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

No Chill Pill?

They have pills for everything it seems, but not a chill pill.

When I was young, I would often look up to see my mother’s concerned face outlined in the kitchen window, knocking, beckoning me into the house. “Quickly,” she’d say, leading me to the sink where she immersed my wrists into cold water, while draping a wet hand towel over the back of my neck. This was a normal occurrence for me: getting overheated, face red, white around my lips. “Sit in front of the fan,” my mother would say, as the headache started.

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My Story, Not Yours

I entered her room and introduced myself in the usual fashion. Jennie and Mike welcomed my visit. I explained that I wrote “patient stories” at the hospital and asked if they would enjoy telling me about themselves. They readily agreed.

Mike explained that Jennie’s vital organs were shutting down. Together they agreed to hospice care for her that morning.

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Mistaken Identity

The rooms on the observation unit are small, so as I rounded with my team, we were forced to encircle the patient’s bed to fit in the space. I, her attending physician, stood at the right side of the head of the bed as one resident, two interns, and three medical students took their places around the bed. She looked at our group and asked who was present. Before I could introduce each team member, she looked at me in my long white coat and attending physician ID badge and remarked, “Clearly, you’re my nurse.” 

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Going in Peace

All too often in my forty years of practicing medicine, I’ve seen patients die hard, lonely deaths—lying on a stretcher under the emergency department’s glaring lights, or all alone in an ICU bed.

In extreme situations, the patient is covered in medical equipment: a breathing tube in the mouth, defibrillator pads on the chest, monitor leads on the torso, IV lines dangling from the neck and arms. When family members finally enter the room, it’s heart-wrenching to see them weep over their loved one, to whom they never got to say goodbye.

But it doesn’t always happen this way.

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Popping the Question

Last week it happened again. It starts with a hesitant smile, a subtle pause, eyes looking me up and down, and a gaze that tentatively rests at my stomach. I sense what is about to occur, and I wait like the proverbial deer in the headlights. Then comes the timid question: “Are you expecting?”

I pause awkwardly and briefly contemplate my response. Because my patient is inquiring out of love and genuine curiosity, I tamp down my sarcasm and mumble, “It’s my pants style.” The patient lowers their eyes and murmurs something apologetic.

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Unmasking the Problem

In the spring of 2021, as a third-year medical student in the midst of the pandemic, I worked on a research thesis while continuing to build my clinical skills. Every other week, I would visit the endocrinology clinic and see patients with my research mentor.

It was a day like any other at the clinic. Wearing the usual blue surgical face mask, I knocked on the exam-room door, and asked permission to enter. After sanitizing my hands, I began my introductory spiel while heading to the computer. Sitting down, I glanced at my patient, Jim—a man in his fifties, sitting across from me.

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