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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Surprise Ending

Ellen Kolton

“He’s just expired,” said the nurse as I approached Ray’s room in the large inner-city hospital where I work as a patient advocate. “And his wife has just arrived. Why don’t you go in?”

I found Natalie bent over Ray’s body. His hollow cheek was drenched with her tears.

“I’m so sor–“

“I told him yesterday to talk to Jesus,” Natalie interrupted, speaking quickly. “I told him if the two of them decided it was time for him to go, then it was okay with me. I guess they had their talk,” she said, glancing at Ray as though expecting an answer.

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A Sigh on Rounds

Jerald Winakur

White coat, sterile gloves
my instrument dangling

but she finally died
after such a struggle–the young

always struggle so–
I listened to her chest

till it stopped then clicked
off the machine.

It sighed for us all as the air
drained out. And the moon

was still low in the sky
so large, so round–this

is a shape I know well–
and it hung there like a silver disc

auscultating the earth…
But I could no longer listen

as I sat on a night lawn
slowly moistening.

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Casting Out Demons

Jef Gamblee

As I stand beside the bed in Mr. Jerome’s living room, his pit bull puppy sniffs the body bag lying on a stretcher nearby. His cat curls up on the bedside shelf.

“That dog gonna be a problem?” asks Jude, one of the crematory guys.

“She might get underfoot,” says the neighbor, whose name I can’t remember. “But she’s a lover, not a fighter.”

Jude and Chuck are here to pick up Mr. Jerome, who died of prostate cancer today. His body lies on the bed–the wasted husk of a once lively, athletic man who had taught history in a New Jersey middle school.

I’m a hospice chaplain; Mr. Jerome was my client. I’d known him for about six

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Imperfect Farewells

Judy Schaefer

I was not with my mother when she died, her heart bursting
against her ribs, screaming for a violent release from her chest
I listened, ear to phone:           nothing-more-could-be-done
          I recall her now, prayer petals of morning’s first red rose, the perfect
          Mezzo-soprano of a summer evening’s lullaby, an open window to song
Clinical colleagues reported massive myocardial infarction
I reported that I was an orphan

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She Who Shows Up

Dianne Avey

She who shows up
to guide tiny fingers
toward ripening blackberries
and the spiral
of a moonsnail shell

Late summer treasures

She who shows up
with tea and bread
all the time in the world
to walk hand in small hand

My son beautifully distracted

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Last Rites

Candice Carnes

In 2002, I was living in Albuquerque and working as a nursing assistant. My staffing agency had assigned me to a medical surgical floor at a hospital in Santa Fe, a fifty-minute drive away.

One day, as I was enjoying the high-desert beauty en route to the hospital, a code was called.

The patient’s name was Sam, as I recall. It could have been anything, but Sam is the name that echoes in my memories of that day.

His heart stopped.

I hadn’t arrived at the hospital yet, but I had been involved in enough codes to know what had been done.

Despite his advanced age, Sam had full-code status with no restrictions, meaning that he or his family had wanted everything

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Saving Grampa

Alia Moore

You were supposed to die of cardiac arrest as you circled toward home plate. Or of a brain aneurysm in the summer during one of your countless hikes through the mountains.

You weren’t supposed to die here. Not in a hospital bed, inhabiting this fragile new body, with an oxygen tube in your nose and tumors in your lungs.

Two days before you left us, I traveled home to visit you. I’d last seen you six months before, shortly after your eighty-eighth birthday. You were a lifelong athlete and adventurer, but you seemed just a little less spry than I remembered.

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All in a Night’s Work

Isaac Song

I was a college freshman, just starting out as a rookie EMT with the local rescue squad. In the squad building, located near a strip mall in our suburban New Jersey town, my fellow volunteers and I joined the staff supervisors to spend days or nights on call.

On a rescue squad, I quickly learned, patience is key. If you visited the building, you’d see seasoned EMTs lounging around as if they had nothing better to do. They had developed a subdued alertness that let them relax while also being ready to leap into action. Unfortunately, I had yet to cultivate this quality; I sat in silence, jittering apprehensively.

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Tears Should Be Surprising

Wynne Morrison 

Tears should be surprising.

He is, after all, well over six feet tall,
must top 250 pounds,
always quick and confident
with a joke upon his lips.

Most of his patients weigh a pound or two.
Eyes fused shut, translucent skin,
with lives of needles, tubes,
machines and probing hands.
On this week there are too many
who will never have a chance.

Chocolate, silence, and he hauls
himself up from the office couch.
“At least I can still cry,” he says
and turns back up the stairs to work.
 

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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

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Cracking the Code

Zohar Lederman

I am a medical student in Pavia, Italy, doing my fifth year out of six. It is summertime, and, as I’ve done every summer for years, I’ve returned to my small hometown in the south of Israel. There, among other things, I volunteer as an emergency medical technician (EMT) with Magen David Adom, the Israeli Red Cross. 

It’s 7:30 on a Friday morning. I’m at the Red Cross office, talking with the paramedic and a doctor, when a young volunteer runs in. 

“There’s a car pulling up outside–they’re bringing an unconscious patient!” he says.

The paramedic goes to get the advanced life support equipment, and the doctor

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Please For Tonight

Andrea Wendling

Please for tonight
Just be my wife
She is my life, my center,
She is what makes me whole
And I am finding I cannot exist
Without her

Smell like her
Like hayfields after a day of hard work
lavender and milk baths
Warm breezes blowing through still forests
All of this mixed with the soap
That we shared
That now too slowly disappears

Touch me like she would
Like I belonged to her
Slow, steady, without surprises
Know instinctively when I need to be calmed
And understand when I need 
Your lips, your touch
So desperately that I cannot
Live in this skin
Without you

Feel like she does
Strong and slight
Your skin rough in places
Melting into my touch in

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