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

My Marriage Was on the Rocks

When I was 31, my marriage was on the rocks and I considered suicide.

It was shortly after the birth of our second daughter. My husband’s main income-producing customers took their business elsewhere. In oxytocin-induced, breast-feeding bliss at home with our girls, I trusted that he’d recover. But he was in denial regarding the severe downturn in our financial stability, and he recovered neither emotionally nor financially. My bliss shattered.

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An Elderly Patient’s Options

A year ago, I suffered a cardiac emergency. While I was standing at the bathroom sink, I felt dizzy, and the next thing I knew, I was lying on my back on the floor, with my head cushioned on top of a package of toilet paper. I might have died there, peacefully, but I woke up. I thought that drinking some water might help, but when I stood to do so, I felt dizzy at the kitchen sink. I scurried to flick the front door’s deadbolt open, and then I lay down and telephoned the police and fire departments.

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The Therapist in a Box

Growing up, I always got wonderful gifts from Hope, my mom’s best friend since high school. She would get me colorful knee socks, puzzles she designed herself as a professional artist, and confetti that spelled my name.

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The Price of Prevention

It was Mother’s Day and my neighbors had invited me out to brunch. The two of them had met in a diner in New York where Mary was the server and he was a conductor on the railroad. I met them when they decided to retire to Florida and bought the condo next door.

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You, Too

Bradycardia (heart rate 41) one day, tachycardia (heart rate 168) the next, just sitting in bed, before … during … after a seizure. My epilepsy is refractory—resistant to treatment—and this incident scares me. But I hesitate to make an appointment, scared as well about the bill.

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No Turning Back

When I was a freshman in high school, two of my classmates lost their mothers to suicide. Going to their funerals, my first ones, was traumatic. I remember struggling not to giggle—a blatantly inappropriate response—but for whatever reason, that is how my emotions chose to express themselves. I spent many sleepless nights after these tragedies, haunted by images of my parents hurting themselves.

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February More Voices: Suicide

Dear Pulse readers,

My cousin Pedro had pale, northern European skin and straight brown hair–looks that contrasted with the olive complexion and black waves of his adoptive parents, my Cuban uncle and aunt, and their two biologic daughters.

My brother and I met Pedro when we went to visit my uncle’s family in Colombia. He was about sixteen at the time, an outgoing teen who dressed well, liked to party and had Playboy photos stuck to the walls of his bedroom.

A few years later, he took his own life.

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A New Path

Our ambulance had been summoned to help a woman tripping on mushrooms—activated by a midnight 911 call about a possible assault and death. The police arrived at the location ahead of us to ensure safety. We walked inside to find a woman sobbing and holding a blood-soaked towel against her mangled hand. She had huge, dilated pupils from mushrooms she’d ingested with her boyfriend. Her story unraveled as we listened in horror.

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What the Body Carries

As an intern in 1984, one of my first patients was a woman I’ll call Emily. Soft-spoken, with a wide smile and light brown hair, she was in her mid forties, from rural North Carolina. She’d had intractable headaches for decades. Despite extensive medical workups, no cause had been found.

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Safety for Children

“I will never let my children have sleepovers,” a mother told me firmly. I was talking to her child as my patient, and he wanted me to convince his mother otherwise.

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Statute of Limitations?

What do you do when you hear about a sex assault that happened years ago, and you currently interact with the perpetrator in your daily life? What if that perpetrator is seemingly a nice person, and you are friends with his female partner and his family?

What if the perpetrator is a patient of yours, and you are also the primary care provider for his family?

What if the perpetrator is a coworker or a supervisor at your workplace, and you spend time together in meetings and engaged in work tasks?

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Permission

I overheard the comments from across the busy clinic. The two students working with their assigned patient were gamely trying to dodge his questions and redirect the conversation. But despite their efforts, he persisted with his intrusive line of commentary: “You girls are pretty. You’re both too pretty to be single. Do you have boyfriends? Are you getting married? Why aren’t you getting married? You need to get husbands before your looks start to go. You should wear your t-shirts a little tighter.”

The barrage continued without pause. The students began to look a little desperate.

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