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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Tag: death and dying

My Evidence

When I saw dust settling,

the road black and gritty,

and noticed the air
shimmering as it lowered closer to the earth

like a soft blanket suffocating
the damp September

mornings that had morphed seamlessly
into November’s

crowded table
of berries, sweets, and yellow corn,

just before the hospital
phoned to say that Mother had called my name,

familiar syllables
caught in her throat,

I’d already detected her leaving
in my own body

and so while she paused
at the end of her journey,

which was also the beginning,
I rushed to her,

hurrying
as

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Chemo Patient

She tried

To imagine herself dead
As she lay on her bed
Staring at the ceiling
With chemotherapy
Seeping into her veins
But she couldn’t
She could only think
Of her husband
And her children
And how they had laughed
When her hair had fallen out.

In order to die
Everything had to stop
Her heart
Her brain
The blood surging
Through her arteries
But she could not imagine it.
Everything
Seemed to be running so well.

She was not frightened of dying
But she had always
Looked forward to the future
And now it seemed
There may

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Chris

Lisa deMauro

My big sister Chris, 55, had recently returned to her first career, nursing, when she wrenched her back one day while helping to lift a patient. After weeks of physical therapy proved unhelpful, her internist ordered some tests, which indicated that her back injury might signal something more sinister. She’d had a lumpectomy for a “stage 0” breast cancer five years earlier, and her doctor advised her to make an appointment with the newly appointed head of a brand-new cancer center nearby.

Chris and I were nine years apart–a difference that precluded any sisterly rivalry–and we’d always been very close. She’d occupied a central role in my life: first, as a playful second mother to me, then as my ideal of teenage glamour,

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Millie

Edgar Figueroa

Looking at Millie in her living-room-turned-hospital-quarters, I can’t help reflecting on the four years we’ve shared as patient and doctor. 

We’ve come a long way since our first visit. I was an inexperienced resident; she was a wiry woman who looked to be in her late sixties but was actually fifty-three. 

She’d sat back and stared at me, sizing me up.

“You know I have kids that are older than you?” were her first words. 

I wasn’t sure if she was complimenting me on my youthful looks or expressing uneasiness at having me as her doctor. I smiled, blushed, quickly refilled her prescription and asked her to follow up.

Over time, I grew quite fond of Millie; seeing her name on the schedule

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Now a lightness

4:57 am, Sunday

This week went
from caring with hope 
for a lucid patient to facing 
reality in advocating sanity 
to an insane extended 
family to haggling with specialists
to giving up time
and again telling Mary 
she was dying and then watching
her cling to her lost life like
everyone else to 
finally withdrawing all care
except for comfort 
and comforting the now lucid family 
while the breaths became 
distant
and the pauses

prolonged
and everyone 
cried, including myself, 
when 
the last one 
left. 

It was raining
when they called me. The family 
said it just started, right before 
the end. Like the sky had opened up

to let her in.

About the poet:

Fasih Hameed, a family physician in Santa Rosa, California, is

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Apologies

Alex Okun

You were right.
That IV was no good.
Looking at his arm all swollen like that,
I thought, “That says it all.”

I’m sorry we kept bothering you.
“Please don’t wake him for vitals,”
You told us.

Sometimes we don’t see the signs.

I was hoping she would stay home longer,
That you would have had more time together.
She liked starting school every September.
She loved that backpack.

I’m sorry it always took so long
To get into the room.
I’m sorry I took so long to call you back.
I liked our long talks.

If I say “we,”
Then maybe I’m not to blame.
We don’t know why some children
Develop this complication.

We don’t know why
The brain is so

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Snowscape

Jeffrey R. Steinbauer

The snowstorm had started on Friday, before I’d gone on call for my group. At first I’d thought the weekend would remain quiet, that the small town where I practiced might just slumber under a fresh blanket of snow. But by early Saturday morning, things had gotten busy at the hospital. Several emergency-room visits, phone calls and admissions from the nursing home changed the stillness I’d felt amid the snowfall. In no time, there was the familiar stress of trying to bring order to a day that was rapidly becoming chaotic. 

Sometime that afternoon, I looked up from a chart to see the town sheriff standing at the nursing station. Although we were acquainted through weekly Rotary Club meetings, he now was

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Running Out of Metaphors

Howard F. Stein

His rapidly metastasizing cancer
was not his only problem:
He was not only running out
of life, he was running out of metaphors.
Metaphors had sustained him
for the four months since
they discovered the spot.
He started out 
losing weight as “The Incredible 
Shrinking Man”; then he became
Gregor Samsa for a while;
briefly he was the consumptive Violetta,
soon followed by Ivan Ilych.
He even remembered Susan Sontag 
and Solzhenitsyn and so railed
at his wasting. He leaped
from metaphor to metaphor the way
a stone skips over water. He asked
all the questions everyone asks,
but felt no comfort from
the answers. 
Companions and kin beset him
like Job’s friends. He graciously refused
their unctuous offerings, their leaden words.

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Hospice

Joanne Wilkinson

My patient’s beagle is very quiet. He lies next to the brown leather living-room chair she used to sit in when I would come to see her at home. His nose is down on his paws, and his round eyes look up at me, up at the nurses, the home health aides, the family members who go back and forth between here and the back bedroom. He is very alert, but silent. He stays perfectly still.

My patient’s sons want to know things. How much longer will it be, will she be in pain, what will the end be like, will she be conscious? Should they take the rest of the week off from work, should they call the son in California and

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My Patient, My Friend

Death is not always the same. Quantity, fixed: one per patient. Quality, variable.

Doctors see many deaths, of different kinds. This is true of any doctor, whether or not he or she is a surgeon, as I am.

It’s easier for the doctor when death is expected, following a long illness, a chronic disease. Harder when it’s unforeseen–the heart attack, the accident, the gun shot, the sudden death in a young man or woman who seemed a conqueror.

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Finding Innisfree

Roger looked up at me over the oxygen mask, his eyes drawn wide by the sores stretching his face. He lifted a hand for me to take.

“I’m glad you’re here,” Jen had said before I’d entered his room. “They’ve taken him off a lot of the medication. He’s very lucid, but he’s depressed and scared.”

The previous fall, Roger and Jen had begun couples therapy with me. They were both thirty-two and had been together for ten years. Three years before they came to me, Roger had been diagnosed with leukemia. A bone-marrow transplant had left him cancer-free, but his prognosis was guarded. He and Jen argued frequently, his desire for independence clashing with her insistence on managing his care.

When they first visited

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