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A River Between Generations: Reflections on Time, Care, and Legacy

by Julie Wei, MD, MMM • January 9, 2026

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This story, and picturing my father then, stopped my judgment and nagging about how terrible soda is for one’s health. Instead, I held back tears as I could almost feel his nostalgia and how tasting Coke brought him back to positive memories of his youth. I watched my mother decline just about every dessert and European pastry on and off the cruise, as she continues to monitor her HbA1C. She weighs 107 lbs. wet, yet genetics has made her at risk for type 2 diabetes. Tempered by the fatigue of long days, I noticed the small hesitations—the way they paused before each new set of stairs, the gratitude when we found a bench anywhere, along the walking paths, in a palace, in the sun or rain. I found myself looking proactively and asking the tour guides for every public restroom to ensure they were comfortable at all points of our daily excursions.

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Explore This Issue
January 2026

It struck me that time had softened them and softened me too. I found myself far more patient, more protective, more aware that every shared laugh or photo captured was, in some way, a keepsake of impermanence

As members of the “sandwich generation,” many of us straddle two worlds—caring for our children’s futures while tending to our parents’ twilight years. It can feel like being pulled in opposite directions. Yet on this cruise, I realized that being between generations can also be a sacred space: We are the bridge, the living link in an unbroken chain of love and legacy.

The River as Teacher

Each day, as the ship moved from one town to the next—Amsterdam to Kinder Dijk, Koblenz, Köln, Rüdesheim, Speyer, Strasbourg, Breisach, and finally Basel— the rhythm of the river became my quiet meditation. The current never rushed. It flowed with purpose, unhurried and sure. I thought of how much of my professional life is spent swimming upstream— against time, against pressure, against exhaustion. The Rhine reminded me there is another way.

“May we all find a river that slows us, a cathedral that humbles us, and a family that reminds us why we journey at all.” Dr. Wei

The river reaches every destination not by fighting, but by flowing. There is a kind of wisdom in its patience. A kind of healing in its surrender.

For those of us who measure our lives in productivity, it can be radical to simply “be.” But perhaps that is what wellness truly asks of us—to make space for stillness, to find small rivers even in the busiest days. Maybe that means a quiet cup of tea before clinic. Maybe it’s a walk at sunset. Maybe it’s choosing presence over perfection.

Pages: 1 2 3 4 5 6 | Single Page

Filed Under: ENT Perspectives, Rx: Wellness Tagged With: wellness perspectiveIssue: January 2026

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