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A model or philosophy of primary care that is patient-centered, comprehensive, team-based, coordinated, accessible and focused on quality and safety. –Patient-Centered Primary Care Collaborative
It’s a philosophy
not a place.
I get it.
Certainly we never used that term
to describe what we offered
there in the broken heart of the city
I imagined something Victorian.
Perhaps I imagined a lecture hall filled with side-whiskered,
Sherlockian doctors, arguing case histories
like gentlemen playing chess with death–
or perhaps I imagined priests,
performing absolution at the bier.
underground conference room.
I was unsurprised at the bitter
coffee, the keening of the projector, the recalcitrant
bangs from the water pipes–
You are a big man, a little heavy, but nothing
that can’t be fixed by daily, brisk walks
or swept away by a
dose of cancer and a blast of treatment.
You have been called from your glass enclosure
to help me.
A productive, bronchial cough
is still with me–too long.
Chinese practitioners call this a lurking pathogen
tossing antibiotics into my weary kidneys
Priscilla Mainardi ~
Your skin pale with worry,
your mouth a straight line,
the fear in your eyes–
all this told me,
more than the nausea,
more than the fact that I couldn’t move my head,
that something was really wrong.
You thought I wouldn’t see.
I looked up at the ceiling,
at its pattern of dots,
white, and brighter white,
Jeanne LeVasseur ~
Even now, some eat strawberries in the sunshine,
some pace the deck in a strong salt breeze,
while for others, the music is winding down.
Always unfair–a few of us in lifeboats,
some sinking in the icy water,
others on a slanting deck about to go under.
We make salami sandwiches on rye,
smoke a cigarette after passionate love,
and wave goodbye to
Jan Jahner ~
They came up from the center of the earth, The People
where sky speaks to corn,
speaks to cottonwoods, to runoff in the wash.
Living beneath black-slashed canyon walls
home to sheep and weavers.
He is one of them, my patient
one of the ancients; leathery face carved and quiet
she is his daughter, fingers on the covers,
ready should he wake.
Judy Schaefer ~
How can I write a poem, nurse, in this pelted room? Nurse? Nurse!
Memory loss, southern pine–nurse, this is not a poem-writing-room
The floors ooze resin at your footsteps
Spanish moss, from every wall
Spongy trod of medical students
Surgery went well, anesthesia lifted
Cologne of betadine, a boarish root for a vein
at the same time each morning. I welcome
the lady of
Since a doctor gave me poison pills that left
my heart a swollen slug, killed off my bone marrow,
set my lungs to clamoring, I can get brain-freeze
without eating a snow cone. When I walk
my neighborhood’s knotted streets, lost drivers
stop to ask directions. After thirty years, I know
the pretzel-turns, but when they motor off, I wonder,
Did I say
Monday, 7:30 am, DR two. I’m circulating,
the nurse who isn’t sterile, the surgical team’s link
with the unclean world. Before the incision,
I have ten things to do. I keep the list in my head:
check suction, position lights, turn on Bovie, toe
the steel bucket next to the surgeon’s feet.
The scrub nurse and I do the count: sponges, needles, clamps.