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“Your Gift (and Obligation)”: Dr. Claire Pomeroy, 2017 Commencement Address of Northeast Ohio Medical University

We kick off the Commencement Archive with Dr. Claire Pomeroy’s 2017 commencement speech at Northeast Ohio Medical University titled “Your Gift (and Obligation)”.

Claire Pomeroy, M.D., M.B.A. is current president and CEO of the Albert and Mary Lasker Foundation. Under her leadership, the Foundation’s mission advanced to: “improve health by accelerating support for medical research through recognition of research excellence, public education and advocacy.” As an expert in infectious diseases, she passionately supports ongoing investment in a full range of research with special interest in health care policy and a focus on the importance of the social determinants of health.

Dr. Pomeroy has published more than 100 articles and book chapters. As a leader in her field, Dr. Pomeroy serves on the board of trustees for the Morehouse School of Medicine and the board of directors for the Sierra Health Foundation, the Foundation for Biomedical Research, iBiology, Inc. and New York Academy of Medicine. She is also a member of the board of directors for Expanesthetics, Inc. and for Becton Dickinson & Company. In 2011, Dr. Pomeroy was inducted into the National Academy of Medicine.

Dr. Pomeroy earned both her Bachelor’s and Doctor of Medicine degrees at the University of Michigan. She completed her residency and fellowship training in internal medicine and infectious diseases at the University of Minnesota. She has also earned an M.B.A. from the University of Kentucky. In 2016, Dr. Pomeroy received an honorary Doctor of Science degree from the University of Massachusetts Medical School. Dr. Pomeroy has held faculty positions at the University of Minnesota, the University of Kentucky and the University of California- Davis. At the University of Kentucky, she served as the chief of infectious diseases and associate dean for research and informatics. In 2003, Dr. Pomeroy joined University of California-Davis as executive associate dean and served as vice chancellor and dean of the School of Medicine from 2005 through 2013. She became president of the Lasker Foundation in June 2013.

In her address to the graduating class, Dr. Pomeroy is forthright. She does not embellish the career of a physician but rather illuminates the very real truths and what is expected of us as we take the lives of others into our hands. She states:

“By virtue of the credentials you now hold, people will now turn to you at their most vulnerable moments…..They will literally trust you with their lives. This trust is a gift and an honor. “

The use of the word “gift” is interesting. We often perceive physicians as the one “giving the gift”, namely providing care to the patient, but Dr. Pomeroy reframes this suggesting that it is the patient who offers trust and allows a physician to enter into a very personal domain.

Dr. Pomeroy continues on, urging the new physicians not to be content with the state of the medical field but rather to push its bounds.

“It has been said that change does not roll in on the wheels of inevitability; it comes through bold vision, continuous work, and unflagging dedication. This is what you are called upon to do. So as you accept your diploma today, you are also accepting the charge to lead us in the change our country needs.”

What was most compelling about Dr. Pomeroy’s speech was the discussion of her path to this career. After leaving a troubled childhood, only to be placed in four foster homes, Dr. Pomeroy faced the very issues physicians strive to improve in health care, issues such as “trusting the system,” and racial and social inequality. She so poignantly states:

“My first foster home was an “emergency placement” and just as I was thinking maybe I could trust them, it was time to go. From this, I learned about how hard it can be for the vulnerable and abused to trust the system, to trust even those dedicated to caring. My second placement was with an African-American family, who though not quite knowing what to do with this blond, blue-eyed white girl, opened their home with kind- ness. From them, I learned about race, equality and social justice…My final placement was with a couple who became foster parents just to take care of me and to them I will always be grateful. They saved my life. I learned that by giving ourselves, we can give life to others.”

She concludes with the following:

“In closing, I ask only that you heed Harriet Tubman’s call to action as she said, “Every great dream begins with a dreamer. Always remember you have within you the strength, the patience, and the passion to reach for the stars to change the world.”

Read the full speech in the Commencement Archive: https://www.themspress.org/journal/index.php/commencement/article/view/286/306

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Emotion Empathy General Humanistic Psychology Narrative Public Health

Guter Mann

This city is so peaceful. As the bikes whiz by, I notice the absence of the cacophony and polluting fumes of traffic. I’m walking down the sidewalk in brown leather shoes and a tucked-in dress shirt while eating bougie gelato. I love gelato. I look up and notice the blue sky. It’s a deep blue and the clouds have distinct borders. I’m in Salzburg, Austria for a conference and I’m loving this city. Just as I marvel at the clean streets and begrudge the abundance of luxury vehicles, I turn the corner and see my sister on the floor asking for money. I immediately cross the street and reach in my pocket to hand her the change I received at the gelato stand. My sister is donning the flag of Islam on her head and I greet her with the anthem of Islam, a greeting of peace. She smiles and says, “Allah yijzeek al-khayr” – God reward you with the good. As I walk away, I smile at the beauty and seamlessness of our interaction.

I continue walking back to the conference hall. I review my rehearsed words as I finish my gelato. My presentation is on the data I generated regarding the controversial use of bisphosphonate anti-resorptives in the setting of chronic kidney disease mineral bone disorder. The nephrologists in the crowd won’t be too thrilled. In my head, I am considering all the different questions I could be asked, when I see another of my friends on the corner of an intersection. As I approach him, he brings his hands together and bows his head. When he raises his head again, I smile at him. I don’t have any more change so I reach into my pocket and hand him 5 euros. He has a cup in front of him, but I decide to hand him the money. I think this might make the money more of a gift than a charity. I can see hurt in his eyes as he tries to find a way to thank me. Reaching out I put my hand on his shoulder and squeeze, pointing up with my other hand, trying to tell him that I will pray for him. While my hand is on his shoulder, he turns his neck and kisses my hand. I say, “No, no!” and withdraw my hand. I feel ashamed. I know I should be the one kissing his hand for accepting my miserly gift of 5 euros while knowing full-well that I have another 10 laying comfortably in my pocket. Ten euros that I will, over the next couple hours, undoubtedly spend on a sacherwurfel from the bakery next to my fancy hotel and then on another helping of overpriced gelato.

Lost in my thoughts of embarrassment, I begin to walk away, and as I do, he yells in German, “Guter mann!” – good man. Halfway across the street, I think to myself, I may not be a good man, but I have the opportunity to try, and so I turn back around.

Ten euros was all the money that I had left on me. But 10 euros was all it cost to earn the respect and love of a man I had only met minutes ago. Excitedly, the man begins to talk to me in German. His name is Damien. (We spend a good 5 minutes on my name. I would say, ‘Mo-ham-mad’, and he would then repeat after me, ‘No-han-nam’). Damien is a father of 3 kids. He was doing well for his family until his wife lost her vision. He said, “Now my heart is still good, but children’s stomachs are empty, so my hand is outstretched.”

I notice the tears in my eyes. I had never heard German spoken before, and I shouldn’t know what he’s saying to me, but I understood every word. Home is where the heart is, and this man is my neighbor. As I leave Damien for the second time, I point up again and then turn my palms up to the Heavens in prayer. He says, “Allah.” And I repeat, “Allah.”

On my second day in Salzburg, I take the long way to the conference center, hoping to run into my friend Damien. I turn the corner and there he is, sitting at the end of the block. My stride lengthens and my steps quicken. As I approach him, I see him leaning left and right, squinting his eyes; he’s trying to see if it’s me. He leaves his corner and yells, “Nohannam!!” while jogging towards me and we embrace each other as brothers and lifelong friends. And as my neighbor and friend embraces me, I realize I may not be a good man, but Damien is willing to show me how to become one.

Photo Credit: Sam Rodgers

Categories
Emotion Empathy General Humanistic Psychology Narrative Patient-Centered Care Psychology Reflection

Immigrant’s Suitcase: Ordinary people with the will to do extraordinary things

A mother separated from her missing husband flees a war-torn country, her homeland, to provide a brighter future for her children. She’s a dentist by training and practiced dentistry back home; but here, here she’s cleaning homes for a living. Why? When she left her home with her four children by her side, headed to a safer place, to America, what was in her suitcase? Alongside the picture of her missing husband and the few possessions that remained after the destruction of her home, in her suitcase, she has hopes and dreams, fears and doubts. She looks to her children for strength, but she’s terrified every time she looks them in their eyes. She is not optimistic, but she is hopeful; she looks the odds straight in the face and proceeds anyway. Because hope is not logical, it is powerful.

She’s cleaning the home of a happy family; the father is an engineer and the mother is a doctor and the children play piano. Their life, their hopes, goals and dreams are dependent on the stability of their country, but they cannot see it. The same hands that used to place crowns to relieve the pain of the suffering are now scrubbing the floor of another woman’s bathroom. But hope is powerful, and she lives through the dreams of her children. Two of her daughters want to be doctors. Her third daughter wants to be an artist. Her son is eight and he loves math. In her suitcase, she brought with her the dream of a better education for her children. “In Syria, we ate grass. In Egypt, we didn’t have food. In Indiana, I love school.” These are the words of her eight-year-old son.

A man runs to catch the bus. He can’t miss the interview; he really needs this job. It is his third interview in as many days. His last job got him enough money to get his family off the streets for a couple weeks. But motels are more expensive than he ever imagined. He’s homeless. His family is homeless. This wasn’t a possibility he considered when he graduated with his MBA. He had a great job, but the hurricane took everything away. And he hasn’t been able to get back on his feet. He catches the bus and pays the $1.75 in quarters. He checks the email that he printed; the interview is in room 4015. He runs up the stairs; he really hates being late. As he enters his interviewer’s room, a bead of sweat runs down his forehead. What’s in that bead of sweat? Desperation and nervousness, humiliation and self-pity, purpose and resilience.

His interviewer gives him the job offer. He smiles and shakes his head. A tear runs down his face. He can’t take the job; he can’t manage the branch that makes most of its revenue through alcohol sales. Another day and another interview, but his family remains homeless. He needs the job, but rejecting the offer was an easy decision. He believes that although alcohol may have small benefits to people and society, the harm it causes is much larger than its benefits, and wants to play no part in its distribution; he will not be a co-creator in the intoxication of his neighbor’s mind.

A young woman sinks into herself on the examination table. Her husband is holding, squeezing her hand. The doctor is still talking. He looks very sympathetic. The young woman just learned that she has a cancer growing inside of her lungs, an aggressive cancer. The doctor thinks ‘we can fight it.’ The young woman’s mind is overwhelmed into quietness. All she can think about is her daughter’s play after school that she doesn’t want to miss, even for this. The doctor brings her back, ‘Do you feel comfortable about our next step? I think that’s the best place for us to start.’ The young woman shrugs. What is in that shrug? Fear and uncertainty, peace and tranquility, ambivalence, a need for normalcy, a desire for time to make meaning.

The young woman is herself a physician, trained and licensed as a radiologist. She knows enough about cancer and the late stage non-small cell lung cancer she has been diagnosed with to know that the longevity of her future has been called into question. And yet this is not the topic of discussion with the doctor. Instead, he discusses treatment options, which is fancy talk for a long list of big words in different orders and combinations. When asked about the next step, she shrugged. She shrugged because there didn’t seem to be room for her in that room. (Insert young woman with terminal cancer here). Although it is more comfortable for the doctor to rattle off treatment options, the patient wants to take time to acknowledge the inexorability of our life cycle. To the doctor, it was the end of a beginning, and they were, together, supposed to begin a new chapter of strength and resilience. While he rattled off treatment options, she just wanted to catch her daughter’s play after school, and she was running late.

In the words of HL Menken, ‘For every human problem, there is a solution that is simple, neat, and wrong.’  Without taking a moment to explore what’s inside the immigrant’s suitcase, the homeless man’s bead of sweat, the sick young woman’s shrug, we stand a sorry chance to witness, help, and learn from ordinary people with the will to do extraordinary things. This is the power of narratives; the power of listening. I call myself to look inside the suitcase, to investigate the bead of sweat, and to ask about the shrug; I call myself to listen.

I find myself in an imperfect world, full of injustice and oppression. I find myself an imperfect man perfectly given the ability to alleviate suffering, on a personal level with a smile or a hug, and on a larger scale by fighting injustice and refusing to stand idly in the face of oppression. Poverty belongs in a history museum. And hunger…we have enough food in the world for every member of the human family to eat a balanced 3000 calorie meal. When we eliminate poverty and hunger, there will be many other injustices for us to face. I want to make facing these injustices my mission. My mission is to be ‘human’ as best I can; to work to establish justice in any capacity that I can, from a generously given smile to an honest political campaign.

Photo Credit: Robot Brainz