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

Stories

Eye-Opener

Daniel Lee ~

1. Bipolar disorder
2. History of postpartum psychosis
3. No custody of her children
4. In treatment for cocaine abuse
5. Regular smoker

I digest each of these facts on the computer screen in rapid succession, progressively cementing the picture of Renee Pryce, a twenty-eight-year-old woman in her final months of pregnancy.

I’m a first-year resident in a large urban county hospital. In the course of my training, I’ve learned that some people (mostly older doctors) find the electronic medical record (EMR) burdensome and inefficient.

Eye-Opener Read More »

Hooked

John Barber ~

I walked into the room of a dying man. This phrase might conjure up the image of a frail, white-haired patient peacefully nearing the end of life. Alex, however, was thirty–just two years older than me.

I was a third-year medical student doing a rotation in the ICU. This first encounter was sadly inglorious: As my team entered Alex’s room, the police officer who’d been guarding him walked out, leaving Alex handcuffed to the bed.

Alex looked like a ghost, his cheeks sunken and lifeless. A heart infection caused by his IV drug use was spewing dangerous bacteria through his bloodstream, infecting his lungs and spine. When not sedated, he was delirious, eyes staring wildly between wasted temples.

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The Memory Unit


Ann Anderson Evans ~

I arrive in the memory unit at 1:30 in the afternoon. Jean, my mother’s sister, is fast asleep in her hospital bed in Room 1410. For the past ten years, it has fallen to me to be her frequent visitor and care monitor. I do this willingly because without her generosity and compassion, my life would have been far less meaningful and enjoyable. She never married, but my brothers and I honored her on Mother’s Day. My brothers sometimes drive here from their distant homes for a bedside family reunion.

During her decades of charitable work, Jean was named Recycler of the Decade by the New Jersey Department of the Environment, received the New Jersey Pride Award from the governor and chaired the New Jersey Audubon Society. Except by a few elderly colleagues, she’s been forgotten in the outside world.

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All I Could Do

Leigh B. Grossman ~

The clinic in rural Haiti is a small stucco building with no electricity or running water. The temperature inside the clinic is 103 degrees, and there is no breeze. The examining-room walls are only seven feet high and afford no privacy.

This is my fourteenth trip to Haiti as a volunteer pediatrician. My twenty-fifth patient of the morning is a three-month-old infant named Joceylyn Marquee, who is completely swaddled in a dirty blanket and is carried in by her mother, Lucie.

In our tiny cubicle, Lucie sits with Joceylyn on her lap. The interpreter, Fredeson, and I are also seated. We’re all so close together that our knees touch. The acrid smell of human dirt, sweat and anxiety permeates the small space.

Fredeson translates the child’s story to me while Lucie, a small, tired, very thin woman in her late twenties, dressed in her finest church clothes, carefully unwraps her baby.

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What Did the Doctor Say?

Charlotte Grinberg ~

Here’s what they should have told you: “We found cancer in your lymph nodes, your liver, your lungs and your brain. It explains your weight loss, your difficulty breathing and your loss of appetite. This wasn’t just your depression, like you thought. It started in your lungs, and now it’s everywhere. This cancer has been growing for quite some time. You cannot, even with the strongest medications and the longest surgeries, make this cancer disappear. It is too powerful. It is here to stay.”

They should have said, “We wish we had better news, but it looks very serious. Still, we’re here to care for you. We will not let you feel alone. Imagine the place you want to spend the last hours, days, months of your life. Which people do you want to be surrounded by? What do you want to read or listen to? What foods and smells bring you the most joy? We want you to go to this place. Eat as many macaroons as you like, burn your favorite candle, hold your two daughters close.”

What Did the Doctor Say? Read More »

Tucking Him In

Peggy Murphy ~

I need to see Justin before my workday commences. I’m a social worker at the outpatient cancer center where Justin has been treated for an aggressive colon cancer.

Seeing him today means visiting him in the hospital, up the road from the center.

It’s almost surreal.

When I first met Justin, nearly two years ago, he looked every bit the linebacker–well over six feet tall, with a girth to match. A man in his late fifties, he had a booming voice and an engaging personality. He was married, a successful wining-and-dining stockbroker, active in his town and in the local Italian American Society.

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A Soldier’s Tale

Scott Janssen ~

“You ever work with vets?” asks the young man sitting across from me in the hospital waiting room.

He’s been sitting there all morning. So have I. Since 5:30 am, my father-in-law, age eighty-eight, has been undergoing surgery to remove a tumor in his lung. The surgeons just sent word that they’ve finished, and my wife and her mother have gone to the post-op room to see him.

Waiting for them to return, my wife’s sister and I have been talking about her son, who’s thinking of joining the Air Force.

“Warn him about the recruiters and their shiny promises,” I say. “Tell him they’re all a bunch of liars.”

“That’s for damn sure,” the man says.

We smile at each other and chat for a bit, then my sister-in-law starts messing with her cellphone, opting out of the conversation.

The man tells me that he was in the Army for twenty years, including combat tours in Iraq and Afghanistan.

A Soldier’s Tale Read More »

My Love Affair With Jude


Larry Bauer ~

In August 2016, our daughter Rachel and her husband Alberto traveled up from Memphis with their two children, Noel and Jude, to visit my wife and myself in Dayton, Ohio.

One afternoon during their stay, I was sitting in my favorite reading chair beside our kitchen area. Glancing over my shoulder, I saw seven-year-old Noel playing. Beside her, lying tummy-down on the floor, was three-year-old Jude. He was in a trance, fixated on the screen of his LeapPad computer tablet, his “most favorite toy in the world.”

Seeing Jude there triggered something inside me. We’d always gotten along well. He would come to me, and I’d pick him up, cuddle with him and carry him around. He enjoyed being gently tossed in the air or having me hold his legs and raise him so he could touch the ceiling. He loved the water, and playing with him in the pool was always a great time. But now, something told me that I hadn’t really reached out to connect with him at his level.

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What I Did for Love


Amy McVay Abbott ~

My husband, who’s had type 2 diabetes for twenty years, had been struggling for a long while to lower his hemoglobin A1C–a number that measures how well he’s managing his blood sugar over time. When he and I finally investigated the issue, it turned out that someone close to him was thwarting his efforts.

This person is an addict. Her drug of choice is sugar–often candy no self-respecting adult should want, like Milk Duds or Necco Wafers. She’d order a lemon-drop martini and be just as happy if it came without the vodka.

Houston, we have a problem. That problem is me: a wife who couldn’t fully accept her spouse’s health problems.

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The Patient I Didn’t Want


Krithika Kavanoor ~

When I first met Ms. Ruiz, I was barely three months into my first year as a family-medicine resident. I was working harder than I’d ever worked before, and continually facing new challenges. I knew that I was learning, and so I persevered, but opportunities for self-doubt were abundant.

Maybe that was why Ms. Ruiz made such a big impression on me.

A middle-aged woman with a small frame and short black hair, she’d been admitted to the hospital overnight for severe abdominal pain and jaundice. Resting quietly in her bed, she listened intently to my colleague’s presentation of her case, her sharp eyes fixed on his face. I too listened carefully, and gathered that she would be with us for some time for the CT scans, blood work and other tests needed to pinpoint the cause of her symptoms.

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The Man Who Handed Me His Poop

In broken English, against the backdrop of the emergency department’s chaos and clatter, Mr. Simon relayed his story: unintentional weight loss, gradually yellowing skin, weeks of constipation. He punctuated his list of devastating symptoms with laughter–exaggerated but genuine guffaws.

Over the next few days, as the medical student responsible for his care, I was also responsible for handing him piece after piece of bad news. An obstructing gallstone in his bile duct. Actually, an obstructing mass. Likely a malignancy. Chemo. Radiation.

With each update, he would grin. And then he would laugh.

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Miraculous Recovery

Alexandra Lackey ~

During my third year of medical school, I completed a clinical rotation in surgery. I was certain that it would be horrible. I envisioned myself in the OR, getting lightheaded, passing out onto the sterile field and being yelled at by my attending physician. I worried that the medical knowledge I’d worked so hard to learn would be neglected in favor of memorizing the steps of surgical procedures. My parents, who are both physicians, warned that I’d just be holding retractors for hours.

I want to interact with my patients, I fretted, not just hover over them while they’re anesthetized.

Although I tried to keep an open mind, I knew that I was destined for a miserable time.

Miraculous Recovery Read More »

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