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

Karen Curran

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The Screening

In 2006, my dad was determined to attend the funeral when his last living brother died. The problem was, Daddy, eighty-two at the time, suffered from cognitive impairment bad enough that for months I’d been trying to get him to move to my home in Tennessee. This trip he was intent on taking would have required a cross-country flight from North Carolina to California—maneuvering through airports, finding a hotel and driving unfamiliar roads in a rental car.

“Daddy, you can’t go out there alone,” I said, wedging the phone between my jaw and shoulder to free my hands for folding laundry.

“Well, why not?”

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A Summer of Contrasts

I graduated from high school in June of 1972 and was headed to college in the fall. I was happy and healthy . . . until I wasn’t. In the middle of that summer, I was overcome by extreme joint swelling and pain.

My pediatrician referred me to a specialist at Duke Medical Center. When Dr. Smith came into the exam room, he greeted me warmly. He listened attentively to my story—nodding, taking notes, a look of concern on his face.

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A Beginner’s Touch

My husband George got to know Ruthie while he was sitting with his mom during her final days in an assisted-living facility. Ruthie, a hospice worker, was a middle-aged woman who had reentered the workforce after raising her kids. As a nursing-assistant trainee, she was learning on the job, with George’s mom, unconscious and steadily declining, as one of her first patients.

Soon after meeting Ruthie, George was struck by her lack of self-confidence.

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