Stories Archives - Page 40 of 58

Friday Before Christmas

Deborah Pierce

On the Friday before Christmas, I received an unusual gift.

Like any job, being a primary-care physician has both challenges and rewards. The challenges are many, and the rewards are often fleeting–a smile or a “thank you” from a patient or coworker, for instance. And I’ve found that being a teacher of medical students and residents brings an additional layer of rewards and challenges.

One Friday before Christmas, these arrived in an especially potent mix.

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Chemo or Lourdes? Welcome to Cancerland

14 Comments / Stories / Michael Carbine

Michael Carbine

Dr. Peterson, the radiation oncologist, gets right to the point.

“The medical center’s tumor board has concluded that your cancer is inoperable, incurable and untreatable,” he says flatly. “Any chemotherapy or radiation treatments would be palliative in nature.”

He begins explaining the reasons behind the board’s verdict, but everything he’s saying washes out. My mind stopped working as soon as I heard the words “incurable” and “palliative.” I am sliding into shock.

Dr. Peterson pauses.

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The Case of the Lima Bean

7 Comments / Stories / Matthew Webb

Matthew Webb

“Matthew, go see this lady about her breast mass,” says my attending physician at the clinic where, as a third-year medical student, I’m doing a family-medicine rotation.

Okay, I think. I’ve done my ob/gyn rotation; breast masses are no big deal.

I don my short white coat, freshly baked from sitting in the back of my car as I drove to work on this oppressively hot morning. As I sling the stethoscope around my neck, I feel my inner voice (my constant companion amid the stresses of medical school) gearing up, ready to offer insights, questions, distractions….

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Two Timelines

47 Comments / Stories / Debi Santini

Timeline One

Day 1: For over thirty-five years my strong, spirited spouse, Carlo, served around the world in the Air Force. Now retired from the military, he still serves at the air base as a civilian security police officer.

His neck hurts. A lot. He blames the pain on the unbalanced weight of the bulletproof vest that Uncle Sam added last year to the uniform he proudly wears every day.

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Exam-Room Follies

14 Comments / Stories / Anne Whetzel

Anne Whetzel

Pamela sits on the examining-room stool, looking at me expectantly.

I am in my first year of medical school. I do as I’ve been told to do in Medical Skills class: I observe my patient–without judgment or assumptions–and try to figure out what questions to ask, based on the information I am given.

Pamela has curly, strawberry-blonde hair and looks to be thirty, just a few years older than me. Her infant son lies in a carrier beside her.

Dr. Clark, whom I’m shadowing, has just given Pamela osteopathic manipulative therapy for her chronic headaches. Now the doctor is treating Pamela’s older son, age seven, for back pain; he fell off the school jungle gym a few days ago.

All three patients–mother, son and infant–are wearing red: a red tank-top on the mom, a red t-shirt for the son and a red blanket for the baby.

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Mrs. Finch and Ms. Virginia

2 Comments / Stories / Evan Heald

Evan Heald

A Different View

Most days, Mrs. Finch’s perspective was outrageously optimistic and embarrassingly complimentary. Although she had the typical assortment of nonagenarian maladies, she would not let that define her; whenever she visited my office, it was hard to get to a chief complaint because of her relentless focus on how nicely the parking lot had been graveled, or “what a sweet, sweet nurse you have,” or my partner’s haircut or the “clever, clever little hooks” holding the geraniums at the entry.

Never mind the treasure trove of doubled superlatives she saved for me, her physician.

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Dance in Three Movements

3 Comments / Stories / Anna Schmidt

Anna Schmidt

Reprieve

Once the weeks of morning sickness subside, I feel as if I’ve grown wings.

Even with the fatigue, it’s as though someone has pressed a great “reset” button on years of inflammation. That elbow joint that hasn’t straightened fully for years suddenly rediscovers its full range of motion. My knees, too, become straighter and stronger than they’ve been in many years.

Even without the meds, ditched in honor of my growing baby’s health, it is my best and most dramatic remission since my teen years–the last time my hormones went to town.

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One Last Gift

11 Comments / Stories / Edward Beal

Edward Beal

During most of my career as a psychiatrist, I haven’t often dealt directly with death. For the past five years, though, I have had the privilege of spending two days a week treating service men and women returning from deployments in Afghanistan and Iraq. Listening to their stories and talking with them about their war experiences, I’ve spent much more time thinking about death and dying.

Despite this, I was shocked when my wife recently told me she was planning to donate her body to science–specifically, to the Georgetown University Medical Center’s anatomical donors program.

My first thought was that she obviously has never been a first-year medical student in a Gross Anatomy lab. My next impulse was to warn her of her mistake.

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Busting Grandma Out

3 Comments / Stories / S.E. Street

S.E. Street

I had been in London on business all of seven hours when my son, Tom, called me at two in the morning from our hometown, Sydney, Australia.

“Grandma’s had a fall. She’s been taken to the hospital, but she’s all right.”

My mother’s having a fall was nothing unusual; she had always been an unpredictable fainter. My husband and children and I called it her party trick, making light of it to soothe her embarrassment.

She had no recollection of these episodes; one minute she’d be seated at the table, and the next, she’d be lying on her back on the floor, her feet propped up on a chair, with the family smiling down at her as if she were Sleeping Beauty awakening from years of slumber.

We are a medical and nursing family–I’m a retired nurse, and my husband, brother and sister-in-law are doctors–and we’d long since had her undergo exhaustive tests to check for serious underlying conditions. The tests had revealed nothing other than a slow heart rate and an occasional drop in blood pressure.

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A Doctor’s Dilemma

12 Comments / Stories / Jessica Zitter

Jessica Zitter

It was my first day at my new job, practicing a new specialty. Having spent fourteen years as an ICU physician–including a four-year pulmonary/critical-care fellowship in this very hospital–I had just completed a palliative-care fellowship. Now I was the hospital’s palliative-care consult attending.

When I set eyes on the patient in room 1407, my first thought was: THIS LADY NEEDS TO BE INTUBATED–STAT!

The only trouble was that my job was to ease this patient’s passing, not to prolong her life.

The team had told me that Mrs. Zelnick, an eighty-two-year-old widow, was dying from pneumonia and didn’t want to be put on life support.

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Rewriting the Script

15 Comments / Stories / Adam Weiner

Adam B. Weiner

Useless….

The word came unbidden into my head.

Oh, no. Here I was, only a few questions into Mr. Marlow’s medical history, and the feeling had begun already.

I’d often experienced this when I was a pre-med student, spending so much time on labs and textbooks instead of with patients. When I’d begun my first year as a medical student, I’d hoped to leave all that behind. Medical school felt energizing: I was ready to see real patients and start helping them!

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