A Soft Place to Land with Frances Southwick, DO
The Nocturnists
Emily Silverman
4.8 • 614 Ratings
🗓️ 18 December 2025
⏱️ 62 minutes
🧾️ Download transcript
Summary
Physician and writer Frances Southwick tells a deeply personal story about love and illness. Growing up queer in rural Colorado, Frances experiences mysterious episodes of sudden paralysis triggered by intense emotion, beginning in adolescence and persisting for decades without a diagnosis. After years of shame, misattribution, and near-abandonment of dreams, Frances falls in love with Judith, builds a life with her, and finally receives a diagnosis of type 1 narcolepsy with cataplexy—explaining why moments of beauty, joy, and love literally caused collapse.
Frances originally performed this story at Medicine Story: on the meanings of healing, a live storytelling event produced by Dr. Rebecca George from the Sierra Valley Health Center in Nevada City, CA in 2025. This event was generously funded by the California Health Care Foundation, as a part of our Satellites Program.
The Nocturnists is made possible by the California Medical Association and donations from listeners like you.
This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation. and our friends at the podcast Unleashed: Redesigning Health Care.
Transcript
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| 0:00.0 | Listeners, if you enjoy the nocturness, then you'll also enjoy Unleashed, Redesigning Healthcare, |
| 0:06.2 | a new podcast about clinician-led innovation on the front lines of care. |
| 0:10.6 | The featured guests are the clinician innovators themselves, their stories, their voices, |
| 0:15.1 | their ingenuity, their commitment to their patients, and their humanity, and even the deeply |
| 0:20.0 | felt gains in their own well-being. |
| 0:22.7 | Unleashed is from our friends at the Dartmouth Institute, one of our sponsors for this episode. |
| 0:28.0 | Learn more in today's show notes or search for Unleashed, Redesigning Healthcare, anywhere you listen |
| 0:34.0 | to podcasts. Support for the Nocturnist comes from the California Medical Association. |
| 0:40.3 | At The Nocturnus, we are careful to ensure that all stories comply with health care privacy |
| 0:44.7 | laws. Details may have been changed to ensure patient confidentiality. All views expressed |
| 0:49.9 | are those of the person speaking and not their employer. |
| 0:55.3 | This is The Nocturness. I'm Emily Silverman. |
| 0:59.4 | Today I'm joined by Francis Southwick, physician, writer, and storyteller. |
| 1:05.3 | Francis shares a personal story about growing up queer in rural Colorado |
| 1:09.6 | while experiencing sudden sudden unexplained |
| 1:12.3 | collapses triggered by intense emotions. Episodes that began in adolescence and went undiagnosed |
| 1:19.4 | for decades. Francis originally performed this story live at an event produced by Dr. Rebecca |
| 1:26.4 | George of the Sierra Valley Health Center in |
| 1:29.0 | Nevada City, California in 2025. |
| 1:32.2 | In my conversation with Francis, we talk about living for years without a diagnosis and the |
| 1:38.0 | shame and self-doubt that can fill that void, finding love and partnership while navigating |
| 1:43.6 | an invisible, misunderstood illness, and how a late |
... |
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