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Shirin Karimi, MD Shirin Karimi, MD (2 Posts)

Resident Physician Contributing Writer

Cambridge Health Alliance


Originally from Madison, Connecticut, I got to experience a dynamic college experience as a Literature major at American University in Washington D.C. I served as an editor for BleakHouse Publishing, a press dedicated to using the arts to showcase the humanity overlooked in the incarcerated population. As a volunteer in a pediatric cancer ward, I was intrigued by the sentiments of cancer patients and their caregivers, whose descriptions of isolation in the hospital echoed the loss of identity and entrapment within a prison cell. From this experience, I was fortunate to publish an original book of poetry, Enclosures: Reflections from the Prison Cell and the Hospital Bed, taking on the voices of those imprisoned in the justice system and in the shackles of illness. I returned to my home state to attend the University of Connecticut School of Medicine, and delved into my passion for the medical humanities through the Arnold P. Gold Humanism Honor Society, research in cancer screening and immunotherapy, and serving the homeless population of Hartford as a member of the Board of our school-run medical clinic. I’m honored to be a third year resident in Internal Medicine at Cambridge Health Alliance in Cambridge, MA and to work at an institution that values medicine as an avenue to promote social justice.




Mismatch Repair: My Journey from Pediatrics to Pathology

On St. Patrick’s Day 2014, New York’s coldest in a decade, I was a grass snake banished from the fair isle of pediatrics. In the National Residency Matching Program, just half of one percent of approximately 2,500 pediatrics slots across 194 programs remained unmatched, something like four total positions nationwide.

Handshakes and Shaking Doubt: Reflecting on Being a Woman in Medicine

In the 1950s, my grandmother wanted to be a doctor. She asked her father for her dowry money, wanting to use it instead to get her medical degree to become the first female doctor in her hometown. She married another doctor and practiced from an office below her home, accepting vegetables and dry-cleaning services as pay.

Resident Wellness is a Lie (Part 2 of 3)

My partner Evan’s third year of residency completed his trajectory toward what is commonly called “burnout.” Two out of the 10 residents in his class left the program. In an already understaffed department, the remaining residents picked up the slack, taking extra call and working longer days. The general misery index among his cohort skyrocketed.

You Are Not Alone

The faint glow that is the light at the end of the tunnel hits my face as I realize that intern year is almost over. One would think that having been through the personal loss I have — losing two beloved older brothers at a young age — that intern year would be more than manageable. Yet this past year has been, for me, a chaotic roller coaster ride.

A Call to My Fellow Residents in the Era of the Opioid Epidemic

I met Julian six months ago. He was the first patient I watched go through a buprenorphine/naloxone induction. My preceptor carefully guided him through a series of deeply personal questions: How old were you when you first started using? What is your drug of choice? Have you ever injected? How much? Have you ever traded sex for drugs? When did you last use?

Reproductive Rights of Incarcerated Women

The recent confirmation of Brett Kavanaugh to the United States Supreme Court raises concern about the future of reproductive health, particularly access to abortion and affordable contraception. Although his impact on reproductive rights is to be determined, those who will be disproportionately impacted by further compromise of reproductive rights will always be the most vulnerable women among us. This includes the uninsured, poor, and incarcerated.

Ugly

The baby’s hat is bright orange, knit with vertical ribbing to mimic a pumpkin’s ridges, and topped with a tiny green stem. The cheeks below it bulge in perfect crescents. I turn to the mother to ask if she made the hat herself. Her eyes don’t leave the muted cartoons bouncing across the television screen as she mumbles, “The nurse or someone gave it to her.”

Rebecca E MacDonell-Yilmaz, MD, MPH (4 Posts)

Fellow Physician Contributing Writer

Rhode Island Hospital/Brown University


Becky is currently a fellow in pediatric hematology/oncology at Hasbro Children’s Hospital/Brown University in Providence, RI. She completed her residency in pediatrics and fellowship in hospice & palliative medicine at the same institution. She received her BA and MPH from Dartmouth College and her MD from Stony Brook University School of Medicine. Her work has been published in Pediatrics, Annals of Internal Medicine, Journal of the American Geriatrics Society, and The Huffington Post, as well as on the blogs Kevin, MD and Mothers in Medicine. Her personal blog is entitled The Growth Curve (www.thegrowthc.com). She lives in Rhode Island with her husband and two sons.