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Teddy

Before I started my cardiology fellowship, I was warned that the training, while rewarding, would also be tough, demanding and intense. That was true: Learning to read the four different cardiac-imaging modalities, trying to master the art of right-and left-heart catheterization, and juggling the cardiac-care unit, clinic and consults was arduous. Yet, for me, the most challenging part of my fellowship took place in the third month of my first year, when my geriatric pup of eleven years died.

Teddy had been an impulsive addition to my life, during the lowest point of my twenties. A chance visit to a shelter brought me face to face with a scruffy little black dog with crooked lower teeth, passed over by other would-be adopters.

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What’s Left Over

Ruth Bavetta ~

One and a half tubes of smörgåskaviar, most
of a jar of blueberry jam, a full jar of lingonberries.
Four sets of blue plaid pajamas–God forbid
I should have gotten him red. Six pairs
of reading glasses, going back
in five-year increments. Hearing-aid
batteries stashed by the lamp.
Three packages of adult diapers.
Our marriage certificate.
The rest of the morphine.

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A Tingling Sensation

Mitch Kaminski ~

It had been a hectic day in the urgent-care clinic of my large family practice, and I was starting to worry about the time: My last two patients had put me thirty minutes behind.

I felt relieved when I saw the note for the next patient: “Seventy-four-year-old female with UTI.”

A urinary-tract infection! This should be quick and uncomplicated….

I walked into the room to find a well-dressed older woman seated on the exam table. I had just enough time to wonder fleetingly, Why do some patients decide to wait on the exam table while others stay seated in the chair nearby? Then I turned my full attention to the woman before me.

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Riven

Martha Carlough ~

In medical school
I learned the particular sensitivity
of the breastbone

The rub of a knuckle
awakens even one deeply asleep
beckoning back to the present moment

Grief has the potential
to show us how cramped–
even deadened–we’ve become

Chest riven with pain
my fingers are now free
to explore the stories

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The Morning After You Died

Dianne Avey ~

So this is what it feels like
to be on the other side.
Hollowed out exhaustion,
rimmed with the chaotic clutter
of struggle and hope.
Like the beach after a tsunami,
all those once-important items,
now floating around uselessly.

I don’t know how to start this life
again.

This morning, they came
and took the bed away.

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Fear No Evil

Scott Janssen ~

“You need to get here now!” The nurse whispers anxiously. It’s after midnight. One of our hospice patients has just died at home, and her husband is threatening to shoot himself when the funeral home shows up.

“Has the funeral home been called?” I ask.

“No.”

“Does he have a gun or weapon?”

“We’re out in the country. There are deer heads on the wall.”

I try not to stereotype, but deer heads are a giveaway. There are probably lots of guns.

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Epilogue

Sara Bybee ~

It’s 2:02 pm when my pager beeps. I pull it out and read: “Juan may have just passed. Going in now.”

As a social worker in the region’s only cancer specialty hospital, I provide emotional support for patients and their families–including talking about their wishes for end-of-life care.

Juan is a sixty-five-year-old Ecuadorian man with stage 4 pancreatic cancer. I’ve known him for about a year. Polite and easy to talk to, he often listens to Spanish sermons as he walks through the halls, IV pole at his side.

Over the months, we’ve grown close. He’s told me about his life in Ecuador, his first job (delivering pizza) and how proud he is of his children. I’ve met

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Wednesday’s Child

Cortney Davis

It was a Wednesday in late spring, 1972. I was a nursing student in my final months of training, eagerly awaiting graduation.

When I arrived on the maternity ward that morning, my nursing instructor told me that I’d be caring for a baby, only hours old, with special needs.

I thought she’d send me to the neonatal ICU. Instead, to my surprise, she motioned toward the linen closet, its doors closed tight.

“The baby was born without a complete brain,” she said. “A condition called anencephaly. He can’t see or hear. And,” she added, “they don’t expect he’ll live out the day. So try not to get attached.”

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