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

Stories

Borderlines

Editor’s Note: This piece was awarded second place in the Pulse writing contest, “On Being Different.”

When I started as an intern at a regional Australian hospital in the late Nineties, there was a patient—let’s call her Laura—who was notorious among the emergency-department staff.

Laura had sliced up much of her available skin over the years and had moved on to swallowing cutlery and razor blades. She’d had numerous operations to remove the silverware in her stomach, and countless sutures to stitch up the lacerations atop the old scars on her limbs and trunk. Over and over she would be discharged, only to turn up again with yet another macabre self-mutilation.

Each time, the surgical and emergency teams rolled their eyes and gritted their teeth.

Borderlines Read More »

Music and Medicine

It’s the end of a long day on Internal Medicine Ward H (“Hey” in Hebrew) at Soroka Medical Center, in the desert city of Be’er Sheva, Israel.

I’m a third-year medical student at the Medical School for International Health at Ben-Gurion University of the Negev, and this is the floor I’ve been assigned to for my six-week internal-medicine clerkship—my very first clinical rotation.

My fellow students and I wrap up our responsibilities for the day and head to the student room to gather our things. Stowing my stethoscope and notebook in my bag, I exchange it for my guitar, sitting in a dusty corner.

Music and Medicine Read More »

Invisibly Different

Editor’s Note: This piece tied for first place in the Pulse writing contest, “On Being Different.”

“That seems like a dumb way to die.”

“Why would anyone choose to do that to themselves?”

I hear my medical-school classmates pose these questions as we learn about how an acetaminophen overdose can cause painful, fatal damage to the liver. How each metabolite can tear apart a liver cell. How it takes hours or even days for the full extent of the overdose to be felt.

I sit silently, uninterested in engaging in the conversation. My mind wanders back to the cold February night nearly fifteen years ago that brought me to my suburban emergency room.

Invisibly Different Read More »

Shooter

Monday, August 28, 1:15 pm
Chapel Hill, NC

“Remain inside the building until further notice.”

The security alert on my phone screen is terse. Part of me is annoyed by its tone—long on commands, short on details. Sitting safely in my car after visiting a hospice patient, twenty miles from UNC’s hospital and university in Chapel Hill, I ignore the text, chalking it up to an overreaction by the security department.

The next alert, twenty minutes later, gets my attention. There’s an “armed and dangerous” intruder on campus.

Shooter Read More »

Truth in Translation

Editor’s Note: This piece tied for first place in the Pulse writing contest, “On Being Different.”

I learned from my grandfather how to lie to doctors the same way that baby birds learn chirping: by mimicry.

“All healed,” I would translate for my grandfather at appointments. “I used to smoke, but not anymore.” “The pain is very faint.”

A good apprentice, I knew that he was lying, and I translated it anyway. I was eight years old, and a fast learner.

Truth in Translation Read More »

Kids Always Know

This is a story about failures. First, it’s about my inability as a pediatric hospice physician to do the one most important job in this tender space. Second, it’s about well-meaning, loving parents’ inability to do their part in that job.

Jacob was a smart, funny, elementary-age kid, great with Legos.

Kids Always Know Read More »

My Mother’s Keeper

It is a mitzvah to take care of your parents: “Honor thy father and thy mother.” And caring for people comes naturally to me. I’m a physician; this is what I do.

But when my father looked to me to cure my eighty-five-year-old mother’s dementia, saying, “You’re the doctor! Help her!” I knew he was asking too much.

And yet. How could I stand idly by while my mother’s mental acuity slowly drained away?

My Mother’s Keeper Read More »

The Black Dog

It was a particularly sunny morning, and golden light streamed through the clinic windows. Seated in my preceptor’s office, I scanned her list of patients for the day. As a first-year medical student, I was to do preliminary interviews with some, and I hoped to find a few cases that would offer a chance to test my diagnostic reasoning.

The list held a lot of the usual–medication follow-ups, annual physicals, well-child checks—plus Ernest, a seventy-eight-year-old man who’d come into the emergency room for a urinary-catheter issue. This seemed promising, so I volunteered to see him.

The Black Dog Read More »

My Castle

Moving to an independent-living facility requires finding a balance between controlling the things that you can, and accepting help, or changes, with the things that you can’t. It also means striking a balance between being part of a more regimented community and being part of the outside world.

I’m nearly seventy, which is young for this move. But my hearing and balance are not what they were. I’ve had no family for twenty years, having outlived parents, husband and brother. Friends who have helped me in the past are aging into their own disabilities. My apartment of twenty years needed renovations that needed me gone. The timing felt right.

But my transition comes with extra challenges, because I’m congenitally and totally blind.

My Castle Read More »

Letter to the Insurance Company Psychiatrist

Dear Dr. Anonymous:

Are you a Phil, Michelle or Darrell? Two years ago, you booted my seventeen-year-old son out of treatment, signing your denial letter “MD Psychiatrist.”

I understand that you were hired to qualify, or disqualify, patients based on a cost-benefit analysis. Your letter suggested that my son’s condition could be “managed at a lower level of care.”

Letter to the Insurance Company Psychiatrist Read More »

Aftershocks

It’s Monday. I wake up at 7:15 am, go down to my apartment building’s lobby and meet with friends to work out before the rest of the day begins. We do arms, chest and back for an hour, then my friend PJ and I hit the steam room and head back to our apartments.

I call my mom for five minutes, then shower, dress and, before breakfast, knock out some flashcards on my laptop, like any self-respecting first-year medical student.

Today I’m spending a shift in the ER as part of my clinical-medicine class.

Aftershocks Read More »

Scroll to Top

Subscribe to Pulse.

It's free.