It is none other than National Residency Match Day and for the graduates of medical schools every year it determines where they will train in their respective specialties’ on the road to becoming practicing physicians anywhere from 3 to 12 years thereafter.
I have been fortunate to be immersed in the ritual fire dance that finding a desirable residency match entails twice in my life. Most currently with my son Spencer who graduates in May 2014 from University of Michigan Medical School.
Securing a spot in a choice residency program is no easy thing. Spencer chose a career in Urology which is a particularly tough to get specialty and much hard work is involved on the student’s part he or she is to succeed. In Spence’s case, he spent a month working in a Urology program in California at Keck School of Medicine at USC, at University of Michigan Hospital Department of Urology and at Beaumont Hospital Department of Urology. During each of those rotations every day was a two-way audition with each seeking to demonstrate worthiness of the others’ desire. Naturally the prospective resident needs to work the harder of the two in order to demonstrate their worth; especially when seeking a career in a specialty like Urology where only about 60% of applicants find a matching program.
In a perfect situation every residency program would have hundreds of medical students to choose among and every program would want every student but that is far from the case. Obtaining a spot in a storied and top quality residency program is highly competitive and there is a paucity of available openings.
Following this period of rotating through numerous programs by the students, both the medical students and the residency programs rank each other in order of desirability.
Finally… through the facilitation of a third party corporation the lists of both the medical students and the residency programs are spun through a wash and dry cycle and for many or most medical students and residency programs a match occurs.
On Friday March 21, 2014 I sat in a room at University of Michigan Medical School as the drama of the residency match came to its conclusion. At precisely 12:00 noon envelopes were distributed to each medical student containing a letter advising them where they would be spending the next phase of their training.
For many there were tears of joy. At U of M Medical School most students get their first or second choice. For a few there were tears of sadness that they did not and for one or two there was no match at all so other paths to the future have to be explored.
In case you’re wondering. Spencer Charles Hiller, University of Michigan medical class of 2014 will be a Urology Resident at Beaumont Hospital.
On April 30, 2012 my beloved Scottish Deerhound Lilly died. She had languished for six months with pancreatitis and kidney failure. Dutifully I gave her bags of subcutaneous fluids every day and fed her from my fingers in an unsuccessful effort extend her life.
In the end she was euthanized in my arms and I watched as her soul left her body and she fell limp like an empty shell at the seashore. I felt empty without her. No creature under the stars of heaven had ever been so perfect as my beloved Lilly. I was heartbroken and felt that I had a hole in me that could never be filled.
Eleven months later I received a call from a couple in Vermont who breed and raise Scottish Deerhounds. Lee and Lois Resseguie had learned of my loss and as serendipity would have it they called to say they had a puppy that needed a home. I was unsure. Could my emptiness be repaired by a replacement or would a new deerhound merely be a soulless copy of my beloved Lilly.
As I write this today, Daisy my brand new deerhound is gnawing at my elbow because I’ve ignored her entreaties for almost 5 minutes. She growls and bounces when she wants my attention and she nuzzles and coos when she has it. Best of all my house is once again alive with the sound of galloping Deerhound feet and my life has once again been filled with an odd looking creature who needs me as much as I need her. I often describe her as a greyhound with my hair.
Lilly has not returned to me and she will have a permanent inscription in my heart, but even an old fox like me can still learn new lessons of life and one that I’ve added to my personal storehouse is that a puppy can heal a broken heart.Hope springs eternal in the human breast; Man never is, but always to be blessed: The soul, uneasy and confined from home, Rests and expatiates in a life to come.
– Alexander Pope
Recently I had the privilege of speaking at the funeral of a dear friend. Her name was Lee Better and I had been her friend, lawyer and confidant since 1987.
Lee came to Hiller’s in her 75th year in need of a job and still raw from the shuttering of her resale shop New to You. She needed work and with the resoluteness that typified her she was willing to do damn near anything. I put her in charge of Hiller’s demo program and she took to it like a duck to water. Soon, customers flocked to see her and listen to her as she held court. One of her biggest fans was Sonny Eliot the widely acclaimed local newscaster and weatherman, who spent hours exchanging stories and jokes with her. Lee had a smile a mile wide and the precocious humor of Dame Edna. Once a customer asked her if a Sara Lee product was kosher and without a blink Lee responded with a wink and said; “ Sara’s a Jewish name so it must be.” She knew it wasn’t; so did the customer but both had a good laugh.
Life was not easy for Lee. She married Sam when she was in her late thirties and while they were fortunate to have two daughters, Gayle and Liz, Sam died unexpectedly and young. Lee had worked part-time during the marriage but suddenly she became the sole support of the family. Without a complaint, Lee rose to the task. She opened a resale shop called New To You and with the help of her many girlfriends, beautiful well-labeled ladies clothes filled the shelves and her store became a gathering place for sharp women who knew a bargain. And so it went for 10 years or more while Lee watched over her girls and her elderly mother with a perpetual smile on her face and never a single complaint at the hand life had dealt her.
Finally the store ran out of steam and Lee came to me needing a job. I was honored to oblige. After all… I’d been her lawyer during the good times so how could I walk away during the lean? Without a complaint Lee started work as Hiller’s Food Demonstration Specialist. At a time of life when most of us are contemplating our navels on a couch, she was on time and bright eyed every day and she charmed the pants off everyone, me included. Because no matter how tough things were or how much pain she felt Lee’s mien never varied.
Sadly one late afternoon 7 years ago for reasons unknown, while driving home after work, Lee drifted across the road and into a head-on collision with another vehicle. She was taken to the hospital by ambulance and given a grave prognosis. “”She won’t survive the night” said the trauma surgeon. Eight months later she left the hospital, bent, broken and bruised but with her spirit intact and until June 13th 2013 Lee endured. We all knew she was on borrowed time. She didn’t give a damn… she laughed and continued to charm the pants off everyone she met.
Those of us who knew Lee were fortunate to have a woman of such strength and uncommon virtue in our life.
At her funeral I said, “ if ever there was a soul who deserved to be swept to heaven on the wings of angels it was Lee”. Every head in the audience nodded in agreement.
I will eternally miss Lee’s smile, wit and charm.