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

SubscribeEnergizeOR
Facebook Instagram Tiktok Bluesky

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

SubscribeEnergizeOR
Facebook Instagram Tiktok Bluesky

Stories

Depressed

19 Comments / Stories /

Ronna Edelstein ~

Announce to friends that you have cancer, and they will probably react with sympathy and compassion. Tell them that you’ve broken your leg, and they’ll offer to get your groceries and drive you to medical appointments.

Share that you suffer from depression–and the sound of silence will fill your head.

Depression has been my companion for as long as I can remember. My maternal grandmother, who immigrated to this country from Romania, spent her days struggling to raise four children in a land whose customs and language she never learned. Her husband, my grandfather, rarely stayed home; when not traveling to eke out a living as a peddler, he would socialize with his cronies at a park or synagogue. In his later years, twice widowed and living in a nursing home, he set fire to his own leg as an expression of his inner unhappiness.

Depressed Read More »

Cushioning the Fall

14 Comments / Stories /

Meghan G. Liroff ~

Angela Harris has been here in the hospital for six hours, awaiting the results of her CAT scan. I won’t take responsibility for all of that wait time: complicated CAT scans and labs do take a significant amount of time to perform. But she didn’t need to wait the last hour.

She was waiting on me–her emergency physician–because I needed to confirm her cancer diagnosis with radiology, arrange some oncology follow-up…and find the most appropriate phraseology for “You have stage IV cancer, but you don’t meet admission criteria.”

Cushioning the Fall Read More »

Scarred

10 Comments / Stories /

Joe Burns ~

“Did you have heart surgery?”

The shy seventeen-year-old girl’s question caught me completely off guard.

Her name was Sarah. Everything about her seemed perfectly organized–her long black braid falling ruler-straight between her shoulders, her folder with all of its documents sorted by date, her matching shoes and shirt, her entire wardrobe without a single wrinkle.

Her health was a bit less perfect. She’d been born with an atrial septal defect (ASD)–a hole in the wall separating the heart’s right and left chambers. Tomorrow she was to have an operation to repair the hole, so she’d come in today, accompanied by her parents and brother, to sign the presurgical consent forms.

Scarred Read More »

The Magic Touch

4 Comments / Stories /

Betsy Willis ~

Many months have passed since the spring day when I was hit with the news from my yearly mammogram, but those typewritten words are forever etched in my memory: “The density appears greater in left breast.”

My doctor comforted me with statistics showing that mammograms aren’t 100 percent accurate–but she also lost no time in sending me to a surgeon, Dr. Prewitt. Upon meeting him, I immediately felt sure that I would be in good hands. He explained the procedure he’d use and answered my questions with clarity and a very welcome gentleness.

He too expressed doubt about the diagnosis, but said, “I’ll schedule you for a parking-lot appointment with the traveling MRI-guided breast-biopsy machine.” (I pictured a brain on wheels.)

“The biopsy is minimally invasive,” he explained, “and it can locate the suspicious area precisely and remove cells that we can use to make a clear diagnosis. Based on what we find, we’ll make a treatment plan.”

The Magic Touch Read More »

A Tingling Sensation

10 Comments / Stories /

Mitch Kaminski ~

It had been a hectic day in the urgent-care clinic of my large family practice, and I was starting to worry about the time: My last two patients had put me thirty minutes behind.

I felt relieved when I saw the note for the next patient: “Seventy-four-year-old female with UTI.”

A urinary-tract infection! This should be quick and uncomplicated….

I walked into the room to find a well-dressed older woman seated on the exam table. I had just enough time to wonder fleetingly, Why do some patients decide to wait on the exam table while others stay seated in the chair nearby? Then I turned my full attention to the woman before me.

A Tingling Sensation Read More »

Compassion: A Two-Way Street?

10 Comments / Stories /

Carey Candrian ~

I am an assistant professor of health communication. Since 2008, as a volunteer, educator and researcher, I have been active in hospice care. As many people know, hospice teams (nurses, social workers, doctors, chaplains, volunteers) help dying patients and their families live as fully as possible during their remaining days together.

In November 2016, right before the presidential election, I started a project aimed at identifying the best practices in communicating about hospice to prospective hospice patients. The intent was to help them make an informed choice about whether or not to enroll.

For six months, I observed hospice nurses, patients and caregivers during prehospice consultations, and interviewed most of them.

Compassion: A Two-Way Street? Read More »

You Never Know Who’s Listening

9 Comments / Stories /

David Edelbaum ~

I always warn my medical students to be careful what they say in front of patients, or patients’ families or friends. “You never know who’s listening!” I add. They may think that I’m exaggerating–but I have my reasons.

Early in my career as an internist/nephrologist, if I had a free moment I’d head for the emergency room. I might get a referral, and the coffee and conversation were usually entertaining.

As I chatted with the ER doctor one morning, a cardiac-arrest victim came in, and the doctor and staff began administering CPR. In the midst of this, another cardiac-arrest patient arrived. The doctor asked me to evaluate this man and, if necessary, to direct his CPR.

You Never Know Who’s Listening Read More »

A Series of Unfortunate Events

11 Comments / Stories /

Holland M. Kaplan ~

I’m sitting in the ICU team room, staring at the computer, trying to look like I’m writing a note. But my head is pounding.

As an internal-medicine resident doing my first month of residency, I’ve found the ICU of the bustling county hospital a jarring place to start my training. Although I’d anticipated the clinical challenge of caring for very ill ICU patients, I was unprepared for the emotional burden of having to deliver devastating, life-altering news to them and to their family members.

Faint yells emerge from Room 7. They have an almost rhythmic quality: “Ahhh!”…(three seconds)…”Ahhh!”…(three seconds)…”Ahhh!”

It’s Ms. Burton. I’ve just gotten back from checking on her, but I plod back again.

A Series of Unfortunate Events Read More »

Walk-In

10 Comments / Stories /

Ingrid Forsberg ~

It’s 10:00 am on a Monday in June. I’m the nurse practitioner on duty in a convenience care clinic housed in a corner drugstore in urban Chicago.

Sunlight is pouring through the huge storefront windows when my first patient of the day walks in. He’s in his late twenties, muscular, crew-cut. He looks like someone who’s used to being in charge.

Right now, though, he looks anxious. He’s pale, with dark circles under his eyes. His eyes scan the store, looking for something.

I know immediately that he’s looking for me.

Walk-In Read More »

Riding Out the Storm

18 Comments / Stories /

Dan Yashinsky ~

In Cape Breton, Nova Scotia, if a blizzard keeps you in your neighbor’s house, they say you’ve been “storm-stayed.” I first learned this term from a storyteller in the Maritimes, and it’s come to hold special meaning for me and those I work with.

I am the storyteller-in-residence at a research and teaching hospital for the elderly, in Toronto. My work here, known as “storycare,” reflects the institution’s philosophy that literature and storytelling are essential to health care.

Every week, I work with clinicians and therapists to bring storycare to patients in the palliative-care, rehab and long-term-care units. Twice weekly, I head to the fourth floor to co-lead storytelling circles for the geriatric psychiatry patients.

Riding Out the Storm Read More »

A Stranger Comes to Town

21 Comments / Stories /

Syed M. Ahmed ~

Twenty-five years ago, having completed my family-medicine residency, I left Houston to start a two-year stint practicing in a remote village of fewer than 2,000 souls in the Appalachian Mountains of Ohio.

The day I arrived at my new workplace (a two-person practice in the only clinic for fifty miles), my new colleague Dr. Jones told me that she was leaving the next day on a two-week vacation.

Hearing this, I felt anxious, to say the least. I’d expected her to take time off, but so soon? Also, not only were this Appalachian town and its folks completely unknown to me, and vice-versa, but I was the first Asian physician to come to those parts.

A Stranger Comes to Town Read More »

Fear No Evil

11 Comments / Stories /

Scott Janssen ~

“You need to get here now!” The nurse whispers anxiously. It’s after midnight. One of our hospice patients has just died at home, and her husband is threatening to shoot himself when the funeral home shows up.

“Has the funeral home been called?” I ask.

“No.”

“Does he have a gun or weapon?”

“We’re out in the country. There are deer heads on the wall.”

I try not to stereotype, but deer heads are a giveaway. There are probably lots of guns.

Fear No Evil Read More »

© 2024 Pulse - Voices from the Heart of Medicine, Inc. All rights reserved.

Website Design & Development by New York Design Studio, LLC

Start typing and press enter to search

Scroll to Top

Subscribe to Pulse.

It's free.

Facebook Instagram Tiktok Bluesky
GIVE THE GIFT OF PULSEGiveTHE GIFT OF Pulse