I passed the boards, in case you were wondering. It’s a relief. I don’t have to think about that again for 10 years. Who knows, by then I may be retired. Or a famous writer. Or still doing the same thing I’m doing now, the job I love. I have found a new delightful rhythm in my work. It feels refreshing instead of draining. I am on the other side of something sinister. My steps feel lighter, my laugh less restrained, my love for this work blossoming. I have my favorite nurse back in a new place and it makes all the difference.
My husband recently said something genius, “you are only as good as your worst nurse,” and he’s so right. Physicians often feel very alone and isolated, our life and death decisions are made in our own heads, the consequences resting on our shoulders, the burdens felt in our hearts, any bad outcomes solely for our conscience, but I’m never truly alone in my work. There are so many people that I depend on and need to help me do the best job possible for the patient. I can’t do it alone. Being alone is exhausting. When the people that I need to help me do my job instead work against me, it’s a perfect storm for burnout.
A lot of the time, I get all the credit. The relationship is built predominately between me and the patient, I am the one they want to talk to on the phone, the one that gets all the accolades when things go right, the one that gets the baked cakes and Christmas cards. Like my husband said, I’m only as good as my worst nurse, and I have the best nurse, she makes me look good. She makes me a better doctor.
There have been times that I haven’t given nurses enough credit. Sure, sometimes they can be annoying, offering their own advise to patients that may not be exactly what I’d say, taking it upon themselves to diagnose an illness (thus taking away my thunder), forming their own special relationships with the patients, offering advise on tests to order, pointing out medication errors, and just plain doing a good job for the patient. For a doctor, trying to navigate a strange field where our degrees and our licenses allot us great responsibility and great rewards, but come with great sacrifices and great burdens, sometimes it is difficult to allow a nurse to have his/her say. It is hard to give them the credit that they deserve, to admit how much we need them, or to recognize the depth of knowledge, wisdom, and experience that they possess.
I have the best nurse. I know this for so many reasons, but recently it was because she showed me she cares for these patients as much as I do. When one of our patients recently passed away, we both got tears in our eyes and reminisced about him. He was just as much her patient as mine. He touched her heart and I discovered that I’m not the only one who carries the burdens of this job.
I trust her implicitly. She has the best interests of the patient at heart and therefore, my best interests. She’s my right hand. Nurses are life saving, not only for the patients, but for the doctors too. My nurse is the best. I am so grateful to work with her.

The unwind. That’s where I find myself right now. It’s this strange process, like a colon cleanse or some such shit, whereby I untangle myself from the trappings of my job, just briefly, while on vacation. This unwind doesn’t last. It really never processes to completion, anyway. In fact, it’s kind of a tease. I can never truly unwind myself from this work.
My favorite childhood book was A Wrinkle in Time. I don’t think it was because the story was anything special, but because my favorite person in the world told me it was her favorite story. She lowered herself to my level, looked me directly in the eyes, the eyes of a 10 year old who didn’t know anyone really even saw her and said, this is my favorite story ever, and I want you to read it.
Every 7 or 10 years, I have to retake my medical boards. I am currently board certified, but have to prove it over and over again throughout my career. If I jump through a bunch of hoops, like taking certain designated classes, performing modest in-office studies, and accruing a certain amount of CME between board tests, then I get to retake the boards every 10 years. If I fail to jump through these hoops, then it’s every 7 years.
My daughter is 7. She is in the first grade. It’s a sweet time of life because she still likes me and she still wants to be seen with me. In fact, she requests my presence the mornings that I drop her off at school. She wants me to walk her to her class instead of dropping her off in the car line. I walk her to class and she always gives me an awkward side hug before she goes inside. It’s hip to hip with an arm barely slung over the back. It’s kind of pitiful as hugs go, but I don’t push it. I want to embrace her, even give her a kiss on the cheek, profess my undying maternal love for her, but I resist. I relent. She’s building street cred and I don’t want to get in the way of such important work.
Let me tell you why church is hard.
My husband and I sat across from each other in Chick Fil A. Not the most clever of places for us to have a date night, but it was last minute, it was raining outside, and we desperately needed to go to the grocery store, which just happened to be across the street, before we picked up the kids. My dad agreed to watch the kids so that we could spend a few hours together, uninterrupted, to try to process the goings on of the past week.
I needed to turn off the TV. I had had enough. Enough is enough. I don’t need to subject myself to such vitriol, such hate. No more. I sat and stewed. What was I going to do with the emotions that I was feeling? How was I going to improve the sudden funk in which I found myself? I was angry, hurt, disgusted. He was condemning immigrants. Worse than that, he was perpetuating the misconception that immigrants are worthless, their motherlands are worthless, as if we are all defined in financial terms.
The crescendo of the day is complete. The joyous ruckus of children whipped into a frenzy over the satisfaction of wholly met desires. It’s what I always wanted!! Thank you!! You’re the best mom, ever! Oh yes. I am. For now. And that’s OK. I felt the same way about my own mother. Absolutely head over heals indebted and in love one minute, then plotting my escape for all eternity the next. It’s the way it works. Family. Love them. Hate them. Never really escape them.


