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How to Change a Diaper

Daniel Becker August 29, 2016 4 Comments

Two daughters bring their severely demented mother into the clinic. The mother is no longer able to speak, but over the last few days she has groaned more during diaper changes. Her nursing home is worried she might have a bladder or vaginal infection. To check her urine, we undress her and catheterize her. To check her vagina, we take a swab using a speculum. We spin the urine and look for sediment under the microscope. Nothing. We look at the vaginal smear under the microscope, using both a saline prep and potassium hydroxide. Nothing. We treat her for bacterial vaginosis, because it’s a condition that’s easy to miss.

An Act of Love

Ronna L. Edelstein August 28, 2016 No Comments

For sixty-seven years, my dad was my best friend. We enjoyed walking and talking, taking long drives while licking ice cream cones, traveling, and just sitting in companionable silence.

We were best friends, but we always respected each other’s physical privacy. All of this changed when I became Dad’s caregiver.

A 3:00 a.m. Phone Call

Roz Levine June 13, 2016 1 Comment

When the phone rang at 3:00 a.m., as I reached out my hand to answer it I knew the call was bringing bad news. On the other end of the line, I heard my dad’s croaky, Parkinsonian voice stammer,”Rozzie, I’m so cold. Come here and help me; I can’t reach the blanket to cover myself.” It seemed like forever before he was able to squeeze out the additional information that he’d called the front desk at the assisted-care facility where he lived, but Jose, the night attendant, had said he was alone and couldn’t leave the desk, even for a few minutes.

I told my dad I’d take care of the problem, dialed the front desk number, and listened to Jose explain that the

A Date with Mom

Jo Marie Reilly April 26, 2016 2 Comments

I rush into the waiting room, trying to make it on time. Mom is sitting in the chair, patiently reading her romance novel with her ninety-nine cent bifocals. Calm and relaxed, in contrast to my frantic entrance as I juggle my schedule to try and make her appointment.

What’s Love Got To Do With It?

H. Lee Kagan April 1, 2016 6 Comments

H. Lee Kagan

My longtime patient Brenda let the top of her exam gown drop to her waist, stepped down off the exam table and turned to look at herself in the mirror. As I watched, she cupped her seventy-eight-year-old breasts in her palms and unceremoniously hoisted them up to where they’d probably resided when she was in her twenties.

“I’m thinking about having my boobs done,” she said. “My girlfriend had hers done, and she’s very happy with how they turned out. What do you think, doctor?”

As she spoke, her eyes remained on her reflection. Breasts held high, she made quarter turns to the right and left, then leaned back.

“I don’t like how they look now,” she said,

Repose

Alan Blum February 19, 2016 5 Comments

Alan Blum

About the artist:

Alan Blum is a professor and Gerald Leon Wallace MD Endowed Chair in family medicine at the University of Alabama School of Medicine in Tuscaloosa. A self-taught artist, he has published three books of his sketches and stories of patients, and his artworks have appeared in more than a dozen medical journals and textbooks. He is a frequent guest speaker at medical schools in courses in the humanities.

About the artwork:

“From my first year of medical school until the last day of my family medicine residency, I kept a visual diary, filling numerous notebooks with clinical vignettes, stories

First Language

Carl V. Tyler August 28, 2015 5 Comments

Carl V. Tyler

In my clinic and in the nursing home
Every week I see it
That depthless hollow look behind the eyes
But this time it was your eyes
Sitting across the table
At a TGI Friday’s outside of DC.

And that all-too-familiar look to your face
Of knowing and not knowing
Of barely contained panic
Of quizzically furrowed brow
Of fear.

Lost was your rich and subtle language
The rapid-fire musical cadence
The effortless literary allusions
Of English teacher and poet.

House Beautiful

Liat Katz August 14, 2015 11 Comments

Liat Katz

Virginia is sweet. And I don’t mean that in a patronizing, “Isn’t she cute and sweet in her neediness and cluelessness” kind of way. You can tell that she has always been a warm and inviting person, and that she likes people. And today, I need sweet.

As an Adult Protective Services (APS) social worker, I’ve had quite a week among the belligerent abusers, the angry hoarders and the adult children unwilling to help their aging parents who are living in squalor. So I am thrilled that my new client, Virginia, is sweet.

Virginia came in as a financial-exploitation case. Apparently some men had bilked her out of $25,000, promising that in exchange they would cut down some trees in

Homecoming

Ronna L. Edelstein July 31, 2015 22 Comments

Ronna L. Edelstein

For years, and especially as he entered his nineties, my father kept begging me not to “dump” him into a nursing home. He had seen too many of his cronies abandoned in this way by family members; his visits with these friends left him feeling depressed and hopeless for days. I assured Dad that I’d never put him in a facility.

It was an easy promise to make. I didn’t want him in a One Flew Over the Cuckoo’s Nest setting with a Nurse Ratched supervising his care. I didn’t want him waking up at night disoriented and lonely. Because he was inching closer to death, the greatest unknown, I didn’t want a facility, with all of its unknowns, to

No Crying

Riddhi Shah July 3, 2015 9 Comments

Riddhi Shah

“There’s no crying in baseball!”

Over the years, my fellow surgery residents and I heard these words shouted countless times by Dr. Norris, a cantankerous elderly surgeon with whom we had the dubious pleasure of working.

Dr. Norris was a former Navy ship surgeon. He didn’t operate much anymore, but he fondly remembered the “good old days” when trainees spent days on end in the hospital. The phrase emerged whenever he felt a need to remind us that medicine was a grueling pursuit with no room for weakness, perceived or actual.

I don’t know if his remark was a thinly veiled sexist jab or merely an allusion to the movie A League of Their Own, but it stopped mattering once

Pimped

Anne Whetzel May 29, 2015 25 Comments

Anne Whetzel

It’s two months into my second year of medical school, and I’m at the clinic, preparing to shadow Dr. Neiland, a primary-care physician.

I didn’t want to come here this morning.

Yesterday, one of my preceptors decided that it was my turn to be “pimped.” Pimping, in medical education, is when the preceptor asks you questions until you get one wrong. Then he asks more questions, highlighting your ignorance. Theoretically, this ensures that once he tells you the correct answer, you’ll never forget it. This works for some students, but not for me. I get defensive, and the right answer, whatever it is, goes in one ear and out the other.

My Father’s Girl

Maureen Hirthler March 20, 2015 23 Comments

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.

fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

Tag: geriatrics

How to Change a Diaper

An Act of Love

A 3:00 a.m. Phone Call

A Date with Mom

What’s Love Got To Do With It?

Repose

First Language

House Beautiful

Homecoming

No Crying

Pimped

My Father’s Girl

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fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

Tag: geriatrics

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