Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

Discovering resolve: a trainee’s thoughts on advocacy and the crisis at the border

Trisha K. Paul, MD
Health Policy
September 15, 2019
Share
Tweet
Share

Gravel crunched beneath our feet as my co-residents, and I walked alongside one another. Our laughter filled the air as the shadow of our large white camper van stretched behind us, looming farther and farther away. We had escaped the warmth of a vehicle that had been our home all week; it was cold, and we were underdressed, not uncommon in Iceland. Surrounded by sea, the wind blew furiously, unforgivingly, against us from all directions.

A duck emerged slowly between blades of tall grass, waddling out in front of us and stopping us in our path. We crouched down, gazing on together. As we marveled at how close and completely unaware the duck was, several little ducklings appeared behind her, blobs of grey popping out one by one from the green. Fluttering their wings, chirping at one another, hopping around in zig-zags – they were occasionally distracted and derailed, but always returned to follow in their mother’s pioneered path.

We watched as their tails disappeared across the way, and just as we were about to proceed, a black duckling stepped in front of us and looked around. Craning his neck, this small duckling could see nothing but gravel and grass. He peeped, soft at first, but then wildly, frantically, lost.

I shivered, feeling colder than I had before, helpless to the natural world. What were we supposed to do? How could we, as human onlookers observing this unfortunate separation, intervene in this tragic life affair? We didn’t want to upset the mother, and we feared that our intervention would only cause more harm; the mother might not return should her child bear human scent.

And yet, watching this lone duck in crisis, crying out for its loved ones distressed me. I felt overcome by sorrow, which was worsened by my own helplessness. I remembered stories of countless children at the border who have also been separated from their parents and families. These children were separated not by natural disaster but by humans.

As a pediatric resident, I am appalled that our nation continues to intentionally separate children from families. The hurt of isolation, the sting of abandonment, the hardening of hunger, and the dehumanizing conditions are unacceptable. With all that we know about the devastating and long-lasting effects of adverse childhood events, this trauma cannot go on.

The American Academy of Pediatrics has been voicing dissent for months now. As a trainee in pediatrics with minimal advocacy experience, I wrestle with how I can meaningfully engage despite time constraints. I am sure that I am not alone in this.

I couldn’t reunite this duckling with his family. It wasn’t my place. But witnessing this separation reminded me that I must do something from afar for the youth for whom I can speak up. I can’t let the feeling of helplessness silence me. As a colleague once told me, “in advocacy, especially on issues with this kind of gravity and distance, overcoming that feeling of powerlessness and gaining the resolve that we need to try to act is often the bigger barrier than figuring out how.”

And so, as a pediatrician who loves to write, I am writing this. Perhaps, like me, someone may feel something they had been too afraid to allow themselves to feel. And maybe those emotions will be compelling enough to inspire action.

This article is not enough, but it’s something. And for me, it’s a start.

Trisha K. Paul is a pediatric resident.

Image credit: Shutterstock.com

Prev

An ophthalmologist analyzes Joe Biden's red eye

September 14, 2019 Kevin 4
…
Next

A successful physician who is also successful in business

September 15, 2019 Kevin 0
…

ADVERTISEMENT

Tagged as: Health Policy and Public Health, Pediatrics

< Previous Post
An ophthalmologist analyzes Joe Biden's red eye
Next Post >
A successful physician who is also successful in business

 

ADVERTISEMENT

More by Trisha K. Paul, MD

  • Moonlight, medicine, and clarity

    Trisha K. Paul, MD
  • I want to learn how to love medicine

    Trisha K. Paul, MD
  • Humanism in medicine: How much goes unnoticed?

    Trisha K. Paul, MD

Related Posts

  • What’s wrong with crisis pregnancy centers?

    Nickey Jafari, MD
  • We are on the brink of a crisis-level physician shortage in the United States

    Jamie Katuna
  • The climate crisis as viewed by an emergency physician

    Elizabeth M. Barreras-Rivest, MD
  • The opioid crisis: Doctors cannot lose hope

    Linda Girgis, MD
  • In crisis, danger and opportunity are present

    Casey P. Schukow, DO
  • Fight the opioid crisis with physician assistants

    James Cannon, PA-C

More in Health Policy

  • The next child

    Medicaid managed care and the case for mutual stewardship

    Steven Merahn, MD
  • How to build a dementia care pathway, not a referral sheet

    Gerald Kuo
  • AI in prior authorization: 3 contract questions for 2027

    Matt Hasan, PhD
  • Private equity in medicine did not kill private practice

    Brian Hudes, MD
  • Why are fewer family physicians delivering babies?

    Frista Gradica
  • Local news and public health: the segment viewers missed

    Ronald L. Lindsay, MD
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 10 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Discovering resolve: a trainee’s thoughts on advocacy and the crisis at the border
10 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...