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Stardust
Audrey Cortez
Years ago I worked as a registered nurse in a busy surgical pre-admission clinic, preparing patients who’d been scheduled for surgery for the upcoming operation and hospital experience.
My workdays were packed with back-to-back, hour-long appointments. Whatever surgery the patient was facing–oral, orthopedic or anything else–every interview followed the same format. I would greet the patient, who’d often bring along a family member, and quickly escort them both into my small office, seating them in the stiff, outdated plastic chairs facing my desk. On the way, trying to save time, I would explain that as part of the pre-admission process I’d need to do a health interview and a physical assessment, get an accurate list of the patient’s medications, labs, X-rays,
A Reason to Stay
Ashish Massey
“Aren’t those decorations looking nice?” asks a soft voice beside me.
Startled, I turn to find a young woman wearing a red-and-white sari. Her head and face are swathed in the folds of the sari, leaving only the large red bindi on her forehead clearly visible.
We’re sitting on a grassy tuft amid a large campus green. All about us stand buildings with signs in both Hindi and English. Atop the central building waves an Indian flag, around which workers are hanging colorful garlands, tassels and lights.
“It looks very nice. What is it for?” I reply in Hindi, feeling that my accent must betray my American upbringing.
I am a fourth-year medical student. Two days ago
The First Cut
Ralph B. Freidin
“Just cut through,” said Dr. Trotter, my anatomy professor.
I had read the instructions in her 1947 dissecting manual. My copy, purchased used, was preserved by stale formaldehyde and smudged with the tissues of past cadavers who’d guided earlier first-year medical students from anatomical landmark to anatomical landmark within the human body.
The time: forty-six years ago. The day: my first day of medical school.
The dissecting room was on the second floor of a building that had been new in 1927. The windows, opened to capacity, vainly invited in any breeze from the still St. Louis fall afternoon. The cinnamon aroma of dry sycamore leaves floated from the sidewalk to the windowsill before being repelled by the pungent embalming chemicals permeating
Florence
Ben White
When I first met Florence in the ER, she’d already been dying for some time.
I was a third-year medical student doing my internal-medicine clerkship. Florence was a soft-spoken, tired woman in her sixties. To her, I was yet another face asking all the same questions, but she didn’t mind telling her story again–although she did stop in the middle to tell me, “You have beautiful eyes.” I paused to smile, then continued taking my history.
Florence was very overweight, diabetic, a mother to children who were somewhere far away, and a wife to a quiet, slender man with bags under his eyes. She and her husband
Lost and Found
Julie Evans
When Mom died of alcohol poisoning on her sixtieth birthday, I was seventeen and then I didn’t have a mom anymore.
My heart was crushed, but there was no time to grieve, because my dad was dying. A man in his late fifties, he’d battled emphysema, a brain aneurysm, colon cancer and then bone-marrow cancer.
Over the following months, and after starting my first year at the University of Minnesota, in Minneapolis, I’d pace the halls of St. Mary’s Hospital as Dad met with the doctors or had his lungs suctioned out. With no health insurance, and no hope of improvement, he was eventually moved to a
Note to My Patient
You might be surprised to know that I’m lying here in bed still thinking of you two weeks after you’ve died.
During the month that I watched you die, I often wondered what it felt like to be you, with your deep, husky voice, rounded belly and stubborn anger. You’d once owned your own mechanic shop; now you were sitting here in a hospital bed, staring up at the medical team as we whirled in and out of your room. Staring up at me as I drew blood from your central line each morning.
Nineteen Steps
Tuesday morning, eight o’clock, and I have seven things to do. Check vitals, change a dressing, get a patient out of bed, send another to the operating room. Review lab results, give medications, start a blood transfusion.
I have six patients, and they have an average of five morning medications each. I make three trips to the med room for supplies, two trips to the pantry for fresh water.
I Promise: A Mother’s Response to the Newtown Shooting
Tamar Rubinstein
Editor’s Note: One week ago, a deeply troubled young man carrying a semiautomatic assault rifle and two pistols broke into a Newtown, Connecticut, elementary school and shot 26 people to death before killing himself.
Twenty of the victims were six- and seven-year-old children.
Missing Piece
Ray Bingham
I entered the hospital by a back door. It was evening. As I walked down the quiet corridors, their cinder-block walls, green paint, tiled floors and soft fluorescent lighting granted me a superficial sense of familiarity: I’d walked these halls countless times over the last five years.
Now, however, I also felt a bit apprehensive. I was not supposed to be here.
Two weeks before, I’d been laid off. It had been the second round of staffing cuts in six months–due, the administrators said, to declining revenues. They made this claim despite the continued high numbers of patients in my unit, the newborn intensive-care unit, or NICU.