A Piece of My Mind

Saachi

JAMA 10.1001/jama.2026.1515

March 19, 2026 at 11:00 AM EDT

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In this narrative medicine essay, a cardiologist struggles with an unsettling understanding of what counts as the loss of a child and what does not based on an arbitrary timeline of gestational age.

Corresponding Author: Jaya Mallidi, MD, MHS, Zuckerberg San Francisco General Hospital, 1001 Potrero Ave, San Francisco, CA 94110 (jaya.mallidi@ucsf.edu).

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