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

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

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He Said They Move Too Slowly

The ER doc said the trains here
Go too slow
For anybody to kill themselves
By stepping out
In front of one
As if they were sleepy little engines
Without much power
That drifted ghost-like through town
Quietly at night

Pulling freight cars full of pillows
And soft dreams, cat breath,
Moonlight, the shadows of flowers,
And what-ifs
By stepping out in front of a whisper
Or a thought so transitory that it
Would not register in a cloud chamber
How could one die after all
In a collision with cotton candy
They move too slowly he said
Dismissing the threat
And the patient,
And she felt shamed
Despite her knowing
It wasn’t true
It wasn’t true
It’s not true
The trains thunder through
The night shaking houses
As glassware shivers
And picture frames
Worry and tilt and the
Night parts before the engine
Before its bright light
And the blast of
Its mournful horn
And how small she was
Caught in that light
Just before impact
Knocking the ghost
Right out of her
Her spirit mingling
With the shriek of the
Useless brakes
Trailing off into the night

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Pulse Writing Contest

"On Being Different"

Joseph Bocchicchio worked in crisis intervention/suicide prevention in community mental-health settings for twenty-four years before retiring. His story “Passing Through” appeared in The Healer’s Burden: Stories and Poems of Professional Grief  (University of Iowa Carver College of Medicine, 2020) and was nominated for a Pushcart Prize by the publisher. He now works as a museum educator in Boston, where he lives with his wife, Victoria.

About the Poem

“The poem was inspired by one of my clients, who had presented at the ER with suicidal ideation with a plan to step in front of a freight train. The physician was dismissive of his report and released him. Although the patient did not attempt upon release, his experience was not unlike that of others who did in fact complete suicide by stepping in front of a train at a spot where there had been multiple completions over the years.”

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