Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

From survival to sovereignty: What 35 years in the ER taught me about identity, mortality, and redemption

Kenneth Ro, MD
Physician
June 20, 2025
Share
Tweet
Share

I’ve lived a full life. A hard one. A beautiful one. A complicated one. And now, at 61, I’m finally beginning to live an honest one.

I was built in survival mode. Growing up as a Korean American boy in Central Texas—often the only Asian face in the room—my earliest years taught me that difference could either be celebrated… or punished. At first, it was celebrated. I flourished. But a move to a new city taught me something else: Different can become dangerous. I was bullied. Ostracized. Thrown into dumpsters. Notes in my locker. Graffiti on my car. I learned to protect myself—not by shrinking, but by achieving. Straight A’s weren’t about pride. They were about safety. Valedictorian wasn’t status—it was armor.

But achievement couldn’t quiet the voices in my head:

  • Why do I have to fight this battle every day?
  • Why couldn’t I just be white?
  • No one will ever love you.

I didn’t just chase success. I hid behind it. Eventually, I became a doctor. An ER physician. Not because I craved prestige, but because it gave me a mission—and a mask. For 35 years, I ran toward what others ran from: trauma, chaos, death. I held dead babies. Told mothers their children were gone. Performed CPR on friends. Called time of death for strangers and colleagues alike.

I began my career in the midst of the AIDS epidemic, when so much was unknown. After a needle stick or scalpel cut, I’d wait—terrified—wondering if I had contracted HIV. Here today, gone tomorrow. I twilighted my ER career in the grip of another pandemic: COVID-19. This time, the uncertainty applied to all of us. We didn’t just treat the virus. We could die from it. I saw patients gasping in hallways on BiPAP because we were out of ventilators. Once again: Here today, gone tomorrow.

The body always keeps the score, as Dr. Bessel van der Kolk so powerfully described. I mastered compartmentalization. I had to. If I let every death in, I couldn’t function. But unprocessed emotions don’t disappear—they just find detours. For me, they emerged as addiction, sex, performance, anger. Two versions of me developed:

  • One who saved lives.
  • And one who sabotaged his own.

I wasn’t always the father, husband, or man I wanted to be. But I was always evolving. Because somewhere inside, curiosity survived. That curiosity became a spiritual awakening. It became what Dr. Brené Brown might call a reckoning with shame, and ultimately, a reclamation of love.

I’ve come to understand that the identity I built—crafted in pain, perfection, and protection—was never the whole story. It was just the first chapter. My old biography was not my destiny. So after 35 years I started writing again.

Don’t put a period where God placed a comma, as Gracie Allen so wisely said. I call this new chapter the Nova Oath™—my Hippocratic Oath 2.0. The old oath said: “Do no harm.” Now? I say: “Do more good,” my own evolved take on that original promise.

That means:

  • Showing up with integrity when no one is watching.
  • Treating myself with the same care I’ve given to thousands of patients.
  • Choosing peace over pressure, love over resentment, presence over performance.

My past gave me scars. But it also gave me scaffolding—to build something sacred. I’m no longer chasing excellence to prove I belong. I belong because I choose to.

This is my story. It’s not perfect. But it’s mine. And maybe, just maybe, it’s yours too. If you’re reading this and something inside you stirred—let that be your starting point. You are different. So go make a difference.™

If this resonates, subscribe or share. This is just the beginning of a conversation we all need to have—about trauma, identity, healing, and who we become when we choose to evolve consciously.

Kenneth Ro is a double board-certified emergency and internal medicine physician with more than 35 years of experience on the front lines of medicine. He is the author of PRIME: How to Win the Second Half of Life, a physician’s guide to reclaiming energy, identity, and purpose in midlife. His work now focuses on the deeper crises beneath modern health care, including burnout, loss of meaning, and quiet suffering among midlife men and physicians. He is the founder of Back in the Game Men™, the creator of the Nova Oath™, and the So Go Make a Difference™ movement. Connect with him on LinkedIn and learn more at KennethRoMD.com.

ADVERTISEMENT

Prev

When doctors forget how to examine: the danger of lost clinical skills

June 20, 2025 Kevin 2
…
Next

Why U.S. health care pricing is so confusing—and how to fix it

June 20, 2025 Kevin 0
…

Tagged as: Emergency Medicine

Post navigation

< Previous Post
When doctors forget how to examine: the danger of lost clinical skills
Next Post >
Why U.S. health care pricing is so confusing—and how to fix it

ADVERTISEMENT

More by Kenneth Ro, MD

  • Why midlife men feel unanchored and exhausted

    Kenneth Ro, MD
  • The Nova Oath: a physician’s pledge to courageous and ethical care

    Kenneth Ro, MD

Related Posts

  • Why medical students should be taught the business side of medicine

    Martinus Megalla
  • Match Day: Leaving behind my polished applicant identity and becoming a physician trainee

    Simone Phillips
  • How latent racism increases morbidity and mortality of our Black patients

    Claire Brown
  • What my father taught me about language

    Sarah Fashakin
  • How can we decrease maternal mortality for Black reproductive-aged people?

    Christina Kelly, MD
  • What being a hospice volunteer taught me about health care

    Farid Alsabeh

More in Physician

  • The coffee stain metaphor: Overcoming perfectionism in medicine

    Maryna Mammoliti, MD
  • From pediatrics to geriatrics: How treating children prepared me for dementia care

    Loretta Cody, MD
  • Managing a Black Swan in health care: a lesson in transparency

    Joseph Pepe, MD
  • Health care as a human right vs. commodity: Resolving the paradox

    Timothy Lesaca, MD
  • Deductive reasoning in medical malpractice: a quantitative approach

    Howard Smith, MD
  • Nervous system dysregulation vs. stress: Why “just relaxing” doesn’t work

    Claudine Holt, MD
  • Most Popular

  • Past Week

    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
    • AI-enabled clinical data abstraction: a nurse’s perspective

      Pamela Ashenfelter, RN | Tech
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why private equity is betting on employer DPC over retail

      Dana Y. Lujan, MBA | Policy
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Past 6 Months

    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
  • Recent Posts

    • Visual language in health care: Why words aren’t enough

      Hamid Moghimi, RPN | Conditions
    • The coffee stain metaphor: Overcoming perfectionism in medicine

      Maryna Mammoliti, MD | Physician
    • From pediatrics to geriatrics: How treating children prepared me for dementia care

      Loretta Cody, MD | Physician
    • Medical expertise does not prevent caregiving grief [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why AAP funding cuts threaten the future of pediatric health care

      Umayr R. Shaikh, MPH | Policy
    • Oral Wegovy: the miracle and the mess of the new GLP-1 pill

      Shiv K. Goel, MD | Meds

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

Leave a Comment

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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
    • AI-enabled clinical data abstraction: a nurse’s perspective

      Pamela Ashenfelter, RN | Tech
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why private equity is betting on employer DPC over retail

      Dana Y. Lujan, MBA | Policy
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Past 6 Months

    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
  • Recent Posts

    • Visual language in health care: Why words aren’t enough

      Hamid Moghimi, RPN | Conditions
    • The coffee stain metaphor: Overcoming perfectionism in medicine

      Maryna Mammoliti, MD | Physician
    • From pediatrics to geriatrics: How treating children prepared me for dementia care

      Loretta Cody, MD | Physician
    • Medical expertise does not prevent caregiving grief [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why AAP funding cuts threaten the future of pediatric health care

      Umayr R. Shaikh, MPH | Policy
    • Oral Wegovy: the miracle and the mess of the new GLP-1 pill

      Shiv K. Goel, MD | Meds

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

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

Loading Comments...