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Built Different

  • Writer: Katherine Tatsuda
    Katherine Tatsuda
  • Jan 23
  • 2 min read
That one time I ended up in the emergency room due to stress and exhaustion. I had fainted while at the clinic with Emily to see the doctor about the recent discovery of an unknown, serious heart condition. Nov. 2022
That one time I ended up in the emergency room due to stress and exhaustion. I had fainted while at the clinic with Emily to see the doctor about the recent discovery of an unknown, serious heart condition. Nov. 2022


January 23, 2026


I went in again this afternoon to attempt the medical procedure.

I was instructed to drink a lot of water—

that it should make everything okay.


It didn’t.


In fact, today was far more painful and jarring than yesterday.

The kind of pain that leaves you sweating, shaking, light-headed, and in tears.

I had to remain supine on the table for a long time afterward, my body trying to recalibrate.


Multiple times, the doctor apologized to me for what I had just endured—

even though it wasn’t his fault in any way.


He said something about how tough and brave I am.

That most people wouldn’t have tolerated what I did, for as long as I did.


In between the deep breathing and the shaking, I laughed.


I told him,

“If you knew what the last six years of my life have been like, you’d know I can handle just about anything.”


And it’s true.


I am cheerfully determined.

I am driven.

I am resilient beyond belief.

I don’t give up easily.


So even though yesterday left me on the couch for hours longer than I expected, I still showed up today.

I took a different approach.

I tried again.


And still—the procedure failed.


Nothing was completed.

No resolution.

No finish line.

Just the opportunity to adjust course and continue on.


What today really did, though, was shine a spotlight on me.


My ability to breathe through pain—physical and otherwise.

My willingness to intentionally place myself in hard situations.

My persistence.

My stubborn refusal to quit.


And just as importantly, today reminded me of something else.


When I said, “I need to stop,”


I stopped.


I listened to my body.

I set a boundary.

I walked away.


The doctor said,

“You’re built different.”


He’s right.


And, yes—

I am in bed recovering from everything.

It is only 4:33pm.

And that is ok.

Katherine Tatsuda

Memior | Alchemy | Human

Based in Ketchikan, Alaska

Disclaimer: Of Ash & Honey is a personal creative space. It is a collection of personal reflections, poetry, and life lessons. The views and stories shared here are mine alone and do not represent the official position, opinions, or policies of any board or organization with which I am affiliated.

© 2026 Katherine Tatsuda | All Rights Reserved 

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