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

Who Would Want to Do This?

Kristin Beard ~

“Get the patient on the monitor.”

“How long has he been down? Someone get on the chest!”

“Keep ventilating. He’s in v-fib. Defibrillate at 200.”

“Charging, everybody clear?…Shock delivered.”

“Resume compressions. Push one of epinephrine…Hold compressions. What rhythm is he in?”

“He’s asystole, resume compressions.”

We repeat the process a hundred times over. The medic said they started coding the patient an hour ago. The family is in the consult room with the chaplain.

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25 Minutes

Pager rings. Just 5 minutes to get to the ED. Calling down as I rush to the trauma elevators, they tell me over the phone “Shots fired at a hotel in downtown Los Angeles.” I know that place…

At least 3 people arriving. The ED is bustling, preparing for their arrival. Blade and Prolene stitch in my scrub pocket, I am ready. We are ready.

For a moment the ED almost seems silent.

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Matching Rings

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

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The Last Heartbeat

Cortney Davis

The minutes dragged. She worked at it–
sweat pooling in her frown, her lungs

bellowed in and out as if the air were oil.
Her expression never changed.

Beneath the light,
my mother’s skin looked violet.

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A May-December Friendship

Hanan Rimawi

Ms. Connie was known, to her delight, as the Jackie Kennedy of Our Sanctuary nursing home. A tall, eighty-something woman who tucked splashy flowers into her voluminous curls, she’d strike up a conversation with anyone she encountered.

These chats were never a half-hearted “How are you?” tossed off before zipping away in her wheelchair. She’d ask an aide if her ailing daughter was feeling better, or check whether the receptionist’s son had heard from his dream college–“I’m keeping my fingers crossed for him!”

Ms. Connie shared a suite with Ms. Alice, a woman who was in her nineties. Ms. Alice was more reserved, but equally good-natured. Morning and evening, you’d find her sitting in her room, absorbed in a book.

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The First

 
I have wanted to work in geriatrics, specifically with people with dementia, since I was in high school. Over the past year, I have been able to volunteer with a program called Opening Minds Through Art (OMA). I have worked at the same site as both a volunteer and a leader and therefore have gotten to know many elders on a personal level.

A woman I volunteered with and hold most dear had a twin sister. Recently, during one of our sessions, I found out that her sister was headed for hospice; the next day, she began the active stages of dying.

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Comfort Care

 
When a year ago he arrived at the clinic, he was a hard-working man with neck pain, there with his expectant wife and their adoring toddler. No one had anticipated a tumor.
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The Janitor

 
Outside the OR, at a dictation desk in the cold, quiet hallway, I sat alone. I stared at the black-and-white floor tiles, my eyes tricking me into seeing diamonds, then squares, then diamonds. As if my chest were squeezed in a vise-grip, I could barely take a breath. My body was frozen in place, held stiffly upright by the hard chairback, the only thing keeping me from collapsing inward.
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Tears of Friendship

 
As an aspiring physician, I recognize that I’ll likely be encountering death a great deal in my professional life, since it’s impossible to save everyone. So it’s probable that somewhere down the line, I’ll cross paths with a patient who is a part of my life for only a short time. Is it appropriate to mourn such a loss? Was I important enough to them that they would want me to grieve?
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Final Breaths

 
I remember my first code.
 
I was a senior in college, shadowing in the ER on a cold, Sunday night. Decembers in Providence can be brutal.
 
It was 11:30 p.m., and a voice came on the PA, urgency in her voice: “Code Blue, Code Blue.” The physician asked me if I had ever seen one before, and when I shook my head, he directed me to Critical Care Room C.
 
Behind a glass wall, I stood in silence, waiting. All the nurses and interns seemed on edge, ready to spring into action. I breathed in and out, in and out.
 
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My First Code

The radio call comes in: “thirty-something male, cardiac arrest, compressions in progress, five minutes out.”

My adrenaline starts pumping. This new patient will be my first time running a code. I can’t help but be excited. 

I claim my place at the head of the bed and start setting up my airway equipment. My brain is methodically running through the ACLS algorithms I have memorized.

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Who Will Hear a Stored Voice?

I’m crying a lot these days. Goes with the territory, and the triggers are everywhere.

My thirty-one year-old son had a newer laptop than mine and an iPhone 6. My iPhone 5 was a hand-me-down from him. (Prior to that, my iPhone 3 was given to me by a former resident, now friend, who upgraded to a 5 and was tired of mocking me for my flip phone.)

I have been paying my son’s cell phone bill since he died on 1/16/17. I told myself I would do this until I could get it backed up so I could have his contacts, pictures and music (most of the music that I do not even like) until I can face going through the contents. And

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