8. ‘This Isn’t Your Fault’ Is One of the Most Powerful Things You Can Say to a Patient
When the orthopedist told me this, a weight was lifted. I had internalized so much shame, and it was only making things harder to carry.
As clinicians, we need to remember that patients often carry guilt—consciously or not—and absolving them with compassion can be a turning point in their healing.
9. Invest in Community
Have you ever heard the phrase “don’t wait until your house is on fire to meet your neighbors?” I was lucky in this regard. I had already built deep friendships in Austin, and this experience reminded me how essential it is to nurture those relationships long before you need them.
When I went down, my people stepped up.
10. Ask for Help
Before surgery, I sent a text message to all my local friends, asking for post-op support with some specific requests. People want to help, but they often don’t know how unless we tell them. That one text led to more visits, meals and laughs than I can count.

Harley the Hip!
Silver Linings
Arthritis broke me in ways I’d never expect. But I’m healing and not just because I have a new hip. This experience taught me how lonely pain can be, how powerful it is to feel seen and heard and how much hope a clear path forward can bring. This experience taught me that I am loved. I’m infinitely grateful to my partner, my mom, my physical therapist, my surgical team and my community for holding me up when I couldn’t do it myself.
Also, my new hip’s name is Harley.
Samantha C. Shapiro, MD, is a clinician educator who is passionate about the care and education of rheumatology patients. She writes for both medical and lay audiences and practices telerheumatology.