-year medical student, I was on my internal medicine “acting internship” on the general internal medicine floor. This service was known for great teaching and complex cases—and notorious for emotionally heavy experiences.

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Red Ship

Editor’s Note: As New Voices’ first editor, I am thrilled to launch Pulse’s newest feature with this story by Livja Koka, depicting, among other things, the difficult choices that parents make in hopes of giving their children a better future. This story, we hope, is only the first of many accounts by writers whose voices and experiences have often gone unseen and unheard.

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A New Pulse Feature: New Voices

Dear Pulse readers,

I have exciting news to share.

Events of the recent past have prompted national soul-searching about the impact of racism and other systemic and unconscious biases upon ourselves, our society and our global community. We at Pulse have always invited minority viewpoints, but we know that there’s more to be done–like making that invitation more clear and consistent, and making sure that our staff reflects our commitment to diversity and inclusion.

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Thank You, Scientists

Today, I am grateful. After eighteen months of fear, uncertainty, anger, weariness and despair — today, I feel hope. It is finally the day that the two youngest members of my immediate family have been vaccinated against COVID-19, making our family circle of protection complete. 

As a pediatric hospitalist, I have seen plenty of acute COVID and MIS-C. I have nearly lost my mind trying to home-school my children in the early days of the pandemic, while also working full time.

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Life Is Good, Even When It’s Not

Each morning when I wake, my first thoughts are of gratitude—for the soft bed in which I lay, deliciously warm as I pull my down comforter around my shoulders.

Yes, I may also be experiencing nausea, diarrhea, neuralgia, an acne-like rash reminiscent of my teenage years covering my face and bald head, and the permanent swelling in my left arm from lymphedema. The side effects of cancer treatments seem endless.

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Perspective

I have a patient who is very close to my heart. She started seeing me when I was first able to have patients on my panel as an intern. She hadn’t seen a doctor in quite a few years and was working hard to get her health straightened out. She was in a healthy relationship with her significant other; had four children with whom she had an excellent relationship; and had an overall positive outlook on life.

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After the Fall

It is a chilly January night, a week after New Year’s and a few days after my twenty-fourth birthday. I’m halfway through my third year of medical school and have just started my clerkship on the hospital’s trauma unit.

I’ve been dreading this experience; I’m on twenty-four-hour call, and my heart sinks every time the pager goes off.

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