Apr 10, 2023
This episode features a conversation between Joe Dulac from the
class of 1990 and Ely Bueno from the class of 1998. Joe and Ely
first met because they went through the New Hampshire Dartmouth
Family Medicine Residency Program at Concord Hospital. They have
stayed in touch since then, but reconnected in a meaningful way
during the COVID-19 pandemic. Their conversation showcases how the
mission of Holy Cross and the lessons learned during their time on
the Hill helped to support them in living a life of meaning and
purpose in service of others.
Interview originally recorded in May 2022.
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Joe:
We were going to just stay home during a pandemic or we were going to step up and figure out... Honestly, the choice was close down the practice and maybe we'll open up in a few months or we're going to figure out a way to reopen and serve our patients.
Maura Sweeney:
Welcome to Mission-Driven, where we speak with alumni who are leveraging their Holy Cross education to make a meaningful difference in the world around them. I'm your host, Maura Sweeney, from the class of 2007, Director of Alumni Career Development at Holy Cross. I'm delighted to welcome you to today's show.
This episode features a conversation between Joe Dulac from the class of 1990 and Ely Bueno from the class of 1998. Joe and Ely first met because they went through the New Hampshire Dartmouth Family Medicine Residency Program at Concord Hospital. They have stayed in touch since then, but reconnected in a meaningful way during the COVID-19 pandemic.
This conversation offered Ely a chance to ask Joe questions to learn more about his professional journey, which included the opportunity to open and build a practice from scratch. It also gave them a chance to reflect on their past, discover shared connections and process everything they went through over the past few years. In particular, they speak about the challenges that doctors faced during the pandemic and how they lifted each other up during difficult times. Their conversation showcases how the mission of Holy Cross and the lessons learned during their time on the Hill helped to support them in living a life of meaning and purpose in service of others.
Ely:
Joe, thanks so much for agreeing to do this interview in this format. It comes from a place of deep gratitude for your professional contact and your friendship over the several years that we've known each other. And so now we get to dive in.
Joe:
Great. This is a great opportunity to meet with you and try something new, right?
Ely:
Yeah, definitely. And now, did you ever go on the spiritual exercises in Holy Cross, Joe?
Joe:
Right. Did a lot of things at Holy Cross, and so did do the one-week silent retreat in Narragansett, Rhode Island, which... it was very powerful, of course.
Ely:
Yeah.
Joe:
Yeah. Quite an experience.
Ely:
Yeah. So I also attended, and I think as we start invoking that Ignatian spirit of really the deep sense of giving of ourselves for others in contemplation, in meeting God through story, this is really a great opportunity that Maura has for us as alumni to connect and tell our story. So I'm really eager to hear about yours. And so diving right in, tell me about how you got to where you are now from Holy Cross and beyond.
Joe:
Okay, sure. Certainly, I always talk about paths being not really straight. You think you're going to go on a straight path and then path kind of zigzags. So to get to Holy Cross, so I was Chelmsford High School and was very interested in sciences and was accepted into Holy Cross for chemistry pre-med. And obviously that was challenging and stimulating. And so I went through the process there with all the pre-meds and the basic science and chemistry. And there was a time where there was a choice between being a chem major, going to chem grad school or going to med school. And so there was a time where there was some uncertainty, the path that I might take. So a lot of the professors were very supportive, really of either path. But because I was a chem major, I think they were very supportive of the chemistry track.
So I did do research in the summer with Holy Cross and with Dr. Ditzer, and enjoyed that, but still found myself interested in the pre-med track. So I applied and went through all the steps with the MCATs. Did have some struggles in my junior year, so I did have a little bit more of a crooked path after that. So I did a year of grad school. I was going to go into Georgetown, but found that Boston University had a program on medical sciences, and I got accepted from that program and into the med school there. And so my first year was doing a thesis, but I was able to take several medical school courses including gross anatomy and neurosciences and physiology. So that really helped solidify what I wanted to do in the path. And though I had a little bit of struggles in my junior year in grad school and in med school. Well, the first year of grad school, my professors had remarked that I had caught fire academically and kind of on a tear.
So the path was kind of a little bit crooked there. But once I settled in at Boston University after Holy Cross, the medical sciences just kind of took over and it's kind of a labor of love, learning and staying up late and being on call and all that. So I was at the Boston Medical Center there in Boston University, which was really interesting time because they were building the new hospital. So halfway through training, they completed the hospital there and then they crushed it down to smithereens. But in one day we basically were in the old hospital and the next day we were in the new hospital. And so that was really great training through the basic sciences at Holy Cross and experiences there. And then I was looking into residencies and as would have it, I had applied to a lot in the New England area for residencies for family medicine.
And I had gotten a scholarship in Lowell with the Mass Medical Society and John Janas and his family, one of the doctors in the family was starting the residency in Concord and Lebanon, New Hampshire. And he said, "Hey, I'm going to give you the scholarship, but maybe you should consider our program." And so I applied and matched. And so I ended up in Concord and mostly Concord and Lebanon for family medicine. And it was the very first year of the program, which probably better I didn't really know what I was getting myself into. The program was really good, but as a first kind of run through, what I didn't understand at the time was that though you're a resident, you're basically a faculty member because you're developing all the programs everywhere. Every program, every rotation was the first time they ever had a resident or any kind of training. So that was a different kind of experience as well.
Ely:
I have some questions about your residency challenges. How much did you do in the bigger hospital in Lebanon?
Joe:
I did several rotations up in Lebanon, which were great. So I did a lot of pediatrics there with Chad. So that was our big pediatric kind of connection. And then I actually did obstetrics in Augusta, Maine because at the time... I'm not sure if you're trained for OB as well, but they wanted us to be fully trained for OB, which I was. So I did an OB rotation. I made that happen in Augusta, Maine, which was really interesting, delivering babies out. It's the state capital, but it's still kind of rural actually.
And then I did also make a OB rotation in Beverly, Mass. And that was very developmental because no one had ever been there before. And then I did sports medicine, I made some sports medicine rotations in Portland, Maine. So those were interesting. And then I did put together a holistic herbal experience with Ascutney mountain and the herbalist. So that was up near the Lebanon area, but for pediatrics, I think I did a few months at Chad. So it was great being up there at that hospital too. Yeah, the Dartmouth Hitchcock Hospital is a really fantastic place to train.
Ely:
Yeah. I am very proud of our family medicine residency program. By the time that I had arrived in Concord, it was exclusively at Concord Hospital, so all rotations were there. And I did high risk OB rotation in Nashua, New Hampshire, and some of the main Dartmouth residents came to our program to do some rotations or came down to Nashua to do some rotations. So that kind of relationship with other hospitals in the area were nice to be able to have established from relationships that you guys forged. So that has always been a nice part about learning in community.
Joe:
Well, I know we had touched base about that, and I remember having mixed feelings about the training and starting a new program. I remember you mentioning to me one time how you felt that the program was really excellent and that you had gotten really well-trained there. I know the training was definitely good in terms of experiences because even though it's not necessarily big city, Concord is the state capital again of New Hampshire, but still a lot of it's rural, a lot of rural type of problems. At the time, at least, I don't know how it was by the time you got there, but still a lot of patients had hadn't had access to doctors in a long time. So most of the illness that we would see as residents were actually advanced and surprising, patients with really far along illnesses that you're kind of surprised that they could just still be walking around with that situation. Yeah.
Ely:
Yes, definitely. That kind of establishing disease management and identifying severe disease was really was an important part of training. And I think, yes, Concord is a catchment area for that area. And Concord Hospital's Family Health Center is a federally qualified health center, much like where you work in East Boston currently, but there were a lot of social workers that helped. So there was definitely this sense of team effort to help engage people's health and work together. So that was a really good part. That's what I really liked about the training is that I learned from our pharmacists, from our social workers and other community health workers. So that was a good part of the training there. And it sounds like that helped you establish your career with in Dracut because you started your clinic there.
Joe:
I think all experiences eventually helped you later on for sure. So you're right, in Concord starting the residency program, I guess to some degree I wasn't scared to start a practice. So I guess there's that component of it. But though after I finished with the residency program that you also attended, then I returned back to my hometown in Chelmsford. And so when I finished, I went and had physical make sure that I also checked on my health. And so at that time I had gotten a physical in Chelmsford, the doctor that there was working with some other doctors and offered me a job in their clinic. And I said, "well, I'm just here for a physical, I don't think I want-"
Ely:
You got a job.
Joe:
Yeah, "don't think I want a whole job, but my physical must have been good."
Ely:
God bless family medicine, we do it all.
Joe:
So I did work a couple years in my hometown in Chelmsford in Drum Hill with Dr. Gamasis. And then actually I went back into New Hampshire. So when Michelle and I were married, we moved up to New Hampshire and then I worked with Wentworth-Douglass Hospital doing family medicine. And at that time, certainly most of the career up until that point and even after was fall spectrum. So when I worked in Chelmsford, it was inpatient medicine, outpatient medicine, ICU care, the rehabs, home care. So it was a lot. And so we would admit patients to the hospital, we would follow them and also do ICU care, and that was very satisfying. But it's a different world than it certainly is now in terms of, I suppose, expectations, acuity, the length of stay. I don't think it's even possible to do both now, but we did.
And so I did that up in Concord and then actually we put a hospitalist program in there, which was actually very controversial, and then we ended up just transitioning to outpatient medicine. So then in 2007, I actually came back down to the area of Merrimack Valley with Saints Medical Center. They were near and dear to my heart because I had still been on staff there and they were looking to open practices and they said, "hey, can you open one of practice for us in Dracut?"
And I said, that sounds really exciting because for me as a physician, I've always enjoyed obviously seeing patients and being in different environments. But one thing that you may never have an opportunity to do is to start a practice. And as a physician, starting a practice means you can really put your own personality into it and you're not inheriting necessarily a practice that's already there, or maybe another doctor's patient with maybe their style of medicine. So that was really exciting for me to be able to do that. And so the cool part about that situation was they also wanted me to be involved in the design build of the practice, which was super exciting. I didn't know anything about architect work or designing anything. So that was really exciting. And then we opened the practice and we had no patients. Day one, no patients, which is different than a lot of scenarios. So that was exciting and scary at the same time.
Ely:
Well, the natural question now I have is how did you recruit patients?
Joe:
Gosh, that was exciting time too. So a couple things, you just never know how life's going to go. So while we were doing this project, it was supposed to start in 2007, but it was delayed. So I had left the job in New Hampshire, came down, and they said, okay, unfortunately it's going to take longer than we expected. We're going to put you at the walk-in clinic for the year that we're going to get all this project going. And that was in Lowell. So I had never done urgent care medicine, so it's a little different and exciting and somewhat scary too, actually at times. And so I did that for a year. And there was a doctor that Dr. Bousquet who was a really wonderful doctor and a friend, so he must have known his life path what it was going to be.
So he basically introduced me to so many people, so many patients. Even though he was kind of retired, they would still come to the clinic and he'd do kind of a primary care situation for them and then he would introduce them to me. And so I wasn't even really kind of aware of that was what was happening. And then so when I opened the practice, I did have actually a core of patients, which was really nice.
And then we just did a lot of different things. So we went to every possible event that they had. So we went to job fairs where they wanted medical people. We went to the old home day in Dracut. I went to the Dracut baseball night, the comedy night, the fundraisers, whatever just to meet people. So that summer was really interesting. So we had no patients and then we slowly developed patients. I just basically stayed on a call every day, which wasn't as bad as it sounds, but when you have a startup practice, it's kind of neat to be on call all the time because then you're connecting with the patients very, very well. And then we had excellent people. So basically, there were three of us. So the three of us basically started the start of the office. So it was kind of exciting times. Yeah.
Ely:
That is quite a journey and a lot of legwork goes into building a practice in terms of just building the relationships you had with Dr. Bousquet. And so I am curious though, just as much as you were really involved in the community, if you can talk about it, how did it impact the way you and your family were developing? How did that balance work with being on call all the time and having all these obligations with work? How did you-
Joe:
It worked out in some ways. So though at the time, and actually still now, so we live way up in almost near Portsmouth, New Hampshire, but the practice was in Dracut, but again, this is kind of how crooked lines work and nothing's ever kind of straightforward. So we're both from that area. So she's from Lowell, I'm from Chelmsford, so we have family there. So though it was challenging in some ways to be here and there, it also was doable because for instance, her mom lives there. Her mom lives right down the street. And then my parents live in Chelmsford, and then my brothers live in Nashua and Chelmsford. So I think if it was a different location, it probably wouldn't have worked, but I could check on her mom, I can check on my parents, I can see my brothers. So that was nice.
And then we could stay there. We could stay there on the night or the weekend. So that worked out really well. And then starting a practice also meant that I had flexibility because I could tell patients to come at seven o'clock in the morning, they could call me. So there was a lot of flexibility and that allowed me to have time to coach baseball and soccer and flag football. And so I guess it just kind of worked out because I guess you wanted it to, if you wanted it to work out. There were times it was hard. So I coached a lot of baseball, and so I even started sometimes at 6:00 AM and then would try to complete by early afternoon and then kind of rush home and then run some baseball drills, run the practices or the games or whatever.
So I guess it just eventually worked out. But I think having some creativity in it and then having it be my own entity was really exciting. You have a lot of ownership in it and you can make things work, I suppose. And I really enjoyed having a personal connection to the patients that allows them to tell me that the schedule doesn't work for them, for instance, and they need something, and I can say, well, why don't you just come in at 7:30 and I'll do your physical then, things like that, which is to me is very, very satisfying 'cause the patient obviously needs certain things and I can know what those are. And then having some flexibility allows you to meet that need and you feel like, okay, that's why I'm actually here.
Ely:
Yes.
Joe:
Yeah.
Ely:
Well... you did... you say... it's amaze... I love hearing about this story and it's just different than mine. I also had a zigzaggy kind of path to medicine. But what I really am getting the sense of, Joe, is that you worked really hard to create your network, your family, really, work family, and then you really worked hard with your wife to build a network and a team that supported both of you, all of you. And if we don't really have a supporting team around us, it just can't work. And that's really a wonderful thing that you had and have currently. But I can imagine the shift in the culture of medicine and the way it's been managed provides some challenges now too. How have the rules changed around you in terms of management?
Joe:
Those are really great questions. And I guess it's easy to just gloss over the past and think, okay, gosh, everything was just really rosy, but it's not, it's not always rosy. So currently I think I'm way more satisfied than probably I have been in maybe in a long time. And I think some of that is because, like you were mentioning about working with people or networking, I think a lot of it is because the other doctor in the practice and also another doctor that also is there, we worked together to create the systems. Again, not to maybe speak poorly about systems, but we were in systems thinking, this is not really kind of what we're thinking or this is not actually functioning how we want it to function. Oh, okay, so you're feeling the same way as me and you're feeling the same way. And then, okay, let's express that.
So we actually met a lot. It's changed even over the COVID, but we met a lot as doctors to talk about what we thought about medicine, what we thought about and how things should go, and then why it was or wasn't at that point. So I think at some point we just became leaders of our own own destiny. Now that doesn't always come easy. Sometimes you got to fight for that and sometimes it just works out. Certainly to your point, and I've kind of learned this kind of the hard way over time, I think joining forces with people is way more effective than just being the only person that maybe is complaining about something or that wants something to change. If you have two or three people that you work well with and you talk about things and you actually make sense, it's going to go good places, right?
Ely:
Agreed.
Joe:
Hopefully.
Ely:
Yes.
Joe:
Hopefully.
Ely:
Well, collaboration always brings some good fruits. And I would have to say, I really felt like over COVID, as we progress in this age of COVID, I'll just say it's really the pandemic continues, let's remind each other, and-
Joe:
It is continuing.
Ely:
... it continues. But I feel like throughout COVID, I would often send a little message out to you in a way that helped me process what was going on. And the confusion about how we were operating or guidelines, miscommunications or communications about certain guidelines that were changing daily and they still really are, but I felt like having someone to vent about stuff that was changing was very helpful. So I again want to thank you for that. And I think that it helped me just advocate for what was going around in my situation. So thank you for that.
Joe:
Yeah, I'm glad that we connected because though there were three doctors in my practice, there was a time where we were either not working in the office at all or we were all remote and not really even seeing each other. And then at some point, yeah, there was an isolation, even though the physicians and medical staff. And so I think though it feels like I helped you, you secretly helped me kind of realize that I was doing some of the right things or thinking of the right things or I wasn't kind of off base thinking about the same things that you were thinking. And I may have told you yeah, you're right. But I might have also been secretly questioning it too. So I think, like you said, kind of connecting is definitely powerful. And I can't even take credit for all of that because though I was doing the family medicine in Dracut, I was also blessed to be a part of the East Boston clinic and some of the doctors there are also very amazing and they do different things.
And so one of the doctors I worked with there, he gets deployed for disasters. And so he had gotten actually deployed from our pediatric kind of practice there to the very, very first COVID response unit in California when they had the cruise ship and they had 300 patients and they had no place to put these people. Kim and his crew went out there. So he had already been in the thick of it. I think that was December maybe 2019 or something. So he had already been in the thick of it and he came back and then I just remember learning so much from him and then thinking, okay, you have to be organized, you do have to have protocols, and you do need certain things. You need PPE, you need testing, and whether you can get those things or not, or if people are going to support you, you actually do need it.
So advocating for those things, super important. And maybe you couldn't get everything you wanted. We couldn't get any N95 masks, but the other doctor that was in the practice had had the forethought of buying them. So we actually bought our own. And they weren't that great really, but they worked. And then, strangely enough, we were able to repair them. So I actually did a lot of glue gunning for several months of the masks because I didn't have another one. So it's kind of exciting in some ways to make things work, right?
Ely:
Yes. And being in medicine during the pandemic really made us either just dig our heels in and say, we're staying, we've got this, we have to do this, we have to do something. Whether it is in actually facing COVID patients in the hospital or out in the field, so to speak, in outpatient field of we have to deliver care, whether that it was telemedicine or in office eventually, and how we're we going to be able to do that and getting those PPE, for those listening, personal protective equipment.
I think now we probably know that that's probably colloquial more so than just a medical term, but yeah, we have come a long way. And then to really sit and talk with you now about, man, that was some tough times over the last couple of years specifically. I'm listening to your story. I'm really curious and very enthralled with your development of your practice, but also just knowing what we have shared together in our health system with what we went through in the last two years. That was a lot. And it's still really tough. So I'm glad we're, we're still going, but it is difficult. Are you feeling the same way about that?
Joe:
Well, it's very much a people profession and it's a caring profession, and I think we get energy off of each other. So your excitement, enthusiasm, and even your positive feedback helps to really motivate me and other people. And so I think that was one of the really exciting things about the pandemic. Sure, I could probably look back and have a lot of mixed feelings about different things, but I think one of the things that was really amazing was the administration kind of apparatus really froze up. And the clinical people, we basically had to rise up because it was either we were going to just stay home during the pandemic or we were going to step up and figure out... Honestly, the choice was close down the practice and maybe we'll open up in a few months or we're going to figure out a way to reopen and serve our patients.
So that was the choice, and that was really the clinical leadership. A hundred percent. We even developed how we were going to screen patients and then for the limited testing initially what we were going to do. And then as testing became more available, what were we going to do, what questions we were going to ask patients, when were they going to be permitted in the office?
All that stuff we had to figure out and then we just did it. So thought that was really exciting actually. So I guess to answer your question, compared to sometimes when you feel really just maybe you're not making a difference, this period has kind of felt like more like we're making a difference. So things do kind of get tiring, the electronic medical systems can get tiring and charting, and there are some mundane things. And I think also the other thing is the more that we're in charge, I think of the healthcare system, and even simple things like how we're going to do our schedule, it's really empowering. I guess that's some of the things that came out of it.
Ely:
Thank you for that perspective, because that learning by doing is precisely why I chose family medicine. And really the impetus for me to be just actively doing in medicine was why I then pursued a career in medicine. And so just to be reminded of that is exactly what we are doing. This is our calling to do it, and we are here to serve. And as difficult as it is, that's what we do and we do it the best. And yes, leadership comes in all form, including administration, and there's certainly guidelines and rules that we may admonish at times, but really it's an honor and our privilege to be able to help others and live out the dream we all had of becoming physicians and being able to realize that in the work that we do. So thanks.
Joe:
You're welcome. And it did really feel like patients really did need us. So for two years, there were times where we're running all kinds of tests for coronavirus, then helping patients with, are you going to be able to work? And for how long? And who's going to write those letters? And then when can you go back and well, maybe you're not actually doing all that well, so maybe we should run x-rays and labs and send you to the hospital and now working with some of these other therapeutics and whatnot. So yeah, I think there's a lot of components where the family medicine, you can really just jump right in. Yeah, you're right. And then you're also right too, where it's not all rosy. There are a lot of things that can get in between those things that we really want to do for patients and how we want to feel about our calling.
Ely:
It's not all rosy, but then again, really, I welcome the challenge. If I had to go back into where our education had formed us at Holy Cross, the challenges that we had in terms of asking the question, and this is really for me, formed from this first year program that is now the Montserrat program that I was part of. But this question of how then shall we live in this world of COVID there are constant changes and rules, how then shall we live and then dot, dot, dot as physicians, as humans, as a mother, as a father. So I think it really is a unique way of looking at where we are through the lens of having a Holy Cross Jesuit education.
Joe:
Absolutely. There are so many experiences during the time there that totally prepares you for a career in medicine, in family medicine, or even just caring for people. There's so many things. The list is just endless of events and experiences for sure. I had what they call a SPUD... suburban, I'm not sure of all the acronyms there.
Ely:
Program for Urban Development something.
Joe:
We had so much fun, we did so many different things. And I just remember taking him to the... I think it's the pub there where there's the bowling alley. We had a bowling alley on campus, we used to do that a lot and other fun events. But yeah, there was just a lot of good experiences. One of the things that I think was also really excellent too was I went for one of the breaks at the Appalachia Mountain. I don't know if that was going on when you were there. So I went to Kentucky Mountain Housing and that was I think about 10 days. And so that was really amazing experience. So not only were we serving others, and then we were building some houses up in Appalachia in Kentucky, but we had to work together as a team.
So that was probably one of the early experiences of really team building. So we had several vans, I don't even know how many were in each van, 10 or 12 people in the van. And basically we were responsible for the budget and getting all our stuff and then getting there. So we had to meet in Virginia or something and then continue on. So I just remember we had to decide who was going to drive and when and what shifts, and then how we were going to do our meals and who was going to cook it and when and who was going to clean up, and then who was going to do what kind of jobs on the site there.
So that was really amazing experience. And then of course, interacting with people in Appalachia and helping them build houses and learning about their life experiences was, I think that's obviously a really amazing experience. And it's very, very similar to being a physician, except not building a house typically, but you're interacting with people and connecting with them where they are. So that was definitely a formative experience and I'm really grateful I was able to do that.
Ely:
What I want to ask you, because now you're in a position of having one of your kids going to start at Holy Cross, do you have any certain expectations for her experience at Holy Cross?
Joe:
Yeah, no, thank you for mentioning that. Yeah, Olivia will be a freshman this fall, and she plans on the bio pre-med track or health professions track. And so yeah, super excited for her. I'm overjoyed. For both of my children, I often brought them to different Holy Cross events. And for Olivia, we did the move in together. Well, not her move in, but we helped the students move in about five years ago. And then we've done several Holy Cross cares days, and then we've gone to reunions or football games or things. So I was always hopeful that she would have an interest and since I've been there a million years ago, the campus, it changed so much. They've just added so many wonderful things and buildings and upgraded just everything. So I was more than excited for her to consider it.
And I'm really hopeful that she has a lot of the experiences that I had or even more. And so what I had wanted for her is not just go someplace and just do science, just be in the lab, just doing science by yourself, with your head down. I really wanted for her to have a real well-rounded experience and really develop other parts of her person as well. And I really wanted that for her. So I'm really hopeful that she sees it that way too.
And she's very interested in the science building there. So we had to go look during all of her tours, specifically at the science buildings, even though lots of campuses in the United States are nice, the science building may not be nice. It may not be where they focus. So we went there and the newly kind of renamed Fauci Center definitely looked like it had gotten a lot of attention and would be a good place to learn. So yeah, I'm just really hopeful that she may find experiences like I did, or even different ones, even different ones.
I was on the campus ministry there. And I found that to be really amazing, the 10 o'clock masses. And I walked on the football team for two years and was in a great dorm and had a lot of great experiences and a lot of great memories and friendships. Yeah, so I was hoping that she would get a lot of those experiences. So can I ask you about your recent career situation?
Ely:
Oh, sure.
Joe:
Because you're making some changes.
Ely:
Yes. So I would have to say the challenges of COVID and the challenges of parenthood, specifically motherhood, have put my focus on how to best be at home and do the work that I do. So being in the office, in the clinic, taking care of patients is truly rewarding. And I wouldn't change the opportunity for the world. But moving forward, I think I needed to step out of that in clinic role.
And so now I've chosen a path to do telemedicine, and I'm very excited about developing my role as a communicator on the phone or by video and listening to patients. And that role won't change, but how I listen and how I engage with patients will be a little bit different and I'll have to hone in those skills. So I am looking forward to it. And I have a few weeks off before then.
Joe:
Well, I'm excited for you. So we've almost followed the same pathway, but now you're going a different pathway, because we both went to Holy Cross and we both went to New Hampshire Dartmouth residency and we both were urgent care in Merrimack Valley and Primary Care. But now you're going a different paths.
Ely:
Yes. Well, the zigzags of our paths have crossed many times in one way or another, and I'm sure they'll continue to cross, and hopefully that will continue.
Joe:
No, I think it's good 'cause I think our energy kind of feeds off of each other and our experiences or even just sometimes questioning kind of feeds off each other. And I think it's really positive. And I find that as I'm getting older and I actually think about what makes me tick, I think interacting with doctors and nurse practitioners and physicians assistants in the course of doing your work is extremely rewarding. And I really enjoy it.
And so I do a lot of work in East Boston and a lot of times in the emergency room, and there's several doctors or some doctors and nurse practitioners, and I never really can really put my finger on why I enjoyed it, but I just really enjoyed being together with four or five doctors. It's amazing. You can talk to someone who has major differences in their life experiences or the clinical experiences, and you can just talk to them like right there, hey, I'm doing this for this patient, and what do you do?
It's just amazing wealth. It really can help to develop just your satisfaction. But I do want to mention something, and I don't really know how to say it, but I think you brought up and there are, I think, unique challenges to being a male physician and a female physician. And I think with COVID and the additional responsibilities, it's really complicated.
You could speak to this more than I, but I think as a female physician or a female nurse, you're also expected to take care of your kids when they're sick, which they're sick a lot with the COVID or not COVID or finding out if they have COVID. So what I've also observed is that the intensity of the responsibility is huge for women in clinical positions, and COVID just has made that so much more apparent and intense. So I understand maybe why you're making some changes there, but obviously you know more than I how that all works.
Ely:
I really appreciate the acknowledgement of the role of mothers in medicine and fathers have equally distinct roles in managing family life. So for some reason, for me, it has fallen on me to really be at home when they are sick or in quarantine. And it's something that I don't obviously mind doing, I love my children, and I just want to be able to show up for my family, myself and my patients equally as strong.
And in my most recent role, I wasn't always feeling like I could do that and for one way or another. And it's not the fault of the system or the role itself, it just happened to play out that way. However, I did find some agency in looking at other options and voila, COVID opened a lot of doors to telemedicine and other opportunities for physicians to practice. So that was a fringe benefit, if I could even say a benefit of the pandemic was some doors that opened. So I felt enough agency to be able to walk through that door, and that was not because I was suffering, that was because there was a lot of strength that came from learning from my colleagues in my previous role. So I have a lot of good feelings for where I came from and a lot of excitement for where I'm going.
Joe:
I know, I think it's really wonderful and fantastic, and I'm glad that you acknowledged the unique pressures or stresses that you've felt 'cause I don't think they're unique to yourself. And so I'm glad that you've articulated that. And what I always think is by the time you've become a doctor and you've done all the amazing steps to get there, and then you're connecting with patients, to feel like for some reason you can't do that work because of whatever, because of schedule, because you want to also be there for your family or whatever systems things, and to think that maybe someone might actually leave the career altogether, it's really upsetting to me because it's usually the people that are the most caring and connected because you've given out so much of your energy and you just realize it's not working out. So kudos to you to try to figure out a way to keep all that amazing energy, like caring for patients. So I'm glad that you've figured out a path.
Ely:
Thank you.
Joe:
Yeah, it's exciting. Yeah, because I know you'll be back doing family medicine at some point in person, that's why I'm saying that.
Ely:
Yes. Well, my roots in community are very strong. And so to really hear your story of community building, it restores my faith in the progress of medicine and in the intensity of how we serve each other. So again, I cannot say thank you enough.
Joe:
Well, thank you to you too.
Ely:
The way I would love to close the interview is to say one thing that you are really excited about the future of family medicine. And I think I'm excited about the continued relationship building and the connection with colleagues as well as patients because if we are stronger as providers, as physicians, then I think that really only encourages our patients to become stronger and to have their agency to take care of their health. And really healthy communities, healthy families are what the drive to family medicine is. And so I'm really excited about that, that relationship is going to continue and get even stronger. How about you?
Joe:
I think you're right about that. And in the perspective of my path is that training in Boston in the '90s, family medicine was not at all desirable. And so you had to actually leave the city at the time to even seek out the specialty. But in time now, family medicine's very important everywhere, including in the city, including at the academic centers. And with my family medicine background, working in the ER, I do work with the pediatric group in Boston. I do family medicine in the clinic. I've also done urgent care and I feel equally at home in all those settings. And that's really nice. And I think connecting with the patients, I do feel like they actually do need us to know about a lot of things there. There's so much more complexity to health, and it's good to be able to do that over a wide range of health.
And the other thing I like too about family medicine is we don't always have to make health issues always necessarily bad. We can talk about them as things that are opportunities to improve and maybe even opportunities to work on holistic health maintenance. So yeah, I think there is a lot of positivity to the future. We're going through an electronic medical record transition to Epic, which was really challenging. But I've used Epic in other locations and I'm finding that it, to some level is restoring my joy of medicine because the system is very good and allows me to actually complete functions rather than having the functions kind of dictate my whole day. So I think that hopefully technology will also help, at least the technology part that should be in place to help us. So I'm optimistic hopefully.
Ely:
That's a wonderful place to be optimistic and also carries us into the future.
Maura Sweeney:
That's our show. I hope you enjoyed hearing about just one of the many ways that Holy Cross alumni have been inspired by the mission to be people for and with others.
A special thanks to today's guests and everyone at Holy Cross who has contributed to making this podcast a reality. If you or someone would like to be featured on this podcast, then please send us an email at alumnicareers.holycross.edu. If you like what you hear, then please leave us a review.
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I'm your host, Maura Sweeney, and this is Mission-Driven. In the words of Saint Ignatius of Loyola, "Now go forth and set the world on fire."
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