An affecting essay about medical acting, illness, and empathy:

I grow accustomed to comments that feel aggressive in their formulaic insistence: That must really be hard [to have a dying baby], That must really be hard [to be afraid you’ll have another seizure in the middle of the grocery store], That must really be hard [to carry in your uterus the bacterial evidence of cheating on your husband]. Why not say, I couldn’t even imagine?

Other students seem to understand that empathy is always perched precariously between gift and invasion. They won’t even press the stethoscope to my skin without asking if it’s OK. They need permission. They don’t want to presume. Their stuttering unwittingly honors my privacy: “Can I… could I… would you mind if I—listened to your heart?” “No,” I tell them. “I don’t mind.” Not minding is my job. Their humility is a kind of compassion in its own right. Humility means they ask questions, and questions mean they get answers, and answers mean they get points on the checklist: a point for finding out my mother takes Wellbutrin, a point for getting me to admit I’ve spent the last two years cutting myself, a point for finding out my father died in a grain elevator when I was two—for realizing that a root system of loss stretches radial and rhizomatic under the entire territory of my life.