Today Robert and I celebrated our 18th wedding anniversary, just under four months after our 18th transplant anniversary. I learned recently that timing—the surgery preceding the wedding—was very purposeful. At least on Robert’s part.
the kidney biopsy: old vs new(ish) school
Long before anyone asked the Make America Great Again crowd to pinpoint exactly when America was great if you were Black, I heard a White stand-up comedian joke about how he could pretty much go back to any time in history and be ok, and acknowledged a Black person would not be ok. Hell, we’re still not ok.
But when I think about medicine, no one could go back in time and expect to be better off. And not just from the discovery of antibiotics or anesthesia perspective—from all the perspectives!
so you think you want to stop dialysis?
After recording my latest YouTube video for the fifty-leventh time before getting a usable version, I realized I didn’t answer the question posed by the inspiration email. In the video, I talk about how to bring up the notion of stopping dialysis to the nephrologist, but the writer was asking how to bring it up to their sister on dialysis. Anyone familiar with the vernacular “fifty-leventh” knows that means I did not have it in me to do even one more take. But I can address their question here.
what I'm doing about Black doctors being pushed out of medicine
I’ve written about my reasons for leaving UCSF. And while it was painful to feel unsupported, isolated, undervalued, and gaslighted—including by Black leadership within the institution—I was already a published author, recipient of multiple coveted grants and fellowships, and double board-certified in nephrology and internal medicine. I’ve since learned that my story pales in comparison to so many other young Black physicians who are being disproportionately pushed out of medicine at a time in their career when they have no license to practice independently but do have $240,000 of debt on average after completing medical school. Only 5% of physicians in training in the US are Black, but account for 20% of program dismissals. And this doesn’t even count those who are convinced to resign to avoid the damaging mark of dismissal on their record.