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: doctor as patient

Chemo Brain

Anne Webster

Since a doctor gave me poison pills that left
my heart a swollen slug, killed off my bone marrow,
set my lungs to clamoring, I can get brain-freeze
without eating a snow cone. When I walk
my neighborhood’s knotted streets, lost drivers
stop to ask directions. After thirty years, I know
the pretzel-turns, but when they motor off, I wonder,
Did I say left when I meant right? My husband
gets that look when words change lanes
without bothering to signal. Like soap bubbles
they pop from my mouth–“bird” for “tree,” “cat” for “dog.”

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Riñones al Jerez

 

“You do not need an MRI,” I told my father emphatically as he stood in my living room, explaining to me that his beloved doctor had ordered this for his low back pain. He was hoping for a quick fix before meeting his brother in Spain. “You need physical therapy.”

I dislike playing doctor to my family, not trusting myself to dissociate emotion from evidence, but this was just too much. Sure, his back hurt him sometimes, but there was nothing to suggest anything dangerous going on, nothing an intervention would fix. Nothing but the dreadful aches and pains of growing old.

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Vinyl Cushion

I arrive in the waiting room nearly a half hour early and confirm my existence with two insurance cards and a questionnaire that asks me yet again to list my illnesses, allergies, and medications. Most seats are occupied by old people, older than me. Or maybe the same age. It’s difficult to say who is with whom because those who are not making love to their cell phones are paging through OK!, People and Star. Nobody’s eyes are on anyone.

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A Day in the Life of a Psychiatrically Hospitalized Clinician (Part 2)

Editor’s Note: This is the conclusion of Liat Katz’s remarkable story. Part 1 was published last week.

Lying here on this hard bed on the psych floor, staring at the white walls and ceiling, I think of my clients–and I don’t feel so alone. Their everyday experience is not so different from my short-lived experience here at the hospital. Often, they endure a whole day’s wait in the dirty Social Security and social-services offices, only to be treated patronizingly and have their needs go unmet.

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Ten-Minute Miracle

Melissa Zhu Murphy

On Mother’s Day 2007, as I was finishing my freshman year at Vanderbilt University, I joined my parents for a warm, happy reunion in an Italian restaurant, celebrating both the day and the completion of my first year of premedical studies.

My father was blissfully breathing in the steam wafting up from his ravioli in lobster cream sauce as my mother prepared to dig into an enormous plate of basil penne pasta with spicy meatballs.

I took a bite of crusty Italian bread and lifted a forkful of manicotti to my mouth, getting ready to describe how hard I’d had to study for my biology and chemistry finals. Then I realized that something was wrong.

Very wrong.

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He Ain’t Heavy

Edward Beal

In my decades as a psychiatrist, I’ve seen many different kinds of patients; only in the past five years, though, have I worked with soldiers.

I see them through TeleHealth, an organization that offers patients long-distance care via a sophisticated form of Skyping.

I originally took this job for financial reasons (during the economic downturn of 2008), but I quickly discovered its unique rewards.

Early on, for instance, as I stood waiting for an elevator, a quadriplegic soldier maneuvered his electric wheelchair alongside me.

When the doors opened, he looked up and said, “After you, sir.” That’s not a memory that fades.

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My Father’s Girl

I’m walking very slowly with my dad down the produce aisle at the local supermarket, past the colorful waxed apples, Mexican mangoes and Rainier cherries, and imagining my life’s blood trickling onto the floor from an invisible wound.

As I pass by the misting system spraying the bins of green, red, yellow and orange peppers, past the lady reaching for carrots, past the stock guy balancing the heirloom tomatoes into a precarious stack, I want to scream. The sense of loss is overpowering.

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Sick of Getting Sick

I awoke one Saturday morning to a terribly familiar feeling–a tight, barky cough, fast breathing, severe shortness of breath and burning in my chest. Another severe asthma attack. I knew I was in trouble.

Twenty-three years ago, when I was an internal-medicine resident, I went to be evaluated for recurrent pneumonia. I wound up being diagnosed with cough-variant asthma. Most asthmatic patients wheeze; when my asthma is bad, I cough.

I now realize that I’ve probably had asthma all my life. When I was a child, though, cough-variant asthma wasn’t recognized as a disease, at least not in the small upstate New York town where I was raised. So, instead, I was the “sickly child”–the one who got a cold with a cough

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The Well-Fed Physician

Randy Rockney

When I was in medical residency, more than thirty years ago, I ran with a pack of fellow residents, all guys who were fit to varying degrees. Once, on an outing, we discussed the–hopefully–hypothetical question: “If the need arose, which one of us would we eat first?”

“Randy!” my friends gleefully concluded.

“His meat would be the most marbled,” one added.

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No Prospect

His uneasy truce with cancer
was shattered by
the seizure,

awakening confused
in a side-railed bed.
He lies quiet, astonished

by the speed of change,
still hearing echoes of
his home.

I sit silently by his side
as he reads the ceiling tiles,
the monitors,

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OT

Maggie Westland

I have a dance routine all in my hands, with steps
To take to make them bend again, at least to stall
The stalk of past abuse, of joint and sinew overuse

This jig more intricate, more complex, more diffuse
Than simple shuffles of the well-shod foot, requires
Both patience brute and gentle force to stake its worth

I dance five times each day twice daily bathe in wax
Or wrap socks full of rice from wrist to finger’s tip
Twist, push, press on in rhythmic jerks response

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Continuing Education

H. Lee Kagan

The nasogastric tube was killing me. It had been in place for twelve hours now, threading its way up my nose and down my throat, past my esophagus, into my stomach. Try as I might, I couldn’t swallow away the nasty lump stuck to the back of my throat. And every time I tried, it hurt.

Decades before, as a physician-in-training in upstate New York, I’d put in more nasogastric (NG) tubes than I could remember. At the time, I hadn’t regarded NGs as a big deal. But now I was having my first personal experience with this vile little snake, and it sucked–in every sense of the word.

Two days before, I had come down with a viral gastroenteritis, or stomach

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