Rheuminations: The Tenacity of Hope

As specialists in immunology, it seems appropriate to say that no one is immune to moments of doubt or darkness. By recognizing when we need support and having the courage to seek it, we pave the way back to hope. This tenacity—to keep searching for the light even when it feels out of reach—is what ultimately allows us to rediscover our purpose and to continue serving our patients with compassion and resilience.

Conclusion: A Walk in the Cold

As I unlock the front door and enter the warm house, my glasses fog up with the heat and my dear pup barks with delight upon seeing the rest of the family. The outside is still dark and still cold, yet persevering and journeying through it provides me the great clarity about the meaning of hope.

Hope is a journey that we walk daily, sometimes through chilly, dark stretches. But the rhythm of the steps in that walk, the companionship and the knowledge that spring will eventually arrive keep us moving forward.

In rheumatology, as in life, hope is seldom loud or flashy. Sometimes, it’s just a steady step forward in the company of those who share our path.

Dedicated to Lexi, who brought our family years of hope, love and joy.

Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS, is the director of the rheumatology fellowship training program at the University of Iowa, Iowa City, and the physician editor of The Rheumatologist. Follow him on X (formerly Twitter) @BharatKumarMD.