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

Scars

I held my breath as the medical assistant cut through the last layer of gauze and began to peel off the bandage. This would be my first view of my left foot since surgery two weeks earlier to correct a bunion and hammer toe.

My big toe and fourth toe were deeply bruised; a jagged, three-inch incision ran atop my bunion onto my big toe; another puckered incision snaked from the top of my foot onto my first toe, which was red and swollen.

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Carved Like a Pumpkin

It’s a few weeks before Halloween, that time of year when perfectly intact pumpkins are evident everywhere. I feel great empathy for their plight: “You have no idea what is going to happen next, buddy,” I think. “Someone is going to take a knife to you, and you have no idea how your beautiful, smooth face is about to transform.”

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You Need A Pacemaker

A line of medical professionals awaited me in the ED and worked me up for a complete heart block. A day later, my cardiac surgeon walked in and said, “You need a pacemaker.”

My heart rate had gone down to 28, it turns out, compared to a usual rate of between 60 and 100 beats a minutes. I met with a myriad of professionals on my team; each one explained their role and what I should expect from my impending surgery. I woke up in my room with a pacemaker rep, discussing my pacemaker.

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Pain

I am a PT with 38 years of clinical experience. Though I have many interests, the human experience of pain, especially where physical pain intersects with emotional pain, has been a patient-care focus of mine for some time now. I am also a mom of  two, one of whom I lost to the disease of addiction six years ago. And recently, I have been an orthopedic patient, having had a partial knee replacement two months ago.

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Wishing I Were Still Waiting

The fountain, meant to evoke a spa-like environment in the waiting room, tinkled loudly enough to be distracting. Still, I persevered with my reading, the downtime a welcome postwork/precommute break while I waited for my annual gynecologist appointment. As an extra treat, I had plans to meet my brother afterward for coffee.

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A History of Complications

A tonsillectomy at age nine that led to hemorrhaging and a return to the OR. An operation on four impacted wisdom teeth at age sixteen that kept me in a coma for three days. A hysterectomy at age thirty-six that involved the wound opening up, internal bleeding, and two additional hospital admits.

There’s more!

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October More Voices: Surgery

Dear Pulse readers,

I’m very disappointed.

I was scheduled to have a surgical procedure this past Tuesday. Knowing that October’s More Voices theme would be Surgery, I was planning, in this letter, to recount lurid details of the operation and of my postoperative pain or delirium, depending upon how many narcotic pills I was ingesting.

Alas, my procedure was postponed for a week.

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Ground In

I lay on the pavement weeping, my bicycle on its side. I’d received the blue Schwinn on my 9th birthday, and it was still too big for me—a small-built girl with weak legs, just recovered from mono after a year spent sitting out most activities. No jump-rope, hopscotch, or bicycle, the pediatrician said. For months, I just sat on the patio (for fresh air, mother said) reading or drawing.

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The Body Keeps the Time

Have ever felt that sense of unease on a cellular level? Like something is amiss. Like nothing feels quite right in a visceral way. That feeling sneaks up on me at certain points it the year. Like when it is time to transition back to school. Or, deep in winter. Or, the anniversary of a difficult event.

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The Clock Can Keep Ticking!

I was out of this clinic for almost four months.

When I came back, I realized that everyone was unsettled and upset. Apparently, this clinic was closing, another one was opening in the same space, and many of the staff were leaving. There was one recurring theme amongst the worried staff and providers, as time ticked on, relentlessly, towards D-Day. What will happen to all these patients who will fall through the cracks?

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Precious Minutes

He has sharp right abdominal pain.

The pain comes and goes. It started as dull and general, but he feels it’s now concentrated on his right side. He had a similar pain a year ago, he adds. It’s worse now, so he came to the hospital.

He has a cough due to COVID.

The cough has been going on for a couple months. He had COVID in November, and it resolved. But he got COVID again in February and since then has had this lingering cough. He’s vaccinated and boosted.

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A New Life Clock Begins

10:15 a.m.

We return from a routine morning on the dock—me with a good book and an empty coffee cup, my husband refreshed from a 1-mile swim—and trek up our steep driveway.

10:20 a.m.

My husband emerges from the bathroom. “I don’t feel right.” An unlikely admission from him. He walks to a chair in the living room. I tick off signs and symptoms: chest tightness, shortness of breath, sweating, mid-thoracic back pain, shallow pulse.

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