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

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

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The Fight of His Life

During the early months of the COVID pandemic, the Utah medical school where I teach asked me to facilitate a small group of first-year students in Layers of Medicine—a course that covers what you might call the “messy” side of medicine, including end-of-life discussions.

Just after the course started, my dad was diagnosed with pancreatic cancer. All at once, I felt my personal and professional responsibilities intersect, unexpectedly and powerfully.

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The Other Side of the Mask

I don’t know what it’s like on the other side of the mask.

Not the cloth mask, which I now wear every day, as habitually as my socks. I mean the plastic bipap mask, which provides the highest level of ventilation COVID patients can receive, short of intubation.

That mask.

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A Time to Mend

“After eighty-five years of life, I still don’t know what death is,” said Lonnie, as I sat beside her bed in the nursing home. “I just know it scares the heck out of me.”

Despite decades as a hospice social worker, I don’t know what death is either; but I’ve spent much time with patients exploring the question together.

“What scares you?” I asked.

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Command Performance

The reasons not to go to Mary’s wedding seemed overwhelming.

She was neither a family member nor even a close friend: She had, in fact, been my psychotherapy patient several years back. The very notion of attending her wedding raised the issue of professional boundaries: Wasn’t it inappropriate for me to see a patient outside of the office setting?

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The Wizard and I

He’s wearing a Yankees T-shirt, an EpiPen holstered to his belt like a lightsaber. We’re old friends. Trevor has been my patient for four years—more than half his life.

This will be our last visit: After forty years, I’m retiring.

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OCD: What It Takes and What It Gives

It started because of the news, or because the heat made me sweat, or because of neurotransmitters. Or my environment. Or nothing at all.

California was in a drought (as now), and in college I started to worry.

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Dear Worried Mother

I can’t stop thinking about you.

Last night, at about midnight, the phone aroused me from my happy slumber. It was Vance, the on-call resident, needing advice from me, as the supervising physician, on how to help a worried mother—you—who’d called our family health center’s after-hours service about your daughter’s worsening asthma.

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The Other Public-Health Emergency

It was March 2020, and COVID was coming. The virus hadn’t yet reached my small suburban community in Pennsylvania, but already businesses were waning, streets were emptying, clinics were closing. Fear was widespread.

A collective refrain sounded: “Shut it down”—the university, the restaurants and, most of all, the public schools.

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At Three O’Clock

Running to make my Tuesday biopsy appointment, I tripped, landing viciously on my hands and knees at the corner of Madison Avenue and 79th. Embarrassed, I was helped up by a gray-haired lady in her eighties. For an instant, I wondered if I’d get to be her age.

Walking into the clinic, I saw my husband, who’d insisted on meeting me there. My beige pants were slightly ripped and bloodstained, my knees tingling and smarting.

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