fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

Astra Chang-Ramsden

Grief Around Every Corner

I’ve started asking women about their grief. Today, I was taking a medical history from a colleague, and she told me she had lost twin girls. They were stillborn. I asked her to tell me how it happened.

It was one sad accident after another. She couldn’t feel her babies moving at 38 weeks and then went into labor. She’d been told that she would have an elective C-section at 36 weeks, but for some reason her caregivers changed their minds. By the time she was in the labor and delivery ward, the babies didn’t have a heartbeat.

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Journal Entry 16-Jul-25

Today a patient died. Very usual for me as a palliative care doctor. She was seventy years old and very sick for a while. This really shouldn’t have surprised anyone, but her family still wept. I was sitting inside the hospice when the funeral home came to get the body. Her relatives watched outside as they loaded her into the vehicle. Then I heard wailing, loud sobs going on outside: a public display of grief that I had not expected.

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Journal Entry 19th June 2025

Sitting by myself on the balcony at the Asa Wright Nature Centre. Waiting for the dawn chorus. Hungry and waiting for breakfast. And wondering: Am I too familiar with Death?

We first came into each other’s circles in 2008, when Uncle Steve died.

For the next few years, we watched each other from afar.

But then, in 2011 when I started in the Intensive Care Unit, we moved into the same neighbourhood. I saw Death more and more, especially during holiday season.

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