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

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

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Lisa Sieczkowski

Elderly Multigravida

I had to drive across town for my appointments with the high-risk obstetrician. I had been referred to him by my normal-risk obstetrician due to my age (thirty-six the first time, and now again at thirty-nine) and my two previous miscarriages.

The waiting room was never crowded. It was dimly lit, with photographs of babies and children plastered across one wall.

Today, as at every visit, I studied the photos fiercely while waiting for my name to be called.

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My Stitches

Moving across the ice in jerky strokes, I find myself face down on the rink, the bone of my chin bursting through the skin from inside out. Mrs. Morrissey, the birthday girl’s mother, cups her hands under my chin. Blood fills this makeshift vessel and overflows onto the smooth, white ice. I have to leave before it’s time for cake because my first stitches take precedence.

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Thank You, Scientists

Today, I am grateful. After eighteen months of fear, uncertainty, anger, weariness and despair — today, I feel hope. It is finally the day that the two youngest members of my immediate family have been vaccinated against COVID-19, making our family circle of protection complete. 

As a pediatric hospitalist, I have seen plenty of acute COVID and MIS-C. I have nearly lost my mind trying to home-school my children in the early days of the pandemic, while also working full time.

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Who Will Buy the King Cake?

I have anxiety. I can freely admit it and even laugh at myself now that years and years separate my terror from my present. I can acknowledge that it is better for me to stay on an SSRI consistently after several starts and false stops over the past two decades.

I have always gone to work and cared for the children and put one foot in front of the other and put on a brave face. But I have been nearly convinced at different times over the years that I had congenital heart disease, lymphoma, esophageal/ovarian/breast/brain/pancreatic cancer, hemochromatosis, heparin-induced thrombocytopenia, multiple sclerosis, and leukemia. Sometimes I joke, “I’ve had every kind of cancer there is, even testicular cancer.” As ridiculous as it sounds, my racing mind could find a way for that to be so even with my complement of XX chromosomes.

Sometimes I have had understandable triggers for mental misery: a devastating college breakup; two miscarriages; a medical malpractice suit. At other times the panicky thoughts seem to come out of nowhere — noticing a tiny purple skin lesion or a sharp pang within my abdomen fast forwards immediately to my untimely death and my

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Dead

I’m not sure why I scrawl quotation marks around the word “dead” when it should be bolded or underlined.

I jot my notes out of habit, as if this were any other call from a referring physician. I make my usual box in front of her name to check off when she arrives at the hospital and has been assigned to a team.
But, of course, she won’t arrive and be assigned to a team because she is dead.

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