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Tag: doctor-patient relationship

Kleenex

 
Twenty minutes behind as I knocked on the exam room door and entered. No need for introductions. We knew each other well. We skipped the “asking the patient her goals for the visit.” I already knew them. Twenty years of caring for and being trusted by a patient and a friend allows that. Her goals were the same as mine. We were there to tell the truth.
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Please Don’t Ask

 
“Please don’t ask” was my silent plea to my patient as I entered the exam room. I knew if she did, I would start crying, and not for the first time that day.
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Heart and Soul

Fredy El Sakr

“Help!” I yelled out of our open apartment door.

I was seven years old, and my family had recently emigrated from Egypt to the US. We’d been feeling elated that week because, after months of interviews, my father had matched into a pediatric residency.

That morning he’d awakened feeling nauseated. My mother and sister went to buy some soothing food. I noticed that he’d vomited in the bathroom; now he was feeling worse.

He knew it was serious, because he put on his brown leather jacket and lay back in our blue recliner, waiting for my mom to return and take him to the emergency room. Now and then he’d look at me reassuringly with deep, dark, pain-stricken eyes,

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If Only

Beatrice Leverett

When I first met Jason, I was a third-year medical student halfway through my psychiatry rotation, and he was a newly admitted patient halfway through a nasty comedown from crystal meth.

He sat slumped in his chair, scowling, his face hidden by a baseball cap and black hooded sweatshirt, growling responses to my interview questions.

“Why do I have to do this? I hate this crap. I’ve answered these bullshit questions a million times. I’ve been in the psych ward a million times, and it’s never done anything for me.”

Reading his records, I realized that “a million times” wasn’t such an exaggeration. At only twenty-five, he’d been admitted to most of the local psychiatric hospitals. For several years,

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Family Summons

Startled out of sleep, I reflexively reach for my beeping pager. For a split second, I lie poised between wakefulness and terror in the pitch-dark resident call room, not sure where I am or what happened. I resolve to sleep with the lights on from now on.

I dial the call-back number.

“Pod A,” a caffeinated voice chirps. It’s Candice, one of the nurses.

“Hi. Amy here, returning a page,” I murmur.

“Oh, hi, Dr. Cowan,” she says. “I just wanted to let you know that the family is all here. They’re ready for the meeting.”

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Curmudgeon

Lisa Walker

My brother-in-law, Ron, was a curmudgeon; grumpy, sullen, even downright mean at times.

By blood, he and my husband Bill were cousins. In the 1950s, when Bill was just a child, his mother died unexpectedly, and Ron’s mother took Bill in to live with her and her four children. They were an African-American family living in the midst of a middle-class, predominantly white Connecticut township. Their home, located on a wealthy family’s farmland, had one bedroom, wood heat and no running water. Each day, Ron’s mother walked five miles to and from town, where she did laundry and cleaned houses to support the family.

Bill and Ron were close in age; they considered each other brothers. I met Bill when

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A Mother’s Son

Hugh Silk

“Why do you want to go into family medicine?” my internal-medicine preceptor asked.

It was an innocent enough question. I’d known from day one of medical school what I wanted to do, so I answered with confidence, and perhaps a bit of a chip on my shoulder.

“I love being with people and getting to know them,” I said. “I’ve always been this way, so it makes sense that’s what I would do for my career. I’m looking forward to having the long-term relationships and seeing where they go.”

A raised eyebrow, followed by his knowing Irish brogue: “I applaud that. My own father was a GP in Ireland. But I’m afraid you won’t find much of that in

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A Conversation About Race, Fear and Connection

Paul Gross

In the wake of recent events, many speak about the need for conversations about race. In our country, the implications of race are a moral issue, a humanitarian issue, a justice issue and, yes, a medical issue. (One need only examine how racial categorization affects rates of death.) But what would this conversation about race look like?

Today, Pulse’s editor provides one offering. In August, we’ll invite all Pulse readers to join in with their stories, when Race will be the theme of More Voices.

I grew up in Stuyvesant Town, a middle-class housing development just north of Fourteenth Street on the east side of Manhattan. Built after World War II, Stuyvesant Town was a leafy and desirable place to live.

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The Making of Me

I was the new doc in a small country town. I wanted to be accepted. I wanted to do best for my new patients.

 

She was the town matriarch. She had multiple chronic illnesses. She had the power to make me or break me.

 

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White Coat Ceremony

 
What do you think medicine’s most powerful diagnostic tool is? A CAT scan, perhaps? An MRI?

No. Look at your hands. These will be the most important tools of your chosen profession.

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Gloves on Hands

 
When my internal medicine residents put on gloves to examine a patient’s normal abdominal skin, I see red. Don’t they know that the easiest way to make our patients feel dirty and repellent, leprous and untouchable, is to deny them the skin of our hands?
 
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Tough Love

Maria Gervits

I miss Alba. I don’t know why, but I do. She was the most challenging patient I’ve ever had. I dreaded seeing her in the office–and yet, somehow, she won me over.

Alba was fifty-nine, with short, silver hair, a deep, gravelly voice from decades of smoking, and an attitude. She had lung disease, heart disease, depression, arthritis and HIV. She also had a complicated social situation. She’d used cocaine and heroin until her husband had died of HIV. She’d then moved in with her elderly mother and cared for her until her mother died of a stroke. Now Alba lived in a shelter right around the corner from where her father had been shot years before.

The biggest joy

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