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 Real Me

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

“What are you?”

It’s impossible to count the number of times I’ve been asked this question, directly or indirectly.

When my family moved to Milwaukee from the South, I was twelve.

One day soon after, I was digging in my locker at Audubon Middle School when a girl named Tammy walked up to me.

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Breathless

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

I was a disaster in fourth grade—too chubby for my Girl Scout uniform, which gapped where it should not have gapped. I dragged my right foot, so I wore orthopedic shoes. My horn-rimmed glasses made me look like a sixtysomething church lady. My jet-black hair with five cowlicks had been partially tamed with a beauty-shop permanent. I was the last chosen for red rover and other recess favorites.

Ten-year-olds know when they are different from their peers. I didn’t want to be different and felt self-conscious. Then came the coup de grâce.

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Beyond the EMR

Squeak…Squeak…Squeak….

I stood against a wall in a narrow hallway to avoid blocking a meal cart passing through on its morning voyage. Inside this cart were a series of compartments, each containing a tray bearing a hospitalized patient’s breakfast. My attending physician stood beside me, inspecting a list of patients’ names as the cart rolled past.

Squeak…Squeak…Squeak….

“That’s a good case for a med student,” my attending declared, gesturing at a name on the paper. “Take this one.”

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September Third Year

Today a patient died. Jake was forty years old. When he came into the emergency room, Jake was dying of sepsis. I gave him some pain medication, and he just slipped away. I did try to save him. As his blood pressure dropped, I ran fluids and antibiotics. I put his head down to keep blood flowing to his brain. I ordered labs and an X-ray and an EKG.

I had taken care of Jake several times during his previous hospitalizations. He was sweet, but tired. He was blind from diabetes, and his irises were gray-white. I think he shut his eyes as he died, but I can’t quite remember.

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Letter From the Dead

Gross Anatomy class is a rite of passage, and has been so for a few hundred years. Generations of first-year medical students have spent months dissecting cadavers and painstakingly learning the intricacies of human anatomy.

I well remember my first day of class—the overpowering smell of formaldehyde and the unnerving sight of a roomful of twenty-five dead people lying supine, their faces and genitals covered, on metal tables.

Assigned by the alphabet, four students to a cadaver, my peers and I (Fabert, Ferris, Flamm and Fleming—my maiden name) stood gingerly next to our cadaver, careful not to get too close. We shifted uneasily. Touching our cadaver (a woman) for the first time, even with gloves on, was disquieting.

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Finding the Upside

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

Being different is often viewed as bad. At a young age, I learned that it meant you didn’t belong. I vividly remember watching the Sesame Street puppets dance and sing about an object that “didn’t belong” because it was “not like the others.”

Throughout my school years, I tried hard to fit in. Being overweight, and as uncoordinated as they come, I constantly felt out of place in my body and among my peers. I remember trying so hard to make people laugh, to win them over.

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Not Knowing

A few days after I’d rotated off the adolescent ward at the university hospital where I was a second-year pediatric resident, I stopped in at Billy’s room to see how he was doing. He was pale, with a few fresh bruises below the sleeves of his hospital gown, but his big brown eyes brightened when he saw me.

“Where’ve you been?” he asked.

“She had to go to work on another ward,” his mom said, rubbing his forearm gently. “I told you that, remember?”

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A Family History of X

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

When I was diagnosed with breast cancer, my doctor, Dr. Thompson, who looks like the comedian Norm MacDonald and tells smart-ass jokes and likes to draw stick-figure breasts on a whiteboard to show surgical options, asked, “Do you have a family history of breast cancer?”

He had already drawn a series of disembodied breasts before he asked this. The breasts were squared off, with Lego nipples—nothing Victoria’s Secret-ish, nothing human.

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Teddy

Before I started my cardiology fellowship, I was warned that the training, while rewarding, would also be tough, demanding and intense. That was true: Learning to read the four different cardiac-imaging modalities, trying to master the art of right-and left-heart catheterization, and juggling the cardiac-care unit, clinic and consults was arduous. Yet, for me, the most challenging part of my fellowship took place in the third month of my first year, when my geriatric pup of eleven years died.

Teddy had been an impulsive addition to my life, during the lowest point of my twenties. A chance visit to a shelter brought me face to face with a scruffy little black dog with crooked lower teeth, passed over by other would-be adopters.

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A Little Bit of Lagniappe

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

Throughout my pediatrics clerkship as a third-year medical student, I resisted the urge to say “sha.”

“Sha,” as in “Sha baby,” “Oh sha,” or “Come here, sha.” “Sha,” a term of endearment, an instinctive utterance at the sight of something cute—for example, all of my patients in the newborn nursery. “Sha,” a word from Acadiana, a word that only people from Acadiana use.

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Superpower

I sometimes tell my children that they have superpowers—usually when they’ve done something amazing, unique or powerful.

I’d like to think that I, too, have a superpower: I can move physical pain from a 9 to a 0, just with my thoughts.

I’ve been practicing this power—honing it—for more than twenty years now.

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What’s Left Unsaid

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

Standing with the rest of the medical team outside the hospital room of our first patient of the day, the attending physician nods impatiently at the resident to get started with morning rounds.

“Right, uh,” she fumbles, before finding her footing. “Philippe Dubois. Twelve-year-old boy with Duchenne muscular dystrophy. Here from Québec with his father for annual follow-up. No change in medications….”

As a first-year medical student, I’ve already watched enough medical dramas to know that this is how reports are given—in cold, clipped sentences that reduce people to patients, patients to diseases, diseases to signs and symptoms and stereotypes. Rich life stories lost in translation.

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