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There are twice as many male doctors as female doctors in the United States, according to some estimates.

When Suzanne Koven, a longtime physician and now writer in residence at Massachusetts General Hospital in Boston, was coming up as a young doctor some 30 years ago, the gap was even bigger.


Today, "women make up half or even more than half of the entering classes of many U.S. medical schools," she says of the progress. But "we still have a long way to go."

Koven recently helped a group of medical interns write a letter to their future selves. She took the chance to write a letter of her own, giving advice to her younger self.

In it, she warned a wide-eyed intern version of herself of the challenges ahead and gave the advice she wishes she'd had back then.

"When I started my internship 30 years ago, I wasn’t invited to share my hopes and anxieties in a letter — or anywhere else, for that matter," she wrote in the letter, published in the New England Journal of Medicine.

Better late than never.

Photo via iStock/illustration by Upworthy.

Recalling the early days of her own medical career, Koven described plenty of casual and maddening sexism:

"On your urology rotation in medical school, you were informed that your presence was pointless since 'no self-respecting man would go to a lady urologist.'

There will be more sexism, some infuriating, some merely annoying. As a pregnant resident, I inquired about my hospital’s maternity-leave policy for house officers and was told that it was a great idea and I should draft one.

Decades into practice, when I call in a prescription, some pharmacists still ask for the name of the doctor I’m calling for."



She also noted that hospitals are full of crude "bro humor" that can alienate women.

She went on to cite perhaps the most depressing statistic of all: Female physicians earn, on average, about $20,000 less than their male counterparts.

"But there’s also a more insidious obstacle that you’ll have to contend with — one that resides in your own head," she wrote. "You see, I’ve been haunted at every step of my career by the fear that I am a fraud."

"I believe that women’s fear of fraudulence is similar to men’s, but with an added feature: not only do we tend to perseverate over our inadequacies, we also often denigrate our strengths."

After years of trial, error, and experience, Koven came upon a powerful realization:

Photo via iStock/illustration by Upworthy.

"I now understand that I should have spent less time worrying about being a fraud and more time appreciating about myself some of the things my patients appreciate most about me: my large inventory of jokes, my knack for knowing when to butt in and when to shut up, my hugs. Every clinician has her or his own personal armamentarium, as therapeutic as any drug.

My dear young colleague, you are not a fraud. You are a flawed and unique human being, with excellent training and an admirable sense of purpose. Your training and sense of purpose will serve you well. Your humanity will serve your patients even better."

For as long as there have been women in medicine — and the American workforce in general — they've faced exceptional challenges.

Wage gaps, sexism, underrepresentation in leadership roles, and internal "imposter syndrome" thoughts brought about by these systemic issues have made the simple act of working difficult for women in every position and every trade.

So while Koven wrote of her experience specifically in the medical field, it struck a chord with professionals outside the world of doctors. She's been absolutely stunned by the response so far, she writes in an email.

"What's fascinating is that though the piece is a 'Letter to a Young Female Physician,' it seems to have spoken to older physicians, male physicians, and even many non-physicians — and all around the world."

"This particular vulnerability, this fear of being a fraud," she says, "is widespread apparently."

On June 12, 2016, 20-year-old Patience Carter was shot in both legs during the shooting at Pulse nightclub in Orlando.

The Philadelphia-area woman was on vacation with friends when they decided to visit the popular gay nightclub. One of her friends, Akyra Murray, was killed in the attack. The other, Tiara Parker, survived a gunshot wound to the stomach.

Patience Carter is overcome with emotion after speaking to the media from Florida Hospital. Photo by Joe Raedle/Getty Images.


Like many of the Pulse shooting survivors, Carter faced a long and painful recovery. Additionally, she faced mounting medical bills.

More than 50 people were wounded during the attack that claimed the lives of 49. Carter was taken to Florida Hospital along with 11 others.

The average medical costs for a gunshot victim come in somewhere around $20,000. As a student, it's not like Carter just happens to have tens of thousands of dollars in disposable income laying around.

I guess some people didn't see this post on my Facebook when I posted it a few days ago, so here it is. Truth As long as God knows the truth, as long as the other survivors know the truth, as long as the surgeons, and nurses who helped save a countless number of lives know the truth, as long as the police officers who risked their lives to save ours know the truth, As long as the majority of the world that sends their love and support knows the truth, As long as the strong members of the LGBT community know the truth, As long as I know the truth... I can find some peace to heal, I can find some peace to learn how to walk again, I can find some peace to want to live on, Laying here in my bed, bullet holes in my legs the size of nickels, As numerous people spin my words, the media can be very insensitive, and fickled I'm a real person, Tiara Parker and Akyra Murray are real people, and this pain is real, We all laid on that cold bathroom floor together, and the people that suffered through the hours with us, know how we feel. #OurPainIsReal #Pray4Orlando

A photo posted by Patience Carter (@patiencecarter) on

In a major act of generosity (and great news), local hospitals have announced that they won't be billing victims of the shooting.

Both Orlando Health health care network and Florida Hospital have indicated that they will not look to Pulse survivors for reimbursement. Even better, this includes follow-up care as well.

Hospital staff listen as Patience Carter speaks to the media. Photo by Joe Raedle/Getty Images.

"Orlando Health has not sent any hospital or medical bills directly to Pulse patients, and we don’t intend to pursue reimbursement of medical costs from them," Orlando Health told ABC News.

Between what Orlando Health can gather in the form of state and federal funding, insurance, charitable donations, and more, the organization hopes to offset some of its own costs — which, over the course of survivors' lifetimes, could go well into multimillions of dollars.

As seen in the wake of the Boston Marathon bombings, the price of surviving a terrorist attack can be pretty steep.

In 2013, more than 260 people were injured in a bombing attack near the finish line of the Boston Marathon. More than $30 million was donated to funds meant to help victims. Still, for many, it's not enough, resulting in a lifetime of debt not covered by insurance or crowdfunding.

Generosity and kindness are wonderful things. It's just worth remembering that when considering the holes in our current health care system. Without generosity and kindness, people in need can get swallowed up in medical bills through no fault of their own. It's adding insult to literal injury.

Boston Marathon bombing victim Erika Brannock arrives at the sentencing of accused bomber Dzhokar Tsarnaev. Photo by Scott Eisen/Getty Images.

In the case of the survivors of the Pulse shooting and in Carter's case, the medical bill situation has worked out for the best, thanks to the generosity and compassion of two health care organizations.

Even so, we should all keep pushing for a health care system in which we don't have to rely on hospitals or strangers for help.

Health care really is a right. We need to start thinking of it that way.

It was just like any other daily run for Andrew Jones. He put one foot in front of the other. He breathed in. He breathed out. He made it to the mailbox, but he knew something wasn't right.

"It kind of felt like my lungs had turned into sponges. Like I was breathing through a sponge."

That bizarre feeling first happened in 2012. And it would change his life forever.


Andrew Jones. Image via ajFitness/YouTube.

Labored breathing would alarm anyone, but for Andrew, an avid runner and fitness hound, it was particularly worrisome.

After his run, he called his doctor and requested to see someone right away. Two specialists and 24 hours of heart monitoring later, Andrew was diagnosed with viral cardiomyopathy.

"I didn't really know much about what it meant," Andrew said. "I was still very strong, getting my workouts in at the gym like normal, just being young and feeling invincible."

Andrew at his gym. Photo courtesy of Andrew Jones.

So after that one troubling run, Andrew kept working out. But his symptoms started getting worse.

Andrew, now 26, has loved the gym since college. He found an unexpected home there and noticed that regular workouts kept him focused and disciplined. "The best way to explain it is that being active is in my blood," he said. 

But soon his fatigue and shortness of breath turned into pain and weakness that left him, at times, unable to stand up for more than 10 minutes.

Eventually, Andrew suffered heart failure. He was coughing up blood and had to be rushed to the hospital. There, doctors told him that if he didn't get a heart transplant soon, he could die.

Andrew in the hospital, recording his journey back to health. Image via ajFitness/YouTube.

That was two years ago. 

He is still awaiting a heart transplant and relies on an artificial heart and a pacemaker to keep him alive.

While he waits, Andrew is doing something few people awaiting a transplant would do. He has become a professional fitness model.

As you can see, Andrew doesn't hide from his scars. Nor does he hide from the tubes coming in and out of his body that operate his artificial heart.

Instead, he wants those things to inspire others. He wants people to know that whatever your goals are, you shouldn't let anything, including a near-death experience, stand in your way.

Everywhere Andrew goes, he carries a backpack. Inside it is the machine pumping blood through his veins and keeping him alive. The literal weight on his shoulders is a constant reminder of how close he came to losing everything.

"Tomorrow's not guaranteed for any of us," Andrew said. "For someone in my situation, it’s guaranteed a lot less. ... Two and a half, three years ago? I probably would've taken waking up in the morning for granted."

Now, he says, he's grateful for every single morning he gets.

Photo courtesy of Andrew Jones.

Andrew knows that everyone has goals. Whether it's starting a business, paying off bills, or writing a book.

"If there’s something that’s on your mind 24/7 that you can’t stop thinking about, you need to act on it," he said.

Andrew uses his body and his mind to inspire people all over the world. On his Instagram, he spreads messages of hope and acceptance, calling on people everywhere to embrace the hand they were dealt and push forward. 

"I want people to leave with a little more motivation than they came in with," Andrew said.

In all of his photos, scars and medical equipment are on proud display.

Photo courtesy of Andrew Jones.

They remind people that no matter what you're up against, you can achieve incredible things. 

Andrew has also started a foundation called Hearts at Large, which raises awareness for organ donation and collects the stories of people whose lives have been saved by it. 

For Andrew, paying it forward is not just a thing he occasionally does, it’s a mantra for his life. 

16-year-old Courtney has had to overcome her fair share of health challenges in her life.

The teenager needed a liver transplant a few years ago due to autoimmune hepatitis.

But today she's thriving, according to Children's Healthcare of Atlanta, and her struggles haven't prevented her from loving to "bust a move" on the dance floor.


GIF via Children's Healthcare of Atlanta/YouTube.

Courtney is one of the kids featured in a smile-inducing music video produced by the hospital that's been spreading online.

The video paired several patients up with their doctors so they could dance it out — and have some fun while they're at it.

13-year-old Nina enjoyed boogying down with Dr. Bergsagel. GIF via Children's Healthcare of Atlanta/YouTube.

"We have some of the toughest patients who face battles that many people couldn’t imagine," cardiologist and dancing doc Martha Clabby, M.D., said in a statement provided to Upworthy. "In those tough times, dancing and having fun can be the best medicine for staying positive."

5-year-old Anthony's got some mad rhythm. GIF via Children's Healthcare of Atlanta/YouTube.

"We are here not only to help them heal," Clabby said, "but to celebrate their strength and triumphs.”

The concept for the music video started with a popular TV show.

"I saw 'Dancing with the Stars,' and I realized it would be really cute to have Dancing with the Doctors — that it'd be a really fun experience for our patients," Amanda Wade, a public relations coordinator at the hospital, explained to Upworthy. "It just sort of spiraled from there."

Dr. Clabby partnered up with the smallest dancer, 7-month-old Zainab, who Wade said "might be the happiest baby [she's] ever seen." GIF via Children's Healthcare of Atlanta/YouTube.

The video — which features kids living with various health challenges, from Hodgkin's lymphoma to transplant patients — has racked up an impressive 280,000 views (and counting) since it was shared on Children's Healthcare of Atlanta's Facebook pageearlier this week.

Pageviews and TV shows aside, the video is really meant to do one vital thing: put smiles on the kids' faces.

These patients have been through a lot, Wade explained, and a big part of the hospital staff's job is to keep the blues away. This video is just one way they're making sure to get the job done.

“It’s just so important for kids to be kids," she said.

Watch the "Dancing with the Doctors" music video below: