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

Choosing to Believe

“We got into a fight last night,” Maria said, more to herself than to me, her fingers tracing invisible patterns on her jeans.

“About what?” I asked.

“I told Louis, ‘God doesn’t exist—because if God did exist, why would this be happening to you?’ ” she answered.

She stood and started pacing the hospital room where her son, fifteen, had spent the past two weeks.

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My Happy Place

Now seventy, I still remember the moment I walked into an exam room, in my thirties, prepared to help someone, and suddenly realized that this was my happy place. To greet someone, close the door, sometimes shake hands, then sit down on my rolling stool and share my brain and heart to solve some puzzle, using science and art, whether listening, touching, teaching or questioning. Very grateful to be accepted and needed, and learning from everyone.

Lisa Ramey
Peterborough, New Hampshire

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Learning Spanish

My preceptor sent me into a patient room, telling me, “When you come out, I want you to tell me what country the patient is from.” I had just begun my family medicine rotation with Dr. Alberto Rodriguez in his practice in Hartford, Connecticut.

As a middle school student, I’d chosen Spanish as a second language from a purely practical standpoint: in the U.S., I was pretty sure I’d be more likely to encounter a Spanish-speaking person than a French-speaking person. Over time, I became passionate about continuing to improve my Spanish conversational ability.

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An Unwelcoming Room

I’m not sure which is worse: a physician’s exam room or a dentist’s office. An exam room is eerie in its silence, while the demonic whine of a dental office drill sends a shiver down my spine. But ultimately it may be the exam room, despite its potential to diagnose whatever diseases may be attacking my body, that scares me more. Its instruments evoke pain, its sterility the nothingness of death.

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Unraveling

A certain patient and I had always enjoyed an easy rapport at his annual exams and occasional acute care appointments.

Then one morning he presented with an itchy skin rash. The skin findings were minimal; he had tried over-the-counter creams to no avail. I prescribed a more potent topical medication, and he left satisfied. Two weeks later he called again, this time asking for an urgent visit. The rash had spread and the itch was keeping him up at night. He sent photos via the portal, but their blurriness made them difficult to decipher.

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September More Voices: The Exam Room

Dear readers,

When I think of an exam room, I picture the spaces I worked in during my thirty-three years as a family doctor. I picture walking into a cramped room whose stark surfaces and bare walls offered little warmth or hint of comfort. I imagine the major piece of furniture, an exam table, covered with a white paper that audibly crinkles at the slightest touch.

I picture the guest of honor, my patient–who surely does not feel like a guest of honor in these surroundings. They’ve been waiting for ten, twenty or thirty minutes–and sometimes longer–for my knock and my entrance.

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Tears Aren’t Always Bad News

I have chest pain again. Chest pain and dizziness and shortness of breath. So I am in the ER for the dozenth time over the past few years.

And because no one ever knows what’s going on (because I’m a woman of a certain age and all the tests are negative), we all assume it’s just one of those things. It will go away. Or it won’t.

“But don’t hesitate to come in when you have the symptoms again.”

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