Well done! Strong work! You’ve done it! Four years (often more) of perspiration have earned you two extra letters (often more) in your name. You should be proud. Nothing should get between you and a gigantic glass of bubbly today. The world feels different. You feel different. But are you? The thing about ceremonies that feature costumes, protocols and rituals is that they confer upon participants a sense of change. Just look ...

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My intern gazed blankly at her notes from the day. “You OK?” I asked. Her face was quivering with restrained tears as she turned to me, “I don’t think I helped anyone today.” This was not the first time, nor would it be the last time, that I had heard those words from a resident physician. Medical training is no joy ride. How could it be? First, there is the intellectual challenge of ...

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Sedated by Oxycodone, Ted slept despite the rhythmic ruckus of his breathing machine. He never felt quite rested in the hospital. While awake, his gaze often lingered on a snapshot that captured him in the past: full of laughter and radiant joy with his little granddaughter, Tara. The grandfather in the photo -- muscular, mischievous -- barely resembled the emaciated elder in the bed who silently mouthed short answers to ...

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shutterstock_284554253 Dear future Pranay, By the time you read this, time will have passed with the same explosive inevitability that C. diff diarrhea passes from unfortunate rectums. I’m not sure where life has taken you -- you might be a serious senior resident physician, frazzled fellow, or -- maybe -- living your dream of being an eccentric train conductor with an affinity for shoe ...

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