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Rain lashed against the clinic window as I clutched a crumpled referral slip, my knuckles white. For the third time that month, I’d mixed up bloodwork dates—another 90-minute bus ride wasted. My chronic condition felt like a maze with no exit, each missed appointment a brick in the wall. Then Dr. Silva slid a pamphlet across the desk: "Try our patient portal." Skepticism curdled in my throat. Another digital band-aid? But desperation outweighs doubt when your body betrays you daily.

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The beeping monitors in the cardiology ward had finally quieted, but my own mental alarms were screaming. There I sat at 3 AM in the on-call room, textbook paragraphs swimming before my sleep-deprived eyes, when my trembling fingers accidentally launched BMJ OnExam. What happened next wasn't just studying - it was a violent collision between desperation and digital salvation that rewired my approach to medicine itself.

I remember that Tuesday in March when my pager wouldn't stop screaming – three simultaneous emergency admissions while my daughter's violin recital flashed on my phone like a taunt. Sweat pooled under my scrubs collar as I fumbled between ER charts and calendar alerts, the metallic hospital smell mixing with the bitter taste of yet another missed milestone. That's when Patel from oncology slid into the break room, coffee sloshing over his trembling hand. "Dude, you look like roadkill," he rasped

The fluorescent lights of the hospital corridor hummed like angry wasps at 3 AM, casting long shadows that mirrored the dread pooling in my stomach. I'd just botched a hypothetical triage scenario during our mock code blue – frozen when the instructor demanded rapid-fire interventions for septic shock. My palms left sweaty smears on the medication cart as I retreated to the bleak solitude of the staff locker room. That's where Maria found me, head buried in a textbook thicker than a trauma pad,