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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I missed his birthday again gamblee

I Missed His Birthday, Again

Jef Gamblee

About the artist: 

Jef Gamblee is a hospice chaplain from Westerville, Ohio. He first appeared in Pulse in December 2014. Jef is a second-career ordained Unitarian Universalist minister, having spent twenty-five years in commercial and corporate television as a director of photography. He keeps his hand in still photography to maintain his sanity. 

About the artwork:

“As a hospice chaplain, I frequently visit adults with dementia who live in the ‘memory units’

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Music Fills the Soul

Over the years I had come to dread this weekly chore and today, as always, it filled me with such sadness. Tuesdays, on my day off from work, I would drive to the nursing home to visit my mother. There were times when Mom would look at me with her crystal clear blue eyes and say, “Do you know when Beth is coming?” “I AM Beth,” I would exclaim, over and over again when Mom asked me the same question until finally, one day I answered, “Beth is coming to see you soon.” Mom’s face lit up and she smiled.

As time passed, she didn’t ask for me at all.

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Checking Boxes

Regina Harrell

I am a primary-care doctor who makes house calls in and around Tuscaloosa, Alabama. Most of my visits are in neighborhoods, but today my rounds start at a house located down a dirt road a few miles outside of town.

Gingerly, I cross the front walk; Mrs. Edgars told me that she killed a rattlesnake in her flowerbed last year.

She is at the door, expecting my visit. Mr. Edgars sits on the couch, unable to recall that I am his doctor, or even that I am a doctor, but happy to see me nonetheless.

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How It Was When You Stopped Knowing Me

Susan Rooke

When I cannot help remembering, I recall
that the end of your memory arrived
in a Texas spring so wet it churned the rivers,
ripped white frame houses from the banks
and sent them rampaging on the currents
like Pamplona bulls turned loose into the streets.
There were bridges on those rising rivers, and
I cannot help remembering that I crossed them

driving south, looking down to see the sharp horns
of shingled eaves tossing, slinging muddy foam
in the floodwaters down below. I drove hours

just to get you, because you’d lost the knack
of getting anywhere yourself–a block away,

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Around the Bend

Rachel Hadas

“You see, the world is coming to an end,”
she says. We’re on the porch; our rockers creak.
Tomorrow vanishes around a bend.

For fifty years she’s been a family friend
whom I should really visit once a week,
now that the world is coming to an end.

I reach out; put my hand over her hand.
We sit and for a moment do not speak.
A rapid shadow slides around the bend

beyond which I’m not keen to understand
what lies in wait. For her, though, every look
confirms the world is coming to an end,

as if we’re inchlings in a giant land-
scape, pulled helplessly toward some black
cavity where the road takes a sharp bend.

We rock. She sighs.

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Beyond Reason

Kathy Speas

Visiting the dementia unit of a nursing home is never easy.

First off, you have to find your patient amid the assemblage of people–mostly women–seated in wheelchairs, recliners, wingbacks, sofas and assorted walkers, or wandering around. 

Then, you must make yourself known to the person you’ve found. Here’s where the harder questions arise: How can I introduce myself and convey my role–a hospice chaplain–to someone who has outlasted language? Is my state of mind so calm and engaged that my very being will exude peace and generate trust? Am I totally present, or is my mind bouncing back and forth between tomorrow and yesterday? And just what does it mean, as a hospice chaplain, to provide spiritual support to someone at the end

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Reentry

Sara Brodsky

I sit with three demented women in their nineties.
Three after-dinner conversations fly,
banging into each other,
ricocheting,
drifting off course.
Aunt Sylvia insists she must call her mother.
Edith announces she works for her father.
Mimi declares she has two daughters.
I grab onto this shooting star.
“Where do your daughters live?” I ask. 
Mimi closes her eyes, and I watch 
as the star’s tail
evaporates.

Edith says she starts work early the next morning.
My aunt frets, “We’re the only people left.”
Mimi declares she has two daughters. 
I try. I ask, “What are their names?”
She shuts her eyes and loses the light.

“You

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Enduring Guardianship

Sue Ogle

I was cool on the way to the lawyer, we’d talked it all through, no problem.

So why am I remembering the old kauri house where the wiring was dodgy
and I held my breath as she flicked the switch to turn off the power? How can
I do it without her, flick off the switch of life, decide on her fate or my own,
without consultation, alone? What if she goes and I’m inconsolable? 
What if she stays and doesn’t know me? 

And why am I seeing Durdle Door, that day when the Sea Scouts came upon us;
we were naked, swimming alone, so we thought. Why am I feeling the sting
of the storm on Mt. Aspiring as she yanked me

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Mementos and Memories

Paul Rousseau

Delores sits tilted to the right in a worn wheelchair, a curtain separating her from a sleeping roommate. 

She is wearing a blue blouse stained with something orange, perhaps Jell-O, and white pants and white socks. A worn gold wedding band adorns the fourth finger of her left hand. Her hair is a shiny gray, perfectly coiffed, and her face is etched with deep wrinkles, a testament to eighty-nine years of life. 

A tiny bedside shelf displays two faded black-and-white photos from the 1930s or ’40s: one is of Delores in her twenties, a demure smile on her face; the other shows Delores with a young man

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Sweet Lies

Marilyn Hillman

I can sense the question before it comes.

“How are you doing?” 

I want to answer, How do you think I’m doing, with my husband morphing into a ghost? I’m dying here. But thanks for asking.

Instead I clench my fists and deliver a cheerful response: “I’m good.” Which is, of course, a lie.

My husband is demented.

I cannot say these words out loud. Pushed to the wall, I’ll say that my husband has dementia, like it’s temporary–a virus curable by bed rest and chicken soup. Murray admits only to memory problems, while I split hairs over which verb I can stand to put next to his decline. We skitter around the truth like insects caught

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Family Business

Joanne Wilkinson

My mother’s mother was more a force of nature than a person. Chablis in hand, stockings bagging a little over her solid, practical navy pumps, she delivered her opinions without the slightest sugar-coating. She used words like “simply” and “absolutely” a lot. “He is quite simply the worst mayor we’ve ever had.” “She had absolutely no business having four children.” My cousins and I all listened and quaked, hoping the wrath would not be turned on us. Even after my mother’s death, when you might imagine she would soften toward me a little, I still felt the need to stand up straighter whenever she looked at me. Behind her back, I called her “The Graminator.”

The Graminator had been retired for almost

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Maman

Paul Gross

At a recent religious service I attended with Maman, my 87-year-old mother, I watched her fumbling attempts to find hymn number 123, “Spirit of Life,” in the hymnal. I held my book up, opened to the appropriate page, so that we both could sing from it.

She glanced up momentarily, tightened her lips, hunched forward and resumed turning pages, finally arriving at the song when the congregation was singing the second verse, which she needed help finding–what with her poor vision and the swirl of notes and words on the page.

As this ritual repeated itself, hymn after hymn, it occurred to me how much cozier it would be if my mother and I could share from the same hymnal.

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