Exhaustion sets in by day’s end
when the old Pakistani woman
hobbles into my office.
Raccoon eyes underscore the pain
she feels in her left leg. More cavalier
than a Hippocratic disciple should be,
I pull up her djellaba* to expose
the dark, tumescent flesh of her calf
monogrammed by serpiginous veins.
I am too aggressive with the needles
that search for the