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

How Will I Know You’re Not Dead?

Raymond Abbott

I never thought it would go on for so long–seeing Donald Wyatt, I mean. I certainly didn’t plan it this way.

More than six years ago, I retired at age sixty-six from my social-work job at a mental-health agency. Donald had been my client there for about eight years.

As I was cleaning out my office, his mother called. She explained how Donald’s father had left when Donald was not much more than an infant, which had made him sensitive to abandonment, especially by male figures. Could I, she wondered, meet Donald once in awhile for coffee or lunch?

“Yes,” I said, “I can do that.”

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Aperture

Martin Kohn

(for Helen)

This openness into
This brightness onto
This bodied and
dis-embodied
sunken-eyed
knowing

This close
and blinking
moment
This shutter stop
goodbye

Your round soft
shoulder pillowed
beneath a feeble
hug
The Lord
“not quite ready”
to take you
even though you
and Trixie your cat
had walked the dark path
to him again

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banana peel blum

Banana Peel

Alan Blum

About the artist: 

Alan Blum is a professor and Gerald Leon Wallace MD Endowed Chair in family medicine at the University of Alabama School of Medicine in Tuscaloosa. A self-taught artist, he has published three books of his sketches and stories of patients, and his artworks have appeared in more than a dozen medical journals and textbooks. He is a frequent guest speaker at medical schools in courses in the humanities.

About the artwork:

“Slip on a banana peelin’ —
They gave me these crutches.
Said I had to use ’em.
I don’t know why.
They’re dangerous things.”

Visuals editor:

Justin Sanders

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Surprise Ending

Ellen Kolton

“He’s just expired,” said the nurse as I approached Ray’s room in the large inner-city hospital where I work as a patient advocate. “And his wife has just arrived. Why don’t you go in?”

I found Natalie bent over Ray’s body. His hollow cheek was drenched with her tears.

“I’m so sor–“

“I told him yesterday to talk to Jesus,” Natalie interrupted, speaking quickly. “I told him if the two of them decided it was time for him to go, then it was okay with me. I guess they had their talk,” she said, glancing at Ray as though expecting an answer.

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My Father’s Girl

I’m walking very slowly with my dad down the produce aisle at the local supermarket, past the colorful waxed apples, Mexican mangoes and Rainier cherries, and imagining my life’s blood trickling onto the floor from an invisible wound.

As I pass by the misting system spraying the bins of green, red, yellow and orange peppers, past the lady reaching for carrots, past the stock guy balancing the heirloom tomatoes into a precarious stack, I want to scream. The sense of loss is overpowering.

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Broken Promise Giftos

Broken Promise

 

Jonathan Giftos

About the artist: 

“I work as a primary care doctor at a clinic in the South Bronx. I believe it is part of my job, as a doctor, to advocate for my patients’ health both inside the exam room and out on the streets. I have enjoyed taking photographs since I was a little kid. After a long hiatus, I reconnected with street photography in the fall of 2014 through the Bronx Documentary Center. I particularly enjoy using photography to highlight the strength and beauty of a borough more often known by outsiders for its poverty and struggles. And I continue to see photography as both a creative outlet and as a tool for social change. I have been collecting photos on a new website, jonathangiftos.com, where prints are available in exchange for a donation to the Bronx Documentary Center.”

About the artwork:

“This photo was taken while standing with South Bronx Unite in protest

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Chocolate Cake

Sanyu Janardan

I was a first-year medical student, starting my first afternoon at an outpatient clinic as part of an introductory course in clinical medicine. My white coat was freshly washed; I had a rainbow of pens in one coat pocket, and my shiny name tag dangled from the other. I only hoped that I was as prepared as I looked.

I entered Mrs. Carr’s room. A fifty-five-year-old woman, she sat gingerly at the edge of her chair, looking ready to get up at any moment, as if the appointment were already over. She gave me a cursory glance, then went back to folding and refolding the bus-ticket stub in her hands.

I asked a well-rehearsed question: “What brings you to our clinic?”

“Chocolate cake,” she answered.

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fence 2

Straight Enough

Kevin Olney / Scott Newport

About the contributor: 

Scott Newport, a volunteer with the Patient and Family Centered Care advisory council of C.S. Mott Children’s Hospital, in Ann Arbor, serves both in his state and nationally as an advocate for families with sick children. “My biggest passion is family mentoring, and I have a special interest in supporting dads. I always know I’ve made a connection when I get an email that reads, ‘Hey Scott, are you going to be up at the hospital this weekend?’ I believe that until we make a personal connection with a family, it’s almost impossible to have those important and often difficult discussions. Sometimes, though, it’s just talking about building fences.”

About the artwork:

“One Sunday last year I sat in a hospital room with a young guy named Kevin Olney as he struggled to deal with his daughter’s serious illness. A cowboy, he had traveled from out west to bring his daughter to

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