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Beyond the EMR

Squeak…Squeak…Squeak….

I stood against a wall in a narrow hallway to avoid blocking a meal cart passing through on its morning voyage. Inside this cart were a series of compartments, each containing a tray bearing a hospitalized patient’s breakfast. My attending physician stood beside me, inspecting a list of patients’ names as the cart rolled past.

Squeak…Squeak…Squeak….

“That’s a good case for a med student,” my attending declared, gesturing at a name on the paper. “Take this one.”

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The Wizard and I

He’s wearing a Yankees T-shirt, an EpiPen holstered to his belt like a lightsaber. We’re old friends. Trevor has been my patient for four years—more than half his life.

This will be our last visit: After forty years, I’m retiring.

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On Hateful Things

This essay is modeled after Sei Shonogun’s list “Hateful Things” from her tenth-century classic The Pillow Book. She listed everything she hated about being a lady-in-waiting to the Japanese empress, ca. 966-1017.

I wrote my list as a family physician working in community health centers, ca. 2005-2020. As our nation grapples with endemic racism while also facing the COVID pandemic, my trials and tribulations may seem trivial–but they also reflect a broken medical system that badly needs fixing, for everyone’s sake.

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Penal Code

When I see Rosa’s name on my patient list, I smile. I have known her nearly eight years. Under my care, she’s given birth to her last two children, and although she takes the kids to a pediatrician rather than me, we have an uncanny habit of bumping into each other outside the office. I’ve seen her and the kids in the market, at a park and in the hospital lobby, and I have been invited to, but could not attend, a family birthday party.

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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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