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

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

Julie A. Dickson

Coffee, No Cigarettes

She smoked. There was always a pack of Lark cigarettes on the kitchen table next to a half-empty cup of lukewarm coffee. I couldn’t stand the smell of coffee for years because it was comingled in my nostrils with curling cigarette fumes. I had to beg her not to smoke in the car, where the combination of motion and tobacco smoke nauseated me until I had to yell to my father to stop the car, just in time to open the door and throw up on the side of the road.

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Watermelon Pickles and Records for the Blind

The ticking of a hand-wound clock and the voice of my father’s aunt were what I first noticed as I tried to sit quietly on a Victorian chair with curved wooden legs and a not-very-soft needlepointed seat. I wasn’t able to sit still for long. “Go into the kitchen and get a watermelon pickle,” my great-aunt said merrily. Legally blind due to glaucoma, she could see only shadows and silhouettes. I was an avid reader as a child, so blindness terrified me. Although she applied drops to her cloudy eyes, there were limited treatments and no cure in 1965.

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One More

He sits on a stool in his office, scrolling quickly through hundreds of images, slowing briefly to scrutinize one. Those of us walking by and looking over his shoulder are awed: His practiced eye knows exactly what to look for after more than 30 years doing this.

No watch discloses how many hours he’s been reading mammography images—his unconscious goal being to avoid missing even one anomaly before he moves on to the next image. His coffee cup sits empty by his elbow, next to his long-forgotten breakfast sandwich.

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Never Saw

When I was a child, I never saw my mother unclothed; she always got dressed and undressed in the semidarkness of her bedroom. I caught a glimpse of her bare thigh once, until she told me it was rude to look. If I woke up in the late evening and knocked on the door of our only bathroom, I was admitted to pee only after mother had covered herself with washcloths while reclining in her nightly bubble bath. All I could see were pale, bare shoulders above the bubbles.

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Healing Repeats Itself

I arrive at sunrise to find the asphalt stretching out, dotted with steel beasts. There are no open spaces here. This the parking lot of the ER, where some of our staff are finishing their shifts, and others are about to begin.

There is no difference between day and night here. The staff works round the clock to stem the never-ending barrage of suffering and pain that comes through our doors.

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No Shoes, No Service

The sign on the door of the hospital gift shop boldly dictates who will be admitted: “No Shoes, No Service,” it says.

“But I’m wearing shoes.” The man’s voice screeches obstinately, the soles of his cutaway tennis shoes flap, and his bare feet slap hard on the linoleum floor as he fumbles the get-well card he’s holding and it goes flying.

I, an underpaid clerk, sigh in disgust. I haven’t encountered a customer like this in some time. His hair is slicked back, his shirt is untucked, his face is partly hidden behind a blue surgical mask.

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