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Just This Once

Majid Khan

It’s a rainy Thursday evening in our small inner-city practice. Today is the receptionist’s birthday, and I’ve been cordially invited to attend a small party prepared by her coworkers.

As I descend the green carpeted steps to the lounge, my aching muscles remind me about the torture session (otherwise known as “boxercise”) that I attended last night in my ongoing effort to get fit and control my weight. I still feel slightly resentful of Robert, the trainer; when he caught me slacking off during sit-ups, he embarrassed me in front of the class by making me repeat them.

Good job I didn’t tell him about those two

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Genuine Touch

Jonathan Gotfried

I was a medical student doing my fourth-year rotation on the oncology floor. The floor offered many new sights, and from the first, I was struck by the two mammoth massage chairs sitting in a corner at the end of the longest corridor. 

Their exaggerated curves were plastered with jet-black faux leather adorned with stitching details. Long, smooth armrests of oak jutted out on either side. The remote control was a virtual supercomputer offering thousands of programs designed to enhance one’s massaging pleasure–kneading, fast, pressure, heat, full-body massage. On either side of the plush headrest, strategically placed speakers would play soft classical music, drowning out the low hum of

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Medicine Land Celebrates a Birthday

Paul Gross

The first real patient of my medical career was a 60-year-old man in the surgical intensive care unit. I met him on the first day of the third year of medical school, when students join teams of doctors doing inpatient medicine.

The surgical team met at 7:00 am–a ludicrously early hour, I thought. There were nearly ten of us–four students, a couple of interns and senior residents and a chief resident.

As the team gathered around the patient’s bed, we students hung back, looking at the form before us. A pale, fleshy foot poked out from under his hospital gown. The room smelled funny.

The patient was comatose. Had he been awake and alert, he might not have been heartened by our team’s

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One Hundred Wiser

Anne K. Merritt

I gather my belongings: stained white coat, stethoscope, pen light, black ballpoint. I stuff the last two granola bars into my canvas bag. I glance at the clock on the microwave, which is three minutes fast. 

Twenty-two minutes until my shift begins. One minute before I will lock the door to my apartment. 

Precision is critical: ER shifts change fast and blend together, from late nights to early mornings to mid-afternoons. Suns set and rise, moons disappear then burst again into full spheres of light. But the rhythm remains fixed. 

I gulp the last ounces of water and grab my keys just as the clock digits change. 

Last week, I reached and surpassed my hundredth shift as a resident physician in the

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An Apology

Jordan Grumet

I’m sorry, Mrs. Lewis, for not making it to the hospital to see you yesterday….

Yesterday was one of those days when I felt like I could never catch up. My wife was going downtown for work, and we had to get up early. While she prepared, I helped my two-year-old son get dressed. We walked my wife to the train, then waited for the nanny. She was running late: I finally made it out of the house by 7:20, ten minutes before a meeting at the office. Since I didn’t have any patients in the hospital–or so I thought–I could go directly.

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Recovery Room

Warren Holleman

We’re sitting in a circle: seven women and me. Most are in their thirties and forties, and in their second, third or fourth month of sobriety. They look professional in the suits they’ve assembled from the donations closet of our inner-city recovery center.

I start things off by reminding everyone that this is the last day of the group. The last hour, in fact.

All eyes turn to Dorothy.

Dorothy is a proud woman, tall and tough and strong. And a former track and field star, although now she’s wheelchair-bound.

She speaks in a deep, husky, monotone punctuated occasionally by dramatic earthquakes–otherwise known as spastic tremors. But in all this time, she’s avoided talking about herself, fueling the suspicion that she’s hiding something

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A Skeptic Stands Corrected

Kyna Rubin

I’m prostrate in a Fujian hospital bed. It’s 1980 China, where I’m on a job interpreting for National Geographic–my first gig after graduate school. Fourteen-hour workdays have worn me down, and I’ve contracted bronchitis.

The clinic doctors are required to treat me with both Western and Chinese medicine, which explains the daily shots of tetracycline in my now bruised thigh and the grainy little brown pills I gamely down with boiled water.

“What’s in them?” I ask.

I think I hear something about deer’s antlers and bear sperm, and I don’t want to know much more. But I recover.

Was it the modern or the traditional treatment that

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Losing My Vision

Sheila Solomon Klass

Sunday, September 26 of this past year began normally enough. I did what I do every day, first thing: I put on my glasses and tested my vision. I’m eighty-three years old, and although I’ve always been nearsighted and have lived with glaucoma for thirty years, I’ve developed a worse complaint: AMD, age-related macular degeneration, in my left eye. 

My ophthalmologist diagnosed the AMD after I told him that, when I was reading, the print seemed faded and straight lines looked bent. I learned that AMD eats away at the macula, the central part of the retina, gradually destroying your ability to read, to watch television, even to recognize familiar faces. Today my left eye sees shapes and colors but no details;

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The House Always Wins

Rashmi Kaura

Death. A five-letter word. The inevitable conclusion to our accomplishments, dreams, emotions and essence. Feared and ignored by the well, acknowledged and perhaps even welcomed by the ailing.

As physicians we are constantly gambling against this inevitability, playing the odds with our arsenal of diagnostics and therapeutics. Even when the odds against us grow longer, we forge ahead, bidding to prolong life through technology and wonder drugs.

Many times, staring into the tired, tortured eyes of a frail and debilitated patient while preparing to subject him or her to painful tests and treatments with a stroke of my pen, I wonder, Why do I insist on playing this game when the house is likely to win? Isn’t the whole point of gambling knowing when

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