fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

Scarred

Joe Burns ~

“Did you have heart surgery?”

The shy seventeen-year-old girl’s question caught me completely off guard.

Her name was Sarah. Everything about her seemed perfectly organized–her long black braid falling ruler-straight between her shoulders, her folder with all of its documents sorted by date, her matching shoes and shirt, her entire wardrobe without a single wrinkle.

Her health was a bit less perfect. She’d been born with an atrial septal defect (ASD)–a hole in the wall separating the heart’s right and left chambers. Tomorrow she was to have an operation to repair the hole, so she’d come in today, accompanied by her parents and brother, to sign the presurgical consent forms.

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Beyond Reading: Pulse as a Pedagogical Tool

 
I have been connected to Pulse as a weekly reader and avid supporter since its inception ten years ago. In addition, as a medical educator, I consider Pulse to be a toolbox of pedagogical resources to help learners understand how stories, poems and visuals are additive to their education across the continuum of medical school, residency and continuing medical education.

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The Magic Touch

Betsy Willis ~

Many months have passed since the spring day when I was hit with the news from my yearly mammogram, but those typewritten words are forever etched in my memory: “The density appears greater in left breast.”

My doctor comforted me with statistics showing that mammograms aren’t 100 percent accurate–but she also lost no time in sending me to a surgeon, Dr. Prewitt. Upon meeting him, I immediately felt sure that I would be in good hands. He explained the procedure he’d use and answered my questions with clarity and a very welcome gentleness.

He too expressed doubt about the diagnosis, but said, “I’ll schedule you for a parking-lot appointment with the traveling MRI-guided breast-biopsy machine.” (I pictured a brain on wheels.)

“The biopsy is minimally invasive,” he explained, “and it can locate the suspicious area precisely and remove cells that we can use to make a clear diagnosis. Based on what we find, we’ll make a treatment plan.”

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Secrets and Suicides

I must disguise the truth.

Because of HIPAA.

I must hold these heavy truths within my small-framed body. Because of HIPAA, I can’t tell you the real reasons I’m so upset–the death tolls, the suicides, the real-life people who are my patients and the real tragedies that they suffer. I have to change the identifying facts about this person or these people to the point that they are unrecognizable. They are my secret, my deep, dark secret that can fester inside of me and cause me to feel terrible. Incapable of saving. Inadequate at what I do, because what I am expected to do is everything.

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Phlebotomist

Dianne Silvestri ~

The corridors seethe with nocturnal predators,
their voices low.

My door latch coughs, a figure hisses,
I’ve come to draw blood,

wrenches my arm like a lamb shank,
rasps it with alcohol, plunges her spike,

pops one after another color-coded
rubber-stoppered vial into the sheath,

unplugs each loaded one to add
to the crimson log pile weighting my thigh,

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A Tingling Sensation

Mitch Kaminski ~

It had been a hectic day in the urgent-care clinic of my large family practice, and I was starting to worry about the time: My last two patients had put me thirty minutes behind.

I felt relieved when I saw the note for the next patient: “Seventy-four-year-old female with UTI.”

A urinary-tract infection! This should be quick and uncomplicated….

I walked into the room to find a well-dressed older woman seated on the exam table. I had just enough time to wonder fleetingly, Why do some patients decide to wait on the exam table while others stay seated in the chair nearby? Then I turned my full attention to the woman before me.

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dobson flow

Art of Medicine

Jennifer L Dobson

About the artist:

Jennifer Dobson is a first-year medical student and abstract artist. She is passionate about the fusion of art and medicine and uses medicine and chemistry as an aid in creating interesting patterns and designs. Through her art, she is able to recognize medicine as a complex practice and a form of expression.

About the artwork:

“This piece was inspired by the flow and fluidity of medicine. Decisions in medicine are not always black and white, but instead require a mixing of various elements. Only from this type of chaos can the best answers emerge.”

Visuals editor:

Sara Kohrt

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Compassion: A Two-Way Street?

Carey Candrian ~

I am an assistant professor of health communication. Since 2008, as a volunteer, educator and researcher, I have been active in hospice care. As many people know, hospice teams (nurses, social workers, doctors, chaplains, volunteers) help dying patients and their families live as fully as possible during their remaining days together.

In November 2016, right before the presidential election, I started a project aimed at identifying the best practices in communicating about hospice to prospective hospice patients. The intent was to help them make an informed choice about whether or not to enroll.

For six months, I observed hospice nurses, patients and caregivers during prehospice consultations, and interviewed most of them.

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