The email from legal is open in one tab. A physician bio update is waiting for approval in another. A local reporter wants a comment about a patient safety incident before deadline. Marketing wants a warmer patient story. Compliance wants three lines removed. Operations wants the announcement out today. That's public relations and healthcare in real life. Healthcare communicators rarely struggle because they lack stories. They struggle because every worthwhile story carries constraints. Patient privacy, clinical nuance, legal review, FDA boundaries, internal politics, and public trust all sit in the same workflow. The job isn't just to get coverage. The
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