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

Latest Voices

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Latest Voices

Night Blindness

Five o’clock a.m. is an almost holy time for overnight ER staff. An eerie calm blankets the air, and the promise of sunrise fuels us to finish the last two hours of another marathon shift. Medicated patients have drifted into a deep slumber, and the parade of stretchers from the ambulance bay has finally come to a halt.

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Not in My House

My husband walked upstairs holding his hunting rifle, and all I could say was, “Not in my house.” I took one look at that gun and was instantly transported back to that basement, fourteen years ago, when I thought at least one life was going to end.
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Work/Life

“We lock the door and shut the curtains, and, when its all clear, we line up in a special order and listen to what our teachers tell us.” –My kindergarten daughter, Zelia

They say work to live not live to work but how do you come home crushed by a forty-eight-hour shift on sixty minutes of broken sleep and kiss your babies and tell them it’s all going to be okay when their school is on lockdown due to a nearby shooting and the suspected gunman is still on the loose as you tend to a patient with

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Line of Fire

My patient was dying, and her son was angry. She was eighty-nine and buckling under the weight of septic shock. With his mother failing, her son had lost it. “You will regret letting her die!” he said as he lunged at me. He was intercepted but continued to stare me down. I tried to hold his gaze as softly as I could, willing him not to kill me.

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Pistol Pain

I grew up in a gun-free family and neighborhood. As a child of the 1950s and 1960s, I associated guns with the Westerns I saw at the movie theater or with the Lone Ranger, the hero of my favorite TV show.

Then guns intruded on my life–twice.

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To Sleep, Perchance to Die

 
The best advice I got during residency–in Los Angeles, land of freeways–came from a senior resident. “When you’re driving home on the freeway after being on call, always drive in a middle lane, so when you fall asleep, the lane bumps will wake you up as you start to drift. There aren’t any bumps on the sides.” That tip probably saved my life, and likely that of many other residents as well.
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Hidden Wounds

 
“Growing up in an abusive home completely changed my outlook on life. There’s no love inside the home, only fear. Eventually, the pain and fear became normal. You’re afraid of your parents but you’re also afraid of a world without them because they’re all you know. You’re anxious, depressed, even suicidal. You have no social skills. It’s a lonely world with no way to cope.”
 
That was the searing testimony of Wyatt, a thirty-year-old military veteran in my developmental psychology class. On the first night of class, he warned me that he might pace in the back of

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A Ruffled Mind


A ruffled mind makes a restless pillow. –Charlotte Bronte
 

A few years ago, after retiring from a long career as a psychologist, and when I was deep into an MFA program in writing, I wrote a poem exploring the reasons, past and present, for my intermittent, middle-of-the-night insomnia.

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Nobody Is Watching

 
We were first to the auditorium, as I figured we would be. As fourth-year medical students, we were each on a mission: to impress residents and program directors so that we might ultimately obtain what had once been an abstract and distant thought: a job as an orthopaedic surgery resident.
The conference wasn’t to start until 6 a.m., but we arrived early, maybe 5:30 or so. Residents trickled into the auditorium, each casting a judgmental gaze in our direction, while we squirmed in our chairs being choked by our collar and tie.
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