Author: Rachel Fleishman

Rachel Fleishman, MD, is a neonatologist in Philadelphia who writes about caring for her infant patients and their families.

When Nothing Bad Happens: Miranda July’s ‘All Fours’ Captures the Importance of Understanding Infant Health

When November’s announcement by the CDC that our infant mortality rate remains abysmal did not make even the tiniest of dents in the post-election news cycle, my thoughts pivoted from the patient’s I’ve lost as a doctor who cares for critically ill newborns to Miranda July’s blockbuster summer novel All Fours.

As I read, I could not help but wonder how to help parents like this narrator, the same parents I care for daily, feel in real time that NICU stories are a mainstream part of comprehensive reproductive healthcare.

How ‘Fleishman Is in Trouble’ Made Me a More Empathic Doctor

Watching the novel-turned-television show Fleishman Is in Trouble now, I am struck by how Rachel’s traumatic birth left the Fleishmans in trouble. Her birth story helped me realize how much my own traumatic birth transformed me as a doctor.

The show helps us feel the absurdity in insinuating that Rachel could have moved on from her delivery simply and gracefully, content to be alive and physically unscathed, perhaps attending therapy to help her cope. Taffy Brodesser-Akner shrewdly summed this all up when she wrote, Rachel “was what this doctor thought she was. She was nothing. She was just a woman.”