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Latest Voices

Discovering Dependence

I am an independent woman, used to taking care of myself and others. But that self-image was dashed five years ago, when I fell and shattered my elbow.

I tried to gather my dropped purse and Chinese takeout but didn’t realize I couldn’t even gather my body until a stranger knelt beside me and said, “Let me stabilize your arm.The ambulance is on the way.”

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Tears of Fear

After a four-day bout of intense, immobilizing, lumbar back pain, associated with a fever of 103.4, my wife and I decided that going to the ER was indicated. Within a very few hours, I was in the ICU with a presumptive diagnosis of Staph septicemia (infection) and pneumonia. Faced with my falling oxygen saturation, the intensivist recommended intubation and thus, for the next five days, I was in an induced coma while he and the infectious disease physician battled to save my life.
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What If the “N of One” Is Me?

I am a 54-year old academic, family doctor. Last May, after the US Preventive Services Task Force issued a draft recommendation that physicians talk with patients about PSA (prostate-specific antigen) testing at age 55, I was updating my clerkship presentation about preventive screening. At the time, I was experiencing some palpitations (sensations of an abnormal heart beat), so I decided to check my TSH (thyroid stimulating hormone) and CBC (complete blood count).  

Not having checked my PSA since age 48 (it was 0.9 then), I decided, on a whim, to add a PSA to my blood tests. It came

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Unexpected Repercussions

 
As a female, I do not have to deal directly with prostate issues, but I did have to support my father through his own prostate challenge. In February of 1986, Dad’s surgeon said the words we all hoped to never hear: “You need prostate surgery before things deteriorate.”

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Firing My Doctor

 
I didn’t decide to “fire” my doctor on the spot.

During my last appointment with her, I’d filled Dr. Green in on the details of my mastectomy. I happily reported that the surgeon had declared me “cured”–the tumor’s margins were clear and my nodes were negative. Because I had large breasts and wanted to avoid wearing a heavy prosthesis, I’d had a reduction on my healthy breast at the same time. A routine biopsy of that tissue had showed dysplasia–abnormal cells. As a nurse, I’d researched this finding and found scant evidence that it would develop into cancer. My

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Losing Touch

I worry that in the future, doctors won’t touch patients. When I put my hand on the foot of a dying patient–and feel that it is still warm and offer measured encouragement–I am doing the work of this profession.

Telemedicine, on the other hand, is part of another world; I don’t wish it to go away, but that it coexist with the tactile, earthy, demanding, inconvenient reality of patients’ bodies.  

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Lessons from the Judge

 
My co-worker in the intensive care unit said, “Hey, that looks like Burl Ives,” as we came out of the change-of-shift report.
 
The charge nurse replied, “No, that’s Mr. Jones, a federal judge. Everybody’s scared of him.”
 
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Unconquer This Territory

 
When I was six, good Uncle Hyman’s shiny nose enticed me for reasons I now find obscure and incomprehensible. I scrubbed and scrubbed at my own nose to make it as polished as his. It stung a little. But I was pleased.

 
Until my nose scabbed over in one big sheet the next day. “What have you done?” my mom demanded, and laughed until she couldn’t breathe when I told her.

“All I wanted was a shiny nose,” I cried. She had to sit down because her giggles made her wheeze.

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A Mother’s Worry

How does a mother not worry when her son is a heroin addict? Yet, counterintuitively, it was letting go of my worry that allowed me to survive. 

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