Abstract
Penélope Palominos cannot remember a time when she did not want to be a doctor. “My mother says I made the decision when I was 2 years old, almost as soon as I could speak in sentences, and I never changed my mind”, said Palominos, now a rheumatologist at LifePlus Litoral Norte, a hospital in Xangri-lá, in Rio Grande do Sul in southern Brazil. At first, the plan was cardiology. But a bout of viral encephalitis left Palominos with moderate but permanent hearing loss, which would have impaired her ability to distinguish between types of heart murmurs. Surgery would also have been problematic—it is impossible to lipread if your colleagues are wearing masks. Rheumatology presented no such obstacles.
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