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Dear Joseph

Michael Terry

I stood right beside them as they slowly slid your head into a plastic bag, looped the coarse twine about your neck and tied it tightly. Like the amateurs they were, they double-knotted it to make sure nothing came loose or dripped out. Then they casually walked away, chatting about what would come next.

Within minutes the bag fogged up, and a clear red liquid pooled at the bottom.

That was just the beginning of the ritual.

I’m sure that under other circumstances you would have put up a fight, Joseph, but today you were no match for them. No matter that they were six slender twenty-somethings, and you at least six feet and 250 pounds; you were on their turf and utterly

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Inside the Hospital

Kendall Madden

It’s a desert in here–
the way they suck
the air from one
compartment to another.
I’m parched–
forgotten rain,
blanched mollusk
without the sea.

My stiff face
tries to smile
at a wilted patient.
Pink-tongued lilies
once in a while
overcome the disinfectant,
stale sweat,
with hothouse perfume.

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Vanishing Act

Sudeep Dhoj Thapa

It was a summer night during my first year of medical school. Small bugs danced about the school buildings’ lights and filled the air with their penetrating hum. 

In the television room, located across a small grassy lawn from the dormitories, I sat watching old movies with my classmate and friend Rajesh. 

Rajesh was tall and chunky. He wore his thick, jet-black hair combed back, which made his broad face and smile appear even more so. I’d known him since our first days at medical school.

“Everyone in my hometown knows me,” Rajesh had told me. “I’m the first one in my area to go to medical school.” Clearly he enjoyed being the pride

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Joe the Handyman

Angela Yang

“Forty-two-year old male, chronic pain syndrome,” the chart reads. 

I’m a third-year medical student doing an elective at a physical medicine and rehabilitation clinic, and this is my first time seeing Joe. 

Sitting expectantly in the exam-room chair, he’s a gaunt man with a long face and dark tattoos down his arms. Wire-rimmed glasses, stringy ponytail, faded jeans and leather jacket complete the look. 

“Nice to meet you,” I say. “I’m Angela, a medical student. I’m doing a couple of weeks here with Dr. Ross, the chief physician.”

“Thank you, doc. I’m Joe.” He smiles, dark eyes twinkling, and I glimpse yellow-stained teeth. 

Probably from smoking, I think. 

Joe starts talking, jiggling his leg nervously.

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Illness 101

Madeline R. Sterling

My time as a medical student is quickly coming to an end. Later this month, along with hundreds of my fellow seniors across the country, I will receive a medical degree.

This past winter, with nearly four years of arduous study, countless examinations and numerous clinical rotations under my belt, I couldn’t help but think, Yes, I’m ready to be a doctor.

And then I became a patient.

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Behind Closed Doors

Sophia Lee Ryan

I’d prepared as much as I could: I had a huge coffee, a water and every kind of snack imaginable stuffed into my bag. In my head I carried as much information about dilation and curettage as I’d been able to absorb during a study session at Starbucks the night before.

I was a third-year medical student doing my obstetrics and gynecology clerkship, and I was about to spend a day at the local family-planning clinic. The clinic offers support to women on all aspects of contraception, from education and counseling to providing various methods of birth control or carrying out terminations. I knew that this was their OR day, so I’d researched some of the cases that I

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A Reason to Stay

Ashish Massey

“Aren’t those decorations looking nice?” asks a soft voice beside me.

Startled, I turn to find a young woman wearing a red-and-white sari. Her head and face are swathed in the folds of the sari, leaving only the large red bindi on her forehead clearly visible.

We’re sitting on a grassy tuft amid a large campus green. All about us stand buildings with signs in both Hindi and English. Atop the central building waves an Indian flag, around which workers are hanging colorful garlands, tassels and lights.

“It looks very nice. What is it for?” I reply in Hindi, feeling that my accent must betray my American upbringing.

I am a fourth-year medical student. Two days ago

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Florence

Ben White

When I first met Florence in the ER, she’d already been dying for some time.

I was a third-year medical student doing my internal-medicine clerkship. Florence was a soft-spoken, tired woman in her sixties. To her, I was yet another face asking all the same questions, but she didn’t mind telling her story again–although she did stop in the middle to tell me, “You have beautiful eyes.” I paused to smile, then continued taking my history.

Florence was very overweight, diabetic, a mother to children who were somewhere far away, and a wife to a quiet, slender man with bags under his eyes. She and her husband

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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 a family physician who volunteered time in a City shelter.

New York Welcomes You 

 
Paul Lapis

Just three short months ago, I took my first steps into the medical world when I put on my white coat and began my first day as a student

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Emergency Landing

Shumon Dhar

In the summer of my first year of college, I did an internship as a nursing attendant in a rehab hospital’s stroke unit.

As a premed student, I had little idea of what it meant to be a physician. But that didn’t stop me from feeling slightly superior to others who weren’t on the same path. Although I didn’t know how to take someone’s blood pressure, I often treated friends to detailed descriptions of the biochemistry of complex metabolic diseases.

My summer job took me totally out of this academic comfort zone. 

I found myself washing, dressing and caring for the most debilitated people imaginable–unable to walk

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Epiphany

George Saj

It happened one wintry night in 1965. I was in my third year of medical school during a rotation on the pulmonary service.

My supervising intern had been busy all evening admitting a dozen people in various stages of respiratory distress; they were suffering from ailments ranging from flu to double pneumonia.

It was my job to collect each patient’s sputum and culture it on a Petri dish, which would take several days to grow out. I also prepared stained slides of each sample. We did this in hopes of being able to visually identify the offending bacteria, so that we could speedily administer the appropriate antibiotic.

This was painstaking work: the intern and I had to repeatedly re-check

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Out of This World

Katelyn Mohrbacher

When I met Jasper, I was a third-year medical student doing a nine-month rural clerkship, and he was an eighty-year-old man in a coma.

Family members surrounded Jasper–a tall, broad-shouldered man–as he lay in the hospital bed. His wife, Esther, a petite, lively woman also in her eighties, stood by his head, grasping the bed rail. At the foot of the bed stood their son, a middle-aged man with a baseball cap on his head, his hands fisted in his pockets. Flanking the bed were his sisters (both nurses), one with curly hair and a baggy sweatshirt, the other slim and well-groomed. A warm summer breeze wafted through the room, bringing the scent of fresh-cut grass.

Jasper had been admitted two days

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