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

May the Beat Go On

My pulse beats, reminding me to live each minute of my life with enthusiasm and strength.My pulse beats, reminding me that with each passing minute I move one step closer to mortality. My pulse beats, reminding me to take nothing–and no one–for granted.

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Not in My House

My husband walked upstairs holding his hunting rifle, and all I could say was, “Not in my house.” I took one look at that gun and was instantly transported back to that basement, fourteen years ago, when I thought at least one life was going to end.
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Work/Life

“We lock the door and shut the curtains, and, when its all clear, we line up in a special order and listen to what our teachers tell us.” –My kindergarten daughter, Zelia

They say work to live not live to work but how do you come home crushed by a forty-eight-hour shift on sixty minutes of broken sleep and kiss your babies and tell them it’s all going to be okay when their school is on lockdown due to a nearby shooting and the suspected gunman is still on the loose as you tend to a patient with suspicious wounds while the world keeps debating nuclear stories around you, and you think this small town ain’t so bad: the knife and gun club has low enrollment compared to the gang-ridden inner city you grew up in where shots fired were barely flinched at (because they weren’t en masse), and hella felons ran through your property with cops and helicopters giving chase.

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Line of Fire

My patient was dying, and her son was angry. She was eighty-nine and buckling under the weight of septic shock. With his mother failing, her son had lost it. “You will regret letting her die!” he said as he lunged at me. He was intercepted but continued to stare me down. I tried to hold his gaze as softly as I could, willing him not to kill me.

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Pistol Pain

I grew up in a gun-free family and neighborhood. As a child of the 1950s and 1960s, I associated guns with the Westerns I saw at the movie theater or with the Lone Ranger, the hero of my favorite TV show.

Then guns intruded on my life–twice.

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To Sleep, Perchance to Die

 
The best advice I got during residency–in Los Angeles, land of freeways–came from a senior resident. “When you’re driving home on the freeway after being on call, always drive in a middle lane, so when you fall asleep, the lane bumps will wake you up as you start to drift. There aren’t any bumps on the sides.” That tip probably saved my life, and likely that of many other residents as well.
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A Ruffled Mind


A ruffled mind makes a restless pillow. –Charlotte Bronte
 

A few years ago, after retiring from a long career as a psychologist, and when I was deep into an MFA program in writing, I wrote a poem exploring the reasons, past and present, for my intermittent, middle-of-the-night insomnia.

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Nobody Is Watching

 
We were first to the auditorium, as I figured we would be. As fourth-year medical students, we were each on a mission: to impress residents and program directors so that we might ultimately obtain what had once been an abstract and distant thought: a job as an orthopaedic surgery resident.
The conference wasn’t to start until 6 a.m., but we arrived early, maybe 5:30 or so. Residents trickled into the auditorium, each casting a judgmental gaze in our direction, while we squirmed in our chairs being choked by our collar and tie.
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Fray

Driving the ambulance in crushing fatigue, my weighted eyelids slit to make sodium glows of street lamps into arcing orange, bobbing like stars that penetrate unfired darkness. Saintly portals to dawn.
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Naptime Dexterity

 
It’s hard enough keeping most kids on a reasonable sleep schedule. When you throw a series of weekly, sometimes biweekly, outpatient surgeries into the mix, it’s “Houston, we have a problem.” A very big problem.
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Heaven in a Hospital Room

 
I was finally comfortable in my hospital bed but sleep was not coming. I had my eyes closed trying to sleep through the pain of a scrubbed out hip joint infected by a high contrast injection for an MRI procedure.
As I was about to drift off, it was time for the nurse to check my vitals or give me my medicine. She was a larger woman but she moved very quietly thinking I was asleep. She was at the side of my bed and I was watching her, but she was not aware of my watching.
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Valentine’s Day Meltdown

Sleep became a foreign concept to Dad and me when he began to suffer hypoglycemic attacks. These attacks left him mentally disoriented and physically weak. Without immediate food, they could escalate into a more severe condition, leading to a coma or even death. As a result, I set my alarm to awaken me every ninety minutes throughout the night. I would then prepare a snack for Dad—milk and peanut butter on a cracker, pudding, a glass of orange juice—and wake him up to eat.

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