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

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

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Stories

Wounded Healer

11 Comments / Stories /

Jamie Sweigart ~

It was a sunny Sunday afternoon on my urban college campus. I’d been sitting on the grass outside a lecture hall where my premed classmates and I would study together on weekends. This particular weekend, I was alone. Campus was empty, except for a man with a backpack who occasionally passed by.

Finished with studying, I started walking down a deserted sidewalk back to my apartment, a few blocks away. On the way, I dialed my best friend from home, Laura, and we began chatting.

“Hang up the phone,” said a man’s voice behind me. I felt the cold blade of a knife against the side of my neck.

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Right Coat Ceremony

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Shadi Ahmadmehrabi ~

It was my first day of orientation at medical school. In a hallway stood a coat rack overflowing with white garments. I set down my accumulated papers, reached for a hanger and, for the first time ever, shrugged first one arm and then the other into a white coat.

It was too large, but I had no other options. The unisex coats ran from XXS to XXL, but the smallest had all been claimed.

As I clumsily buttoned my coat on the right (women’s coats button on the left), I couldn’t help seeing this as a physical reminder that, as my mentors had warned, medicine continues to be male-dominated, and that I’d need to pick my battles.

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Deadlock

7 Comments / Stories /

Zachary Reese ~

“Does a rock float on water?” I asked the haggard woman lying in the ICU bed.

I was an intern, in the first rotation of my medical residency, and Mrs. Jones had been my ICU team’s patient for the past week. Over that time, she’d looked more and more uncomfortable, constantly gesturing for her breathing tube to be removed.

Mrs. Jones tried to form words in response to my question, but the plastic tube in her mouth prevented it. Her chest rose and fell in rhythm with the ventilator’s hiss as the machine pumped air into her lungs; her muscles were too weak to do the work themselves.

After several attempts at speaking, she gave up and shook her head. No.

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Metamorphosis

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Lisa Burr ~

It was another simmering-hot Texas day, and the AC was faltering in the family-practice clinic where I worked as a family nurse practitioner. Most of our clients were poor and spoke only Spanish.

My nurse, Eliza, approached, wide-eyed.

“There’s a new patient–a woman named Maraby. She seems really angry,” she murmured. “She’s the color of Dijon mustard, and she’s wearing a long, heavy wool cape. She looks like she’s nine months pregnant with triplets. There’s a man with her, but he’s not saying anything.”

Gingerly, I entered the exam room. Maraby, a tall woman, sat staring at the floor. Her partner, Darren, stood to one side. When I glanced his way, he anxiously averted his eyes.

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My Immigrant Patients

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Joanna Sharpless ~

In the living room of the house where I grew up hangs a framed copy of a seventeenth-century map of Pennsylvania. The land is divided into tiny plots, each painstakingly labeled with a family name.

When I was little, I’d stand in front of the map and search for the little squares labeled “Sharples”–the original version of my last name. I’d imagine my distant ancestors, John and Jane Sharples and their seven children, dressed in bonnets and breeches as they sailed across the Atlantic in 1682. As Quakers, they’d purchased land from William Penn and had fled religious persecution in their home country, England.

To a young girl, their immigration story sounded romantic; but as I grew older, I realized that it wasn’t. Their life in England must have been unbearable for them to be willing to risk losing everything in order to rebuild their lives in a strange wilderness. Indeed, they paid a steep price: One of their children died on the journey. I also had to consider their role as colonizers, living on land that had once belonged to Native Americans. How should I feel about my family’s immigration story?

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The Second Law of Medicine

16 Comments / Stories /

Sandra Relyea ~

I sit in the cab of an old pickup truck on my father’s farm, listening to the water gurgling through irrigation tubes alongside a field. The truck is parked next to a barbed-wire fence. I’m waiting for the water to reach the far side of the field so I can pull the tubes and reset them in the next field.

As I wait, I watch the setting sun turn the Sangre De Cristo Mountains red and orange. Crickets chirp in the tall grass; frogs start their evening chorus. Smells of alfalfa and milkweed blossoms scent the air. Peace settles over me as the light fades.

To my left, I notice a little spider spinning an orb web between the fence wires. A mosquito buzzes around my face, looking for a good landing spot. I catch it between two fingers and try to place it in the spider’s web.

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Cracked Up

12 Comments / Stories /

Carlos Downell ~

They say that to write well, you should write about what you know. I’m a homeless drug addict. This essay is not about me, although I’ll figure in it. It’s about drug abuse among the homeless, a subject I’m very well acquainted with.

I have a dual diagnosis–substance-abuse issues and psychiatric dysfunction. Double trouble. If I can’t get meth, I’ll smoke crack, and if I can’t get crack, I’ll smoke pot or take pills or whatever I can get–anything but inhalants. I’m what’s known as a polysubstance abuser. (Most addicts are.)

I’m in recovery. Sounds like I should be in a hospital bed, and perhaps I should–but I continue to function. I abide, I persevere and I survive: It’s what I do. I reside on the sidewalk, on the railroad tracks, under the freeway overpass.

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Just What the Doctor Ordered

11 Comments / Stories /
David Edelbaum ~

I began practicing as an internist/nephrologist in the early 1960s. Having rented an office in Los Angeles, I introduced myself to the local medical community and set out to build a practice.

With a growing family, a mortgage and an office to support, I was hungry for patients. Hospital emergency rooms were good referral sources, so I took ER call at three different hospitals.

Late one Friday night, I got a call from one of these hospitals: A middle-aged engineer was in the ER complaining of chest pain. His electrocardiogram showed minor abnormalities, and he needed to be admitted for observation to rule out a heart attack. Back then, this meant several days of blood tests and repeated electrocardiograms. Uncomplicated heart attacks were treated with bed rest, sedation and blood thinners, followed by gradual ambulation and discharge.

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The Caregiver’s Mantra

13 Comments / Stories /

Patricia Williams ~

If one more person tells me to be sure to take care of myself, I’m going to bury my face in a pillow and scream.

“Go for a walk, take a vacation,” they advise. I know they’re trying to help, but really? Giving me one more thing to do? Oh well, they’re just doing the best they can.

I moved my folks across the country, from Florida to Washington State, and into an apartment near me so that I could care for them in what seemed to be their final months. My brother, who’d been looking after them, was leaving to get married, and we didn’t think they were safe on their own.

They’d always been fiercely independent, but at almost eighty, with minimal financial or supportive resources, they were struggling with declining health. My father had suddenly lost most of his eyesight and suffered from serious cardiac conditions; my mother was bedridden due to deteriorating joints and alcohol abuse.

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Basic Training

8 Comments / Stories /

George Kamajian as told by Bob Fedor ~

I’m an old family doctor. Seen much and forgot more. Life has taught me that we touch our patient’s lives for a moment, a season or a reason–and sometimes with unforeseen consequences.

I grew up in Erie, Pennsylvania. In 1968, when I was nineteen, the Tet Offensive in Vietnam caught the American military off-guard, and the Pentagon began frantically drafting new troops.

My lottery number was low. I knew my civilian days were numbered, but I didn’t want to go to Vietnam to be a trained killer. It wasn’t in my nature, then or now.

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My Friend, My Patient

6 Comments / Stories /

Andrea Eisenberg ~

Seeing patients in my ob/gyn office this morning, I try to stave off the mild nervousness rumbling inside of me. My good friend Monica is having a C-section this afternoon, and I’m performing it.

We met ten years ago, when I walked my three-year-old daughter into Monica’s preschool classroom for the first time. Monica sat on the floor, a child in her lap and others playing around her. Like them, I felt drawn by her calm, soothing manner and infectious laugh.

Over time, our friendship grew: At school or social gatherings, we always ended up giggling together. We took family trips together, trained together for marathons and supported each other through heartaches–my divorce, the closing of her childcare business–and our respective struggles to find new paths.

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