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

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.

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What About Me?

Amy Cowan ~

It’s Monday morning, and I’m the attending physician starting a week of inpatient service in the hospital. On my patient list is a man named Earl, age ninety-one. He’s outlived his siblings, his first and second wives and all of his peers. After seven decades of smoking, his lungs are failing; he carries a diagnosis that reads “severe emphysema.”

The sign-out note from Earl’s previous doctor reads, “Daughter and son-in-law met multiple times with the team last week.” As his medical decision-makers, they’ve been waffling about what to do for him. Last week they said, “Do everything,” then “Take a comfort approach,” only to wind up back with “Let’s get him strong enough for rehab.”

I’ve been putting off rounding on Earl: I’m afraid that these two will hijack rounds by changing their minds again.

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About Last Night


H. Lee Kagan ~

It was a night like many others. I was taking call from home for my medical partner and myself. My wife and I had settled in, planning to stream the new season of Goliath on Netflix. But the internet was down, so we were watching a talent competition on regular TV instead.

At 8:30, my phone rang.

“Hello, this is Dr. Kagan.”

A long pause, then a tentative “Hello….”

I muted the TV. “Can I help you?”

More silence, then I heard a woman’s voice uttering inarticulate sounds.

“Who is this?” I asked. “Are you looking for the doctor?”

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I’m Still Here


Inez Martinez as told to Erin McCoy ~

Editor’s Note: Having just finished her first year of medical school, Erin McCoy became a summer intern for Pulse and embarked on a project to collect patient stories through interviews. One day, a family-medicine resident at a Bronx family health center told her about an interesting lady in Exam Room 8. “I go there,” Erin says, “introduce myself and explain my mission. She agrees to speak to me, on one condition.”

As long as you don’t ask me how many drinks I have in a month.

I promise her that I won’t, and press “record” on my iPhone.

I’m a survivor of 9/11. But I don’t want to talk about that.

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A Poetic Stroke


Thomas E. Schindler ~

Editor’s note: This Sunday will mark the last day that we accept poetry submissions this year. We offer today’s story in honor of the poets who are sending us their creative works for consideration.

For the past few years, since becoming a grandfather, I have indulged in an afternoon nap. Last year, while arising after a nap, I fell on my face–hard. Cautiously, I got up, and then carefully lay down again, confused about what had just happened. Whatever it was, it passed–and I tried to forget about it.

Next morning, my reflection in the bathroom mirror startled me with a garish reminder of my fall: a purple bruise beneath my left eye. Also, something was wrong with my vision. When I looked left, I saw a blurry absence. Later, my ophthalmologist performed a field-of-vision test that revealed a significant blind spot. Although a CT scan failed to detect any brain lesions, he pushed for an MRI.

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Sick of Being Sick

Ryan Nesbit ~

From second through fifth grade, I mastered the art of being sick. I got out of school, soccer practice and piano lessons so that I could be the child I wanted to be–not sick, but loved, cared for.

Here was my recipe:

1. Wake up.
2. Feel anxious about the day to come (this was natural).
3. Let the anxiety morph into a sickly pallor.

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A Survival Guide to Chemo and Radiation


Lynn Lazos ~

Chemotherapy and radiation are not pleasant experiences, but knowing how to handle them can make your life a whole lot easier.

I had my first mammogram at age thirty-five, and for the next thirty-five years I had mammograms regularly. On my way, I’d pass the entrance to the Thomas Johns Cancer Hospital, outside of Richmond, VA, never thinking that I’d one day cross that threshold myself.

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Me Too

It’s late on a Friday afternoon in the outpatient clinic where I’m a third-year psychiatry resident. I’m wrapping up my appointment with Jane, a thirty-five-year-old woman with a mild intellectual disability who comes every month to refill her antidepressant prescription.

“Have you been watching the court case on TV?” she whispers.

I stop what I’m doing and look at her.

“The case with the judge and the doctor,” she says.

I sit back in my chair and give her my full attention.

“I’ve been reading about it,” I say. “Why do you ask?”

She looks down at her hands. “It’s just so hard to watch.”

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On Being a Lady and a Doctor

Caitlin Bass ~

It’s 8:00 pm, and it’s hour fourteen in my twenty-eight-hour call shift at the large suburban hospital where I’m an intern.

You demand to speak with a doctor now, right now. You cannot wait. Your mother is sick, and you want to know exactly what is going on.

It doesn’t matter that we already spoke at length by phone earlier this afternoon. It doesn’t matter that it’s 8:00 pm. It doesn’t matter that I don’t have any updates to give you.

You’re here, and you want to speak with a doctor, your mother’s doctor, now, right now.

Luckily for you, that’s me.

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