2015 is shaping up to be an even busier year than 2014. In order to be successful, I can’t waste time in my usual “process” as my husband Robert calls the self-flagellating, anxiety-ridden sometimes week-long trudge I go through every time I’m working on a creative writing piece or a research paper or putting together a talk.

the hardest

Funny, when asked why they became doctor, most would probably say something along the lines of “to help people.” But the implied ending is “get better.” I would be surprised to learn that anyone became a doctor “to give bad news” or “to help people die.” Yet I find this is much of what I do in my clinical practice as a nephrologist taking care of patients with chronic kidney disease and end-stage kidney disease.

i told you so

In my office looking at the computer screen, I saw her name on the schedule for clinic that day and wondered how she was doing since the last time I saw her when I could hear the crackling sounds of fluid beginning to collect in her left lung. It was the second time I had seen her and my words still sounded like a stranger’s advice.