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Taking Care of Myself Was a Lesson I Learned the Hard Way

This morning, my mother was in the day room at the skilled nursing facility. She had finished her fruit and was drinking coffee while talking with a CNA student.

As I watched, she seemed to become agitated.

“We were looking for your nurse,” the student said.

I asked Mom what was wrong. She told me she had been waiting three or four hours to get cleaned up. She was losing her patience.

That was her account of the wait. I hadn’t been there the whole time. But I could see her frustration, and I could understand wanting help with something she could no longer easily do herself.

This post isn’t an assessment of the facility or its service. That moment brought up something personal for me: the responsibility I have to take care of myself when I have choices.

I am accountable for myself and the decisions I make.

For a long time, my mother didn’t see a physician. She wasn’t taking medication to manage chronic illness, and stress was a regular part of her life.

She was also my father's primary caregiver. From what I witnessed, he expected a great deal from her, including managing his medications and meals. Her own health needed attention while she was carrying those responsibilities.

Then she had her first stroke. Later, she had a second.

I can’t say exactly what caused either stroke. But I worry about the years her health went unattended and the opportunities there might have been to address it.

She was making progress after the first stroke. After the second, she lost some of that ground.

I don’t know whether she ever imagined living in a skilled nursing facility or planning a move into assisted living. Before her second stroke, I had spoken to her about the possibility of needing that level of care if her health continued to decline.

Watching her struggle now brings me no satisfaction in having raised that concern. I wish she had more independence. I wish everyday things were easier for her.

And I recognize something of myself in her situation.

I didn’t make my health a priority either.

I didn’t manage my diabetes. I didn’t see a physician. I behaved as though I were invincible, as though there would always be time to deal with my health later.

I learned, painfully, that there wasn’t an unlimited supply of “later.”

In my case, an open wound led to an infection, then sepsis, and eventually an above-the-knee amputation.

Those consequences became part of my everyday life. I couldn’t undo them by finally understanding how serious things had become.

Today, I take my medications seriously. I don’t miss my Ozempic shot. I take my medication for anxiety, my GERD medication, and the other medicines that are part of my care. I show up for dialysis.

I would like to keep the body parts I have left. And I hope a donor kidney will eventually become part of my future.

I still have a life to live, and taking care of myself helps make that possible.

Being accountable doesn’t mean I believe every illness is preventable or that someone who becomes ill has failed. I know people can do everything asked of them and still face devastating health problems.

My mother deserves timely, respectful care now, regardless of her past decisions. Her frustration matters.

I can hold that belief and still be honest about the choices I made in my own life. I put off appointments. I neglected my diabetes. I treated my health as something that could wait.

I paid a price I’m still living with.

I’m sharing this because I hope someone reading it will recognize their own habit of putting things off and take a step toward caring for themselves. Make the appointment you’ve been avoiding. Have the honest conversation about what you’re struggling to manage. Ask for help, especially if caring for someone else has left you with little energy for yourself.

I wish I had done those things sooner.

I can’t change that history. I can take responsibility for what I do today.

And I hope you get to learn that lesson more gently than I did.

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Mom Needed a Bathroom. We Needed a Solution.

My mother is now in a skilled nursing facility. She had a stroke at the end of June 2026 and a second one about three weeks ago. This is her fourth hospital or medical facility in the last three months.

That is a lot of moving, adjusting, and starting over. I get it. I’ve been there.

Part of the longer-term plan involves her wish not to return home once she gets back to where she was before the second stroke. That is a story for another time.

Today’s story is about something much more immediate: Mom needed to use the bathroom.

She arrived at the facility this afternoon, and her evaluations weren’t complete yet. Because physical therapy hadn’t evaluated her, there was uncertainty about how she could safely get to the bathroom—or whether she could get there at all.

I understood the concern. Nobody wanted her to fall or get hurt.

But her need to go wouldn’t wait for an evaluation.

I heard the explanation from three different people, delivered almost the same way each time. What I didn’t hear was a solution.

Mom and I asked for a bedpan.

We were told the facility doesn’t use bedpans.

Okay. So what do we do now?

This was also the point when I started feeling increasingly confident about my decision not to pursue a career in healthcare. As I wrote recently, patience is not one of my strengths. Hearing the same explanation repeatedly while my mother still needed help was putting that to the test.

I asked again: We need to find a solution. She can’t simply not go.

Eventually, someone made the executive decision to find a bedpan. I assume someone dug it out of the nonexistent basement.

Crisis averted.

I appreciate the need for evaluations and safe procedures. I also appreciate the person who finally found a way to help. But there needs to be an answer for what happens while a new resident is waiting for those evaluations.

From our side of the conversation, we had a basic, immediate need and several explanations of why it was complicated.

What would have helped was hearing: “We haven’t assessed her mobility yet. Here is how we can help her safely in the meantime.”

That would have given Mom some reassurance and both of us a plan.

Today, we eventually got there. It just took three explanations and a supposedly unavailable bedpan.

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Why I Realized I Wasn’t Cut Out for Healthcare

When I started college, I thought I wanted to be a physician.

I was a student at the Sophie B. Davis biomedical program at the City College of New York, part of the City University of New York system, in historic Harlem. It was an accelerated path: five years followed by two years of medical school, instead of the traditional four plus four.

That was the plan. My reasons for pursuing it deserve honesty.

I didn’t want to become a doctor because I felt called to help people. I wasn’t driven to make an impact or cure a disease. I wanted to be wealthy and live comfortably.

That may sound shallow. Looking back, I think it was. But those were my motivations, and pretending otherwise would make this a different story.

There is nothing wrong with wanting financial security. The problem was choosing a profession without thinking enough about whether I wanted to do the actual work.

Recently, watching my mother receive care reinforced how poorly that career would have fit me.

Seeing the Work Up Close

My mother has had two strokes in about two months. She has been in the emergency room, in the ICU, and is now back in a physical rehabilitation unit.

Through all of it, I have watched healthcare workers at every level provide care, comfort, and concern for her.

I think of them as heroes. That word comes from watching their work: attending to someone who needs help, responding to uncertainty, and bringing patience to situations that can be difficult for both patients and families.

I am grateful.

As someone who once planned to enter their profession, I am also very clear: I am not equipped to do what they do.

Knowing What I Couldn’t Give

It isn’t the sight of blood, bodily fluids, or body parts that would get to me. Although I will admit that vomit is something I find disgusting.

What I would struggle with is sustaining focus while providing care. The patience. The compassion. The ability to keep responding thoughtfully when someone needs more and is already tired.

I care about my mother deeply. But caring about someone and being prepared to care for patients throughout a demanding shift require different things.

I don’t believe I have the patience or the capacity to provide that kind of care consistently. That is uncomfortable to admit, especially while watching people give it to someone who means so much to me. I also need to be honest about that.

Patients deserve care from people who can meet those demands. A desire for a comfortable lifestyle would not have prepared me for them.

The Lifestyle I Hadn’t Thought Through

Then there are the hours.

The long shifts, particularly during residency, would have been another major challenge for me. When I think about the time and responsibility involved, the compensation during training hardly resembles the comfortable life I had imagined.

I had focused on the possible financial rewards of becoming a physician without fully considering the years of demanding work required—or whether the daily work would suit me even after training.

My picture of the profession was incomplete.

Watching my mother’s care has made the part I overlooked much harder to miss.

Gratitude and a Clearer Understanding

I am not suggesting that healthcare workers must be selfless every minute or that they shouldn’t want good pay and comfortable lives. They deserve both. I can appreciate their dedication while recognizing how much the work asks of them.

What I understand now is that my reasons for wanting to become a physician would not have been enough.

There is value in recognizing that a profession does not fit you, even one you once imagined as your future. I can respect this work deeply and acknowledge that I would have struggled to do it well.

To everyone who has cared for my mother—in the emergency room, the ICU, and rehabilitation—thank you for the care, comfort, and concern you have shown her.

Years ago, I imagined what being a physician might give me. Watching you, I see much more clearly what the work would have required of me.

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