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" "I looked at the place on my finger again. This time it really was an empty space. And silent. It was big. For the first time I faced a loss with a sense of curiosity. What would come to fill up this space? Would I make another ring? Or would I find another ring in a secondhand shop, or even in another country? Perhaps someday someone I had not even met would give me a ring because he loved me. I was thirty-five and I had never trusted life before. I had never allowed any empty spaces. I had believed that empty spaces remained empty. Life had been about hanging on to what you had and medical training had only reinforced the avoidance of loss at all costs. Anything I had ever let go of had claw marks on it. Yet this empty space had become different. It held all the excitement and anticipation of a wrapped Christmas present.
Rachel Naomi Remen (born February 8, 1938, New York, New York) is a pediatrician who gained fame as an author and teacher of alternative medicine in the form of integrative medicine. Together with Michael Lerner, she is a founder of the Commonweal Cancer Help Program, a cornerstone program at Commonweal. She is the founder of the Institute for the Study of Health & Illness. She has been featured on the PBS television series, Thinking Allowed. Remen's most well-known books include Kitchen Table Wisdom and My Grandfather's Blessing, both of which made The New York Times Best Seller list. Kitchen Table Wisdom has been translated into 21 languages, and has sold over 700,000 copies worldwide. She is also the founder of a medical student curriculum called "The Healer's Art" used in medical schools throughout the United States.
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the hospital to tape it to the closed door of Dr. X’s office. I had signed it and on the way back to my bed I began to worry. What if I had done something really foolish? If the surgical resident didn’t care about such things, why should Dr. X? I was off call the next day and, exhausted, I spent most of the time asleep. When I returned to the hospital for the evening shift, the pediatric day resident told me that Immy was no better. For the next few hours I took care of whatever was most urgently needed on the service, but later in the evening I stopped by the Intensive Care Unit to examine Immy and speak with her family. I found her parents in the waiting room. Together we went to see Immy. She was still unconscious. Leaning over to listen to her chest, I suddenly noticed a medal pinned to her hospital gown. Turning to her parents in relief, I asked if it was another one. “No,” her mother said, “it was the same one that was lost.” Dr. X had come that afternoon and brought it to them. I told them how glad I was that it had been found. “Yes,” her father said. “We are too.” Then he smiled. “She is safe now, no matter what happens,” he told me.
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Immy spent the next day or two undergoing tests, and I saw her several more times. The medal had been moved from her shirt to her hospital gown. It had seemed so important to her parents that I mentioned it in passing to the cardiac surgery resident as we sat writing chart notes in the nursing station on the evening before the surgery. He gave me a cynical smile. “Well, to each his own,” he said. “I put my faith in Dr. X,” he said, mentioning the name of the highly respected cardiac surgeon who would be heading Immy’s surgical team in the morning. “I doubt he needs much help from Lourdes.” I made a note to myself to be sure to take the medal off Immy’s gown before she went to surgery in the morning so it wouldn’t get lost in the OR or the recovery room. But I spent that morning in the emergency room, as part of