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A “Good Death” in Hospice and Palliative Medicine

By Dr. Ram Prakash Thirugnanasambandam

In the palliative oncology clinic, a common concern among patients is what to do when their oncologist tells them no further treatments are available. Though difficult, it was often my responsibility to recommend hospice care as the next appropriate step for those facing the limits of medical treatment. Patients often seek clarity on the transition to hospice care, raising important questions:

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Growth is Best When Shared

By Dr. Muhammad Ismail Khalid Yousaf

“Serve well and learn more—they’ve given you a place in their country, and it takes a big heart to do that,” my paternal grandmother, Jamila Begum, told me during our family’s ritual prayers before I left for the airport to begin my training in the United States. This 7,500-mile journey from Pakistan to Kentucky came with its own uncertainties and challenges, but the belief that “there is a blessing when you migrate to study abroad” was deeply rooted in my cultural and religious values. I was determined to carry forward these virtues with pride and dignity, as my parents had sacrificed everything to ensure I received the best training, and my wife’s support to get me to the United States to train was monumental. Thanks to the BridgeUSA J-1 Exchange Visitor Program, I was fortunate to match and start my training at the University of Louisville (“UofL”) School of Medicine’s Department of Neurology.

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How to Succeed in Your “Rookie” Year

By Dr. Sushania Pryce

In U.S. sports, the “rookie” is the newest member of the team. In basketball, the rookie often doesn’t get to begin the game with the “starting five”—the group of skillful players who start the game—but they are always eager to play. When I left my home country to begin my journey as a resident in the United States, my initial thought was that I would be just like the rookie. To some extent the analogy is true, but in the case of being a medical intern, you are both a rookie and part of the starting five: even though you’re new to the team, you have to play every game.

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A Second Chance at Life

By Dr. Ram Prakash Thirugnanasambandam

“Is it true that my entire immune system will be gone?” the patient asked.

“Yes, it is true,” the attending said. “But we will be there throughout the process with you and make sure we fight off every possible infection we find.”

I was on an adult bone marrow (stem cell) transplant elective at Memorial Sloan Kettering Cancer Center (MSK), and yet again, I was witnessing the sort of conversation most of the MSK patients had with the team every single day.

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From FOMO to Family Medicine

By Dr. Sushania Pryce

From as early as I can remember, my family physician inspired me to help others. His ability to care for everyone in the community, from old to young, left me in awe. It became my life goal to follow in his footsteps. Before entering medical school, I knew I wanted to become a family physician. After all, growing up in Oracabessa, Jamaica, a very rural community, that was the only type of doctor I knew. Fast forward to now, years later, I have traveled to Milwaukee, Wisconsin, to complete my residency training to become a family physician.

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