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.
I have seen tribesmen in the West African country of Mali meet each other on a narrow dirt path and stop to spend several minutes chanting highly scripted greetings. When they part, shortly afterwards, there is an equally elaborate farewell.
Betsy Willis ~
Many months have passed since the spring day when I was hit with the news from my yearly mammogram, but those typewritten words are forever etched in my memory: “The density appears greater in left breast.”
My doctor comforted me with statistics showing that mammograms aren’t 100 percent accurate–but she also lost no time in sending me to a surgeon, Dr. Prewitt. Upon meeting him, I immediately felt sure that I would be in good hands. He explained the procedure he’d use and answered my questions with clarity and a very welcome gentleness.
He too expressed doubt about the diagnosis, but said, “I’ll schedule you for a parking-lot appointment with the traveling MRI-guided breast-biopsy machine.” (I pictured a brain
Dianne Silvestri ~
The corridors seethe with nocturnal predators,
their voices low.
My door latch coughs, a figure hisses,
I’ve come to draw blood,
wrenches my arm like a lamb shank,
rasps it with alcohol, plunges her spike,
pops one after another color-coded
rubber-stoppered vial into the sheath,
unplugs each loaded one to add
to the crimson log pile weighting my thigh,
Nadine Semer ~
“She doesn’t like vanilla,” Mr. Wyatt says, staring at the nutritional drinks sitting on his wife’s bedside hospital table.
I’m here as the palliative-medicine consultant. As my resident Susan and I stand still, taken aback, Susan’s expression says it all: She’s dying, and her husband is worried about which flavors she likes?
Mrs. Wyatt, fifty-six, came to our urban hospital’s emergency room with abdominal pain. She was admitted and given intravenous fluids and broad-spectrum antibiotics. Her workup revealed widespread, untreatable cancer. Her medical team has consulted us because they’re frustrated at her family’s unwillingness to acknowledge that she’s failing.
“Explained her poor prognosis; she needs to be DNR,” read the consult request. “But still, the family wants everything
Joy Liu
The room is stuffy, but the woman is shivering.
Her husband stands by her bedside. An interpreter that they’ve hired to stay with her day and night stands at the foot of the bed. And then there’s me, the doctor (I’m an intern), waiting to deliver one of many sad speeches I must give today.
Smiling wanly, she struggles into a sitting position and shakes my hand.
Even with a diagnosis of metastatic stomach cancer, she has movie-star looks. She’s only twenty-six–the same age as me. I can imagine her stepping out of a red-carpet premiere in Shanghai. Instead, having hired personal interpreters and taken a flight halfway across the world, here she is in this hospital bed, waiting
Alexandra Godfrey
My dad was once a physician for the coal mines in Yorkshire, England, where I grew up. It’s been decades since I accompanied him on his rounds, and fifteen years since I moved to the States and began to practice as a physician assistant in the Appalachian Mountains of North Carolina. But I still vividly recall my childhood days and the Yorkshire dialect we spoke.
Somehow, the seventy-three-year-old woman sitting in my exam room takes me back to that time.
She’s coughing violently–hacking thick yellow mucous into her tissue, spraying the floor with spittle–just as my father’s patients did.
Mitch Kaminski
My patient Maria sits before me, looking vaguely distressed.
She’s returned for a follow-up visit, six weeks after our first. The morning is half over, and I’m clipping along, staying on time, using the new electronic medical record system (EMR) without a glitch and with a sense of satisfaction. Three months back, when I joined this small-town practice as part of my new position as a health-system medical director, I found the EMR challenging, so I’m pleased that I’ve finally mastered it.
Maria’s face looks familiar–pretty, but with a worried look that matches her hastily applied makeup.
Paul Rousseau
“I want everything done. Please, Dr. Rousseau, do everything. We have two children–they can’t be without their father. Do you understand? Do what it takes to keep him alive!”
Angie, a petite woman with long blonde hair, fixes me with piercing blue eyes. Her husband, Joe, fifty-two, has scleroderma, an autoimmune disease. In its most devastating form, it hardens the skin and destroys the kidneys, heart and lungs.
Joe is dying of sepsis and multi-organ failure in my hospital’s intensive-care unit.
“Please, do whatever it takes to keep him alive,” Angie pleads.
Suddenly, I am thrust into the depths of grief. Not hers, mine. It happens just like that–no warning, no nothing, just a painful inner quivering and
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,
Kevin Dorsey
About thirty years ago, after I’d completed my internal medicine residency and a rheumatology fellowship, my wife and I moved with our three-year-old son to my wife’s hometown.
There I joined a multispecialty group practice as the second rheumatologist. Over time, the plan was for me to build a rheumatology practice, but while that was happening I took on all kinds of patients, both primary-care and intensive-care. I felt very comfortable doing general internal medicine, and I also liked the intensity of ICU work. Handling the technology of medicine–ventilators, Swan-Ganz catheters, dialysis—made me feel knowledgeable and skilled. My older partners were glad to let me handle the ICU patients. I felt needed, and I liked it.
A few years passed; we added a
Heustein Sy
I became a doctor of internal medicine in my home country, the Philippines, in 2005. The following year, I immigrated to the United States. In order to practice medicine here, I must complete one more journey–a three-year medical residency in the U.S.
My first week at the hospital has been a hectic blur–one task right after another. I’ve been existing on minimal amounts of sleep, food and social contact and maximum amounts of coffee.
Inside my head, though, this week has also been all about me. How lucky I was to have been picked for this coveted residency in this highly regarded hospital! How can I regain my rusty diagnostic skills? How do I look in my new white lab coat?
Rushing here and
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