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Seeing the Light


Sarah Houssayni

Many healers, teachers and parents have them.  

At one point, I did, too. I had delusions. I thought I was a hero, a rescuer clad in a shiny white coat and wielding the sword of clinical wisdom. 

 

I look back on those days with nostalgia and regret. I wish they’d lasted a little longer–my belief

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Beating the Numbers Racket

Thuy D. Bui

“What’s my number?” shouted Betsy as I entered the examination room one day last fall.

“Oh, you mean your A1C? It’s nine-point-four!” I answered. A sentence sped through my mind: “The hemoglobin A1C number tells how well a patient’s diabetes is controlled–seven or less is good.” In my seven years as Betsy’s primary-care doctor, I’ve repeated this information at visits and included it in appointment reminders as well.

Betsy is a pale,

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Sharing Secrets

Maria Gervits

“I feel bad…” Amy whispered, then paused.

I’m a family-medicine resident, and I was doing my gynecology rotation, which involved spending a few days at a Planned Parenthood facility. This was my first day. I’d been assigned a patient to shadow: a young woman named Amy, who was here to have a first-trimester abortion.

I’m a fan of Planned Parenthood’s work providing high-quality, affordable contraceptive and gynecological care. In college, when I lost

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Be Lucky

Kenneth Zeitler

In 1996, visiting a mall during an out-of-town trip, I suddenly felt dizzy while descending on the escalator. The sensation rapidly resolved, but to be on the safe side, I went to a local emergency room. My evaluation included a CT scan of my head; the results, I was told, were “normal.”

Shortly after returning home I received another call. The CT results were not normal, and I should see a neurologist to

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Escape from Chemo

Ellen Diamond

And while the stuff drips in, I’m rolling over
in my mind the two words: Kemo Sabe.

It’s the name that Tonto called his friend
the Lone Ranger, back in radio days.

I could use a trusty sidekick now,
crouched behind the white screen near the door,

ready in an instant to unsheathe
his blade, then back us slowly to the window.

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What We Carry

Sandra Miller

When I was an intern, we carried everything.
We carried manuals and little personal notebooks, frayed and torn,
crammed with tiny bits of wisdom passed on by a senior or attending.
Yet when a midnight patient rolled in with a myocardial infarction
we didn’t look anything up because there were only four drugs we could use:
morphine for the crushing pain,
nitroglycerin to flush open the vessels,

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The Pronouncement

Carl V. Tyler

I knew from last night’s house call that my patient Bessie’s time was near. All day long I’d felt the familiar churning inside, the sickly sweet combination of anticipated dread and anticipated relief. So when the phone rang while I was exercising at home, I wasn’t surprised. I quickly dropped the barbell weights to answer the call before it went to voice mail. 

It was Bessie’s daughter, Susan.

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Now We Are Five

Paul Gross

“I’m glad that you’re the one calling me with this.”

John’s comment takes me aback. It’s an unexpected, almost tender, confession from a twenty-year-old young man whom I’ve called with some good news and some not-so-good news.

“The good news is that your HIV test is negative,” I tell him. “You do not have AIDS. But the not-so-good news is that you tested positive for chlamydia, another sexually transmitted infection.”

I want to

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The Story of Pulse

One Monday morning, a number of years ago, the administrators at the family health center where I used to work instituted a new and time-consuming procedure for registering patients. They did this in an attempt to satisfy the rules and requirements imposed by the many different insurance plans our center accepted.

There was just one problem: the administrators forgot to tell anyone what they’d done–not even the center’s medical director, who happened to be on

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Hurricane Sandy: Two Tales of One City: Part 2

 

Not Your Usual Halloween 

 
Alice Teich

Hey Manisha,

Last night–Halloween–I went and volunteered at a shelter in a school basement/gymnasium in the Nineties on the Upper West Side. 

There were more than 100 folks staying there, mostly evacuated from the Lower East Side. The shelter, run by the City, had some volunteers at the front desk, a few security people, a medical

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Hurricane Sandy: Two Tales of One City

Editor’s Note: Hurricane Sandy hit New York, Pulse‘s home, on Monday, October 29. Eleven days later, many parts of our area are still limping toward recovery. Today we bring you two stories, rather than the usual one, about the hurricane’s impact. The first is by a medical student who was suddenly thrust closer to his newly adopted city. The second is an e-mail written to a colleague by

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