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Hello and welcome to the Career Journey Podcast no Wrong Choices, where we speak with some of the world's most interesting and accomplished people to shine a light on the many different ways we can achieve success.
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I'm Larry Samuels, soon to be joined by Tushar Saxena and Larry Shea To help support our show.
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Please be sure to like and follow no Wrong Choices on your favorite podcasting platform.
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Connect with us on LinkedIn, instagram, youtube, facebook X and Threads, or visit our website at norongchoicescom.
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This episode features the medical journalist, author, professor and MD Randy Hutter.
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Epstein Tushar as, in some ways, a fellow journalist and writer and reporter, why don't you lead us into this conversation?
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all I'll say is this if you look at this woman's resume, we are not smart enough to speak to this person.
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I gotta be quite honest with you.
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Um, look she.
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She obviously is a prolific writer and you know she went to not only journalism school but she said, okay, that wasn't enough, I'm gonna go to medical school as well, just just for the hell of it.
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I mean, that is crazy, the amount of academic rigor that you have to go through with this.
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And she has managed to build a career as a freelance journalist.
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I don't think she, if you.
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I don't think she's ever had a full-time gig.
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She's worked obviously places, but I don't think she's ever had a full-time gig.
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She's worked obviously places, but I don't think she's ever had a full-time gig.
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Now you look at my resume.
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It goes from freelancing to full-time positions, freelancing to full-time positions.
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I have a good mix, but for someone to say that they're going to essentially build their career around never having a full-time gig, that takes a heck of a lot of courage.
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And Randy Hutter Epstein is no joke when it comes to speaking to people who know what they're talking about.
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Yeah, I'm going to second your thought about the resume.
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Again, I am feeling like a bit of an underachiever.
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We're all underachievers next time.
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Embark on this incredible interview that we're about to do.
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And you're right, she's an impressive person and we're going to have a lot of fun with this one.
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She's an impressive person and we're going to have a lot of fun with this one.
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I can't wait to dig in because she wears a lot of hats and I can't wait to see how they all fit together.
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You know, you're right.
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T, who goes to medical school with no intention of practicing medicine Just for the hell of it.
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We're going to dig into that.
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So fascinating, fascinating person and we can't wait to talk to her.
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Yeah, I'm sure this is going to be a great conversation.
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I will share that.
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I know her and I know her energy level and I know how interesting she is, so I have absolutely every confidence in the world that this conversation will live up to the expectations that we are setting.
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So with that, here is Randy Hutter Epstein.
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Now joining no Wrong Choices is the medical journalist, author, professor and MD Randy Hutter Epstein.
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Now joining no Wrong Choices is the medical journalist, author, professor and MD Randi Hutter Epstein.
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Randi currently teaches journalism at both Yale and Columbia University, while working on her next book and writing the occasional article for the New York Times and other national publications.
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Randi, thank you so much for joining us.
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I am so thrilled to be here.
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So I suppose, as we often do on this program, I should offer my full disclosure that Randy and I are friends.
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So there might be some inside baseball or inside jokes along the way, but it was my view that Randy would be a great guest today.
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Of course, she has taken, I think it's fair to say, an atypical path from the beginning to where we are today.
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So, Randy, with that, why don't you lead us into the conversation by telling us in your own words who is Randy Hutter Epstein and what do you do?
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Well gosh.
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Okay, so what I do is I teach and write about medicine, and so I guess my passion is accurate medical and science communication and public health communication, which I used to have to explain to people why it's important that we don't hear false things about medicine, and I'd have to like find an anecdote to explain.
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But now I kind of think we've lived with all this stuff, it's like an easy thing, it's to explain, so that's what I do.
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How did I get there?
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Circuitously, because I'm one of those people that isn't very focused.
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I have a lot of interests and so I kind of just studied liberal arts and liked science and liked writing and kind of like drawing and all these different things.
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And then by the end of college someone did mention oh well, if you like writing so much and you like medicine, you should do medical journalism.
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I didn't have any journalists in my family.
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I never thought about that.
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I didn't think of writing as something that you can do as a profession.
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So I ended up going to Columbia Journalism School where I learned a ton because I knew nothing.
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I was a clean slate, which is a nice way of saying I was completely ignorant going in.
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A lot of my classmates were like on the school newspaper for years and their parents were in the business and they knew all this jargon.
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I knew nothing, so they didn't have to.
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I didn't have to unlearn any bad habits, I had nothing.
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I was a clean slate.
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And then I did tie with the idea of should I go to medical school or not, and that my dad was a doctor who was a pathologist.
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So, yeah, that was an influence.
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There was no, oh, we want you to be a practicing physician.
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But my dad, who was really intellectual, kind of thought why wouldn't you want to learn more?
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Why wouldn't you know?
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If you want to write about something, why wouldn't you get educated in it?
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Why would you just spend years asking other people?
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So I did go on to medical school after journalism school, have an MD, but I did not do a residency or internship or anything.
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So I'm not licensed.
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I never practiced medicine.
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I used my well four years, but I did it in five years.
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I took time off, as many of my classmates did.
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So I use my medical education to inform the way I write about medicine and I would say that so I don't have the experience of being on the front line, I can't say I know what it's like when there's all this stress around and this is how you have to make last minute decisions, Though I've been next to people that have.
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So I think I have a sympathy for it.
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I think from my little experience in medicine, you know, compared to people like Larry's wife that's an expert that has spent many, many years in training and clinical practice I don't pull from that experience.
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But I pull from my little bit of experience of standing next to people and having had the wonderful privilege to be near people that have been in the throes of making those decisions, that have been in the throes of making those decisions.
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It's such a unique journey that you've had going to medical school but not practicing medicine, all of it.
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Let's take a deeper dive into how you got to where you are now, because you're obviously very knowledgeable.
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Were you always a good student?
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Did you grow up a good student?
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Was that always a part of what you wanted to do?
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You said your dad wanted you to get educated in this specifically because you showed interest.
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But when you were a little girl, was it like I'm going to get straight A's and that's just the way it is.
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Yeah, I mean, I wasn't like I wasn't one of those kids, but I don't really know anybody that really is.
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You know, it comes so easy.
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I didn't study because you did.
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No, I definitely was a studier, studied hard, played hard.
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But we can focus on the study hard part for this conversation.
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We have to.
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Of course we don't have to Come on.
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Yeah, I would say yeah, I wasn't.
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I'm not an efficient studier like my husband was.
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We went to college together.
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He could like go and focus.
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I'm not good at I don't want to say I'm not good at that.
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Some people have different kinds of attention spans.
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Mine is probably on the shorter end.
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You and I sound very similar.
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I study a little, I take a break, but yeah, I did always work hard in school.
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Initially, when we were all kind of pre-gaming this interview, one of my questions was are you crazy?
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Having gone down your career path, meaning you know, obviously you know journalism school is no walk in the park.
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But then to couple that with medical school afterwards during your years, I mean that is an unbelievably rigorous academic journey.
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I understand, having read your bio and having seen some other interviews with you, you wanted to be an architect.
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Your initial thoughts were you would be an architect.
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So what were some of the similarities that you saw, let's say, between architecture?
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And then, before you finally made that decision that you know what I want to go to med school?
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Did you see any similarities in those disciplines?
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I see there's creativity, a lot of observation, so I see that if I'm sort of pulling at things oh, you asked if I was crazy, but yes, but probably not in other walks of life.
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Right, right you know I mean, yeah, I like to do practical jokes, I like to do things like that, but that is yeah.
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So but I would say in retrospect it's very easy for me to say I did this school, then I did this school and then I did this.
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But at each step along the way there was definitely oh no, I made the wrong decision, maybe I should drop out.
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Oh no, maybe I shouldn't be doing this.
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So, for instance, yeah, medical school is kind of hard.
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Who would have thought that?
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So I did take time off to write, I did take time off to write.
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And then, after I was in medical school for two years and I would say I complained for oh, three years of the two years I was complaining about it.
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And then I did write a letter.
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I mean, I don't remember writing this letter, but I didn't send an email.
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It was in the 80s Somehow.
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So you had to send an actual letter.
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Somehow I communicated it must've been a letter to the Dean of students saying, like you know, thank you very much, but I don't think I'm going to be coming back and I'm still friendly with him.
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He's well into his nineties and we just went out for lunch recently and he basically, like my parents at that point, were like I can't.
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They're not.
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There's a limit as a parent what you can force someone to do when they're complaining that much.
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But he brought me into his office and said I know what you're thinking that the next two years are going to be a waste of your life.
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And you know, when you're in your 20s, every minute seems like this is a waste.
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If you know, I have to go on.
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And it seems like all your friends are accomplishing so much.
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By the time they're 24 and 25.
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I don't know.
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That's just sort of the image that I had of my I think you're right about that.
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People are writing and writing books and doing all this stuff and you know you read about it and for me it was like focusing on all these people that were doing really creative writing stuff.
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So he said to me, if you drop out now, it's going to look like you failed out and the two years behind you was a waste of time.
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That's definitely a waste.
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If you finish up the next two years, you don't have the pressure of applying for residency.
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You can think of it as this amazing reporting project.
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You want to write about medicine?
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You can.
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You'll see surgeries, you can do rotations and whatever you want.
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So I stayed and so I basically have my MD just because of him, dr Robert Gifford, who's just a wonderful person.
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So, yeah, so it wasn't like, yes, I'm a good student and yes, I do work hard, but I also I'm always questioning myself and thinking, yeah, well, actually I didn't know that there was this podcast at the time called no Wrong Choices, because I was like, did I make a wrong choice?
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Wrong choices?
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Because I was like, did I make a wrong choice?
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No one ever said to me there are no wrong choices and there'll be a podcast one day.
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With that we're hoping we're bringing that mission forward.
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We didn't know that either, so I do want to back up a second though.
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So you know, when you were at Penn and you were studying architecture and you eventually decided to pivot towards medicine, it's my understanding that you actually wanted to be a journalist, but your passions were tied to medicine and when you went into medical school you kind of had a unique vision for what you were going to do with that part of your life.
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Is that accurate or no?
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Kind of.
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I mean, I was only in architecture for like a year and then I took a science class and just a microbiology class and was like this is so interesting.
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I think I was so reluctant to go down that path because I was really close to my dad and he was a doctor and I just didn't want to be like, oh, now you're just doing something because your dad is doing it.
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But I really found like like I think other like architecture was fascinating and interesting, but there was something like this is cool, this is life, like this is going inside us.
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So I loved cell biology and then I also like to write, but I didn't consider myself a journalist or think about it.
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I just was like going along being a college student Like I.
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I mean, I think it's different.
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Kids are constantly thinking like how am I going to?
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What am I?
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How am I going to use this to then do something after college?
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Like I don't think I was thinking that.
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I was thinking, oh yeah, if I end up going to med school, I should take the pre-med requirements that are like eight classes.
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It wasn't that much so like I did that, but I wasn't.
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I didn't.
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I wasn't thinking like jobs and careers.
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I was just kind of figuring out what am I going to?
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I actually was like, what am I going to major in that super liberal arts that can count as a major.
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So when you went to med school, you did go with the intention of becoming a doctor, and that changed over those next four.
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No, I went on my med school.
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I was so confused that when I was applying to med school I still wasn't sure that it was the right route.
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So I thought, if I go on my medical school interviews and say I do not want to practice, I just want to write about medicine, oh not, I just, I want to write about medicine.
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And if they all say we're not going to waste a space on you, then I'll be like, oh okay, I needed a door to close in my face.
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Like now I know that that's not.
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Now I know that's a wrong choice.
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Thank you very much.
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And you know, a few of the schools did say like why are we wasting his face on you?
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And I was like I don't know, you're not going to, you're not going to accept it, don't worry about it, you're not wasting his face.
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But the intention was always to write very happy with someone getting an MD, phd and doing research and not practicing.
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I think they saw me along that line.
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The guy who interviewed me, who was wonderful, who died at an old age recently, shockingly was like that's a terrific idea.
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He had a heavy Southern accent that I'm not going to try to do now, but he basically I thought he was going to say we're not going to waste a space.
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And he was like we need people who understand medicine to spend time explaining it.
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And this was in the 80s.
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Wow, we need the.
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We need people to understand what's going on in medicine.
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And do you know we don't have exams at Yale and we have the fewest class hours of any medical school.
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Yeah, so I was sold.
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I was sold on the no exams.
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Sounds like my educational journey.
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So obviously you said that Yale was very open to your thought process and said what you want to do with your medical career.
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What about your peers at that point?
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How were they?
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Because obviously many of them have probably gone on to become doctors, practicing doctors, so many of them were probably the same way along some of the other med schools you looked at which were like why did they waste a space on you?
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Someone could actually be here doing something.
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What were your peers like?
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Fine, no one I don't know.
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I want to speak for them.
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Let's just put it this way that I don't I mean I, I had, I had friends, we all got along.
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I don't, nobody.
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Nobody seemed resentful.
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I wasn't going to take their spot in residency, so they don't have that um, but I'll say that.
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Um, my daughter now just started med school and she has the the same anatomy professor that I had, like over 30 years ago, and he's wonderful.
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And she said something to him like you know, did you, I think you also taught my mom?
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And he said yeah, I don't remember many medical students, but she was a real character.
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Yes, of course I'm not quite sure what he meant.
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I mean, I did really love anatomy.
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But yeah, I'll have to ask him next time I see him.
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As you got towards the end of medical school, did you ever consider changing your mind?
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Did you ever consider going through and becoming certified and doing a residency?
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There were moments, so I two twice.
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I was just thinking about this recently.
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You know it's funny because the journalism background people are like you're going to love psychiatry and all the stories.
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You love kids, You're going to love pediatrics.
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I have four children and I do love kids.
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I love them when they're healthy.
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I found.
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I found inpatient pediatrics killed me.
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My daughter might want to do something like that but it was.
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You know it's hard to be like.
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Well, the you know those five years of your life were you know you at least you got those good five years.
00:18:40.459 --> 00:18:46.333
Like I just found it very, very depressing but I was fascinated with it, but I never.
00:18:46.660 --> 00:18:48.165
I didn't think pediatrics at all.
00:18:48.165 --> 00:18:54.527
The few things I did love pathology, which my dad was a pathologist, which of course, like, oh you know, you're going to do what your dad did.
00:18:54.527 --> 00:19:07.699
But I did love that, I loved I did a pathology rotation and I just thought I remember holding a breast cancer, like not the human, the actual tumor, and I just found that fascinating.
00:19:07.699 --> 00:19:11.730
I'm like whoa, I have cancer in my hand.
00:19:11.730 --> 00:19:16.509
Wow, not spreading it, but like, so there was something fascinating about this, is it?
00:19:16.509 --> 00:19:18.247
This is the disease.
00:19:18.247 --> 00:19:21.403
I just thought it was fascinating that.
00:19:21.542 --> 00:19:38.213
And then I had a day in a rehab center that we did a rotation at or just spent a little time with in med school, and I just thought the doctors there were amazing.
00:19:38.213 --> 00:19:43.641
And so I did think for a moment because I remember saying to doctors this must be so depressing.
00:19:43.641 --> 00:19:50.462
You're dealing with people that have horrific accidents that then have to try to if they can maybe learn to walk again.
00:19:50.462 --> 00:20:09.694
And the doctors there were so wonderful and they were like cheerleaders for their patients and they said, no, it's not depressing, it's actually amazing to work with someone and get them from where they thought they're never going to walk again to at least to the next level and there's just there's this huge feeling of accomplishment.
00:20:09.694 --> 00:20:14.971
So there was moments but that was just momentary things of admiring these doctors.
00:20:15.011 --> 00:20:15.413
Not enough.
00:20:15.839 --> 00:20:21.281
Yeah, I knew I wanted to write and I knew I wanted to write during the day and I knew I wanted a family.
00:20:21.281 --> 00:20:31.553
And you know, there's all this talk of being a woman and juggling career and family and I just didn't know how two careers and family and life, like I just I didn't think I could do it all.
00:20:31.753 --> 00:20:37.071
So, yeah, so that covers the medical aspect of your academic journey.
00:20:37.071 --> 00:20:39.387
Talk to us about your writing.
00:20:39.387 --> 00:20:42.028
How did you pursue that passion?
00:20:42.559 --> 00:20:58.201
Yeah, right after college I applied both to medical school and Columbia Journalism School and I thought if I got into Columbia which I did I had had an internship at the Times and like that's what solidified that's so cool that these people are hearing news and writing it.
00:20:58.201 --> 00:21:01.749
So I went and it's only one school year, columbia.