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

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

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Tag: hands

Our Hands

Braid a child’s hair in precise beaded rows

And shave a scalp just enough to access
Skin flap, skull, brain, tumor

Fold over a learner’s fingers to guide a needle
This angle here with this much pressure
Slide together into a hidden space

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Anatomy Lesson

 
“Okay, it is time to move on,” my professor claps his hands together and yells above the chatter. We all look up from our Netter’s anatomy books and our cadavers. The smell of formaldehyde burns my nose as the fluorescent lights flicker above.

“We have explored the chest cavity and the abdominal cavity. It is now time to move onto the extremities, starting with the arms. I want you to unwrap the arms and study the anatomy of the arms and the hands. I’ll come by each group to go over exactly what I want you to do. Okay, everyone, let’s get started,” he says.

 I turn to my group. “Who wants to do the unwrapping?”

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Untitled (A Medical Student’s First Patient)

I was terrified the first day of lab. Terrified of the slice of a scalpel through human skin. And, most of all, terrified of how I would react to the shock of making that first cut. 

I did make that first cut and many more afterward. I didn’t pass out, and eventually my heart stopped pounding when I picked up the scalpel. As time went on, we learned an impossible amount about the way humans are made, the way the pieces fit together. That was your gift to us, and I want to thank you.

Though I must admit, it felt almost paradoxical to learn so much about you and so little at the very same time.

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Relay Race

 
I sit across from my sixty-year-old patient, whom I know to be a sprightly woman, although she is now busy scanning the floor with her eyes.
 
I place my hand over her interlaced fingers. “What’s the matter?” I ask. 

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Death Watch

Even dying, Dad fills the hospital bed. He’s a big man. His slumped body bears two bed sores, one on each leg. A matching set.
Once, he ruled me. A slap of one hand hand here. A smack of his other hand there. “I’ll give you something to cry about.”
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Careful Fingers

It was a Friday night in February. I was finishing up a poster for a conference on cancer genomics I had to attend the following Monday. As I worked, I thought about the possibility of making mistakes on the data analysis.

Gingerly, I went back to the raw data and repeated the process. Highlight this portion of the data. Make sure the data is valid. Copy and paste it into the statistical software. Click this button before pressing “Enter.” My eyes darted across the screen, watching every move my fingers made.

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Rough Start

 
Approaching the hospital bassinet, I glimpse his hair first–long, carrot-colored fuzz sticking out in all directions from his pink, bowling-ball scalp. A chubby, scrunched face comes into view next, cherry-red lips forming a Cheerio and one eyelid wavering just enough to reveal a soft blue puddle beneath it.

Gingerly, I slide my hands under his sausage-like arms, my fingers cradling the doughy curves of his tiny neck, caressing the orange-yellow cornsilk on his occiput. Slowly, I lift him from the sterile white mattress he’s called home for the month since his exit from the womb, since his insurmountable hurdles began.

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los manos delaney

Las Manos de Cada Doctor

Marc Delaney

About the artist: 

“Originally from a small town in Upstate New York, I’m now in my fourth year at Stony Brook University School of Medicine, also in New York. I’m applying for residency programs in pediatrics. I graduated in 2013 from St. Lawrence University with a degree in biology. I love Pulse because I think that creative expression allows self-reflection that can help us be better healthcare providers. The things we do every day in medicine are ethically and emotionally complex; painting is often how I engage more deeply in what I do.”

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Meditating with My Stepdaughter

It was a Friday afternoon in May, a week before my stepdaughter died. I was holding a solo vigil on the couch next to her bed, while she slept peacefully.

Her hair had started growing back, soft and thick and gray. I loved to rub my hand across her head.

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The Making of Me

I was the new doc in a small country town. I wanted to be accepted. I wanted to do best for my new patients.

 

She was the town matriarch. She had multiple chronic illnesses. She had the power to make me or break me.

 

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A 3:00 a.m. Phone Call

 
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

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White Coat Ceremony

 
What do you think medicine’s most powerful diagnostic tool is? A CAT scan, perhaps? An MRI?

No. Look at your hands. These will be the most important tools of your chosen profession.

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