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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Seated on My Hospital Bed

My seventh-floor window vibrates,
          the room throbs in crescendo
as a rescue helicopter stitches
          a curved seam across the sky
bound for Children’s Hospital.

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Microcalcifications

A cluster, I say,
so small – see? I can cover it
with the tip of my finger. Tiny little
calcifications. I show
you the mammogram.

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Educating a Surgeon

My grandmother’s bed bounced high
But I lost the pillow in my hands
Four stitches in the small town
green tiled emergency room
where peering intently into the mirrored light
I was mad because I couldn’t see

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Flashback

I notice the name on the waiting room
tab; it’s not a remarkable name,
but one I remember
from elementary school

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Decision

B546 wants to die
eight years after they saved her.
Cervical-cord injuries are cruel.
For Maria it was a gunshot,
but it could have been a car wreck, a fall,
or a drunken misstep off a roof.
The reasons seemed to matter; now they don’t.
Thirty-two, alone, paralyzed, on a vent,
she mouths “no” to the antibiotics, the heart meds.
“I want to die,” she shouts in a whisper.

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Back Pain

Back Pain

A 77-year-old woman presents with back pain.
No trauma. No radiation. No red flags.
ROS* otherwise surprisingly negative.
Her exam is unremarkable, actually pretty darn good.
FROM, negative SLR, full distal strength, sensation and DTRs.*
After the usual cautions I reassure her,
prescribe activity, no meds and the tincture of time.
She is fine with that, appreciative and pleasant.
Then she says, “Should I talk to my sister?”
They are estranged, as usual about who got Mom’s whatever.
Her sister is 86, this has been going on for a long time.
She talks. I listen.
She says, “I should call her, shouldn’t I?”
I let her answer her own

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A Short Explanation of Everything

A Short Explanation of Everything

Our patient says she’s burning up, burning up.
We sponge her off. This student is learning how blood boils,
how shaking chills and drenching sweats punctuate fever,
how water moves in and out of cells
along concentration gradients, how nerves talk,
how some circuits turn all the lights on and all the lights off,
how hearts beat one cell at a time while squeezing together
and in sequence, how the life of the mind
is beyond understanding in the same way that a kidney
will never understand the flow of urine,
how sleep is not as simple as it looks.
During general anesthesia the operating room enjoys music.
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On the Grounds of a Former State Mental Hospital

On the Grounds of a Former State Mental Hospital

Through wounds in whitewash, brick edges crumble
To red dust. Weeds pierce the interstices of paths slowly
Giving themselves up to trackless overgrowth
Are all shapes broken that differ from expected forms
Or is this slant just as proper to a cupola as symmetry?
Not if it lets the rain in, I suppose
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Whatever Else

Whatever Else

Of course, I wanted to save you
from all this–from machines
and plastic tubes, from the shooters
with their dyes, from the guys
who scan your organs
for the truth, from waits in cold rooms
whose lights illuminate your life
and make it…nothing. I respected
the darkness in you–your son
dead in a senseless crash, the stroke
itself, your husband’s absence.

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