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Stories

Be Lucky

Kenneth Zeitler

In 1996, visiting a mall during an out-of-town trip, I suddenly felt dizzy while descending on the escalator. The sensation rapidly resolved, but to be on the safe side, I went to a local emergency room. My evaluation included a CT scan of my head; the results, I was told, were “normal.”

Shortly after returning home I received another call. The CT results were not normal, and I should see a neurologist to have an MRI scan.

I panicked, as anyone would, but I had more reason than most: I’m a medical oncologist. I knew the implications of this news, and they were mostly quite dire.

The MRI revealed a brain tumor, likely “low grade.” I found this a bit reassuring–but still, it was a tumor in my head! And its specific nature was unclear.

I felt tremendous sadness and fear for my family and for all that I would miss. I was only forty-six. My son was to enter Northwestern University in the fall, and my daughter was a junior in high school; their lives were just beginning. My wife would be a young widow.

After consulting with my physicians, I decided on watchful waiting, with monthly » Continue Reading.

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Supersize Me

Edward Thompson

Donald is large. Very large.

At more than 600 pounds, he is a mountain of flesh with a small opening at the top through which he speaks.

“My stomach hurts,” he says, his voice surprisingly high and childlike.

It is 10:00 pm in the emergency room, and I am already swamped with patients I’m trying to move through the ER before my shift is over.

Asked if he’s ever felt this kind of pain before, Donald says, “No, never. At least, not like this.”

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Imagine

Linda Koebner 

“Her vitals are fine,” the nurse told Besarta’s mother during a rare visit to the family’s basement apartment in the Bronx.

Besarta’s mind is also fine–sharp and clear. She asked me to use her real name in this story.

Her twenty-five-year-old face is beautiful and flawless, despite the howls of frustration, rage and pain she directs at her family, at fate and especially at Friedreich’s ataxia, the disease that controls her.

When I come for our weekly visit, Besarta’s blue-green eyes smile at me from where she sits in her wheelchair. Then her head suddenly wobbles sideways. Her face smashes against the chair’s headrest–first the right side, then the left.

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After the Flood: Remembering Sandy

Lois Isaksen

Oct. 29, 2012

We’d just received word: within hours, Hurricane Sandy would hit New York City. As an emergency-medicine resident at NYU/Bellevue Hospital Center, I was working as fast as I could–examining patients, suturing wounds, setting bones, running families to the hospital pharmacy before it closed.

The lights flickered once, but I did not take it as the omen it was.

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Checking Boxes

Regina Harrell

I am a primary-care doctor who makes house calls in and around Tuscaloosa, Alabama. Most of my visits are in neighborhoods, but today my rounds start at a house located down a dirt road a few miles outside of town.

Gingerly, I cross the front walk; Mrs. Edgars told me that she killed a rattlesnake in her flowerbed last year.

She is at the door, expecting my visit. Mr. Edgars sits on the couch, unable to recall that I am his doctor, or even that I am a doctor, but happy to see me nonetheless.

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A Different Kind of Miracle

Anita Fry

Once upon a time, I was a newspaper journalist: I chased down sources and sweated over deadlines. Then, in mid-career, I switched to doing marketing and communications for a regional healthcare system. This consisted of a large hospital and many outpatient clinics, including a community cancer center.

Because I handled communications work for the cancer center, I also had a seat on the Cancer Committee–an oversight group of oncologists, pathologists, nurses and other specialists, who met quarterly.

I found these gatherings a bit intimidating. My fellow members were welcoming, but they spoke almost entirely in acronyms and medical jargon–“OCNs,” “PET/CTs,” “staging,” “linear accelerators.”

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One Last Sale

Judith Reichtein

“Did you sell the business yet?”

I marvel at my patient Jack: despite his breathlessness, he’s somehow managed to greet his wife Sara with a complete sentence. Given his condition, it’s truly amazing. 

Most of his lung function has been devastated by his forty-year, pack-a-day smoking habit; the rest has been demolished by cancer. The easy, automatic breathing he once took for granted is just a memory. He can’t even lie down without feeling like he’s suffocating. Propped up on pillows in his hospital bed, he struggles for every breath–pulling it in, forcing it out–his brow creased in a perpetual frown of concentration. 

Sara and Jack have been married for thirty-five years, since before he took over his father’s small shoe concession and turned it into a thriving business. 

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Shattered

Kristina X. Duan

It was a Monday morning in Chengdu, the capital city of China’s Sichuan province. I was a premedical student who had traveled here from the U.S. to do a six-week summer term abroad at People’s Hospital, one of Chengdu’s largest cancer centers.

As the child of Chinese-born parents, I’d always felt a special fascination for my parents’ strange, captivating homeland. In college, I seized the first opportunity to pursue medical studies in China alongside native students. I’d found myself immersed in a healthcare system that was fragmented, corrupt and riddled with problems stemming from overpopulation and limited resources. 

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Saving My Appendix

Andrew T. Gray

The doctor was adamant. “This is America, not Sweden,” he told me. “We operate.” 

How did this happen to me? I wondered, looking at him across the ER exam room. How could I, a healthcare provider, not have insurance? 

I had woken up that morning with a mildly upset stomach. Nonetheless, I’d gone to my job (begun only six weeks earlier) as a physician assistant at a Beverly Hills HIV clinic. I’d seen patients until lunchtime, then attended a research meeting. The subject was a study of irritable bowel syndrome. 

“I need to be in this study,” I joked to a coworker. “My IBS is acting up.” 

I don’t have IBS, but I was indeed having crampy stomach pain. I continued to see patients until 3 pm, when the pain became steady: on a ten-point scale, I gave it a six. I left work early.

As I exited the building, my first thought was Freedom! I can get home early, relax, maybe take a nap…

Crawling into bed, however, I realized that my pain had coalesced in the right lower quadrant of my abdomen. Could it be appendicitis? 

Panic flooded me. After six weeks at my new job, I now qualified

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A Second Chance

Mitch Kaminski

My patient Maria sits before me, looking vaguely distressed.

She’s returned for a follow-up visit, six weeks after our first. The morning is half over, and I’m clipping along, staying on time, using the new electronic medical record system (EMR) without a glitch and with a sense of satisfaction. Three months back, when I joined this small-town practice as part of my new position as a health-system medical director, I found the EMR challenging, so I’m pleased that I’ve finally mastered it.

Maria’s face looks familiar–pretty, but with a worried look that matches her hastily applied makeup. 

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In Sickness and in Health

Larry Zaroff

Four months after having a knee replacement, I stumbled into the bathroom at three AM, not fully awake, hoping to urinate.

Losing my balance, I fell. The result was a compound fracture of my left leg–the one with the prosthetic knee. 

Gazing at my shiny white kneecap, I lost all logic, all control. I simply cried. 

At eighty, I was unprepared for this unexpected anatomy lesson: my twenty-nine years as a surgeon had simply not prepared me for viewing the inside of my own knee. 

It felt like my life was over. 

Fortunately my wife, Carolyn, a painter, four years younger than I, and without any orthopedic experience, took one look, said little, but acted.

She wrapped my naked bones in a clean towel and drove me to the emergency room. I had urgent surgery, with removal of the prosthesis, followed by a post-op period with no internal knee, organic or inorganic. Thus began my one-legged life, and what I now think of as Carolyn’s pre-widowhood.

After my discharge, because of the contaminated wound, I began four weeks of at-home intravenous antibiotics, then two weeks’ waiting to be certain there was no residual infection before I could be

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Bitter Medicine

Karen Libertoff Harrington

As a medical educator in a hospital setting, I often tell first-year medical students about disparities in health care and about the vastly different quality of care that hospitals deliver, depending on their resources. 

I tell my students how important it is to advocate for patients, to learn to navigate the healthcare system and to work respectfully with health professionals in order to get optimal care for your patients.

When my own son was hospitalized, I had an opportunity to put my teachings into practice, and found them wanting.

It was a Thursday evening in early spring, the first hint of green emerging on the lawn of my suburban Connecticut home. 

My son David called from Manhattan to say that he had a job interview the next day; he was going for a run before settling down to prepare. 

I sat on the deck, taking in the twilight and feeling hopeful about the future.

Five hours later, my husband Leo and I were hurrying to a Manhattan emergency room. The police had found David beaten and bleeding in Riverside Park. The park had seen more gang activity lately, and

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