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

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

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Pregnancy Journal

Laurice Gilbert ~

4th January 1986 / opened the journal and wrote the first entry:
swapped completely from mercury to digital thermometer

basal body temperature: a colorful set of graphs that each invests
3 months with footnotes, asterisks and inexplicable numbers

Reading: Birth Without Violence / The Paper Midwife
A Guide to Responsible Home Birth

21st January / passed my Distance Learning exam in Horticulture
Human Biology next perhaps / forgot to take my temperature

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Too Close for Comfort

Andrea Eisenberg ~

Many years ago, on a busy day in my obstetrics-and-gynecology office, one of my partner’s patients came in for “bleeding, early pregnancy.” Since my partner wasn’t in that day, I saw the woman, whose name was Sarah. After we’d talked a bit, I examined her and did an ultrasound. As I’d expected, she was having a miscarriage. Feeling sorry that Sarah had to hear it from me, rather than from her own doctor, I broke the sad news.

We discussed the options: Did she want to have a D&C, or let nature take its course?

“I’m not sure,” she said. “I need some time to decide.” I agreed that this was understandable and left the room so that she

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Alloimmune

“I only have bad options for you.”

I had visited this place, this stifling humid ultrasound room, a thousand times in my fears. But now it was real, and I had a choice to make. All the grinning, stupid hope I had embraced, the idea that this was a walk of faith I could use to teach others, rose up as a dark maroon flush in my chest. Hubris. The ancient Greek kind.

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Blessed Events

Although I do not believe in medical miracles, I rejoice in the reality that I have experienced two—when I became pregnant with (and ultimately gave birth to) first my son and then my daughter.

From the age of thirteen-and-a-half, when I began menstruating, until age eighteen, I endured a great deal of pain whenever I got my period. My parents took me to the gynecologist, but he did nothing but assure me that “this too shall pass” with time.

Unfortunately, he was wrong. 

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Doe Eyes

Andrea Gordon

She burst into tears when I asked if she wanted to get pregnant.

Eman, a beautiful young woman from Jordan, sat in my family-practice office with her husband, Ali, and two adorable children about one and two years old. With her scarf and dark clothing covering all but her pale face and enormous sable-brown eyes, Eman looked closer to fourteen than twenty-four, and scarcely old enough to have any children.

“How can I help you?” I started.

“We wish to remove her IUD, so we can have another baby,” Ali answered.

I don’t think he expected me to address Eman directly.

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Perspective

“Your ovaries never developed.”

I am trying—and failing—to wrap my mind around those four words, to grasp the weight of their meaning, but every time I try to speak or swallow, the sharpness of the word “never” lodges in my throat. Never, meaning never counting the number of fingers on an ultrasound, never feeling the flutter of little toes against your abdomen, never arguing about whether you prefer the name Sophie or Sophia, never wondering if your baby girl will recognize your voice when you get to hold her for the first time.

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Perfect Timing

Linda Kobert

Monday, 7:30 am, DR two. I’m circulating,
the nurse who isn’t sterile, the surgical team’s link
with the unclean world. Before the incision,
I have ten things to do. I keep the list in my head:
check suction, position lights, turn on Bovie, toe
the steel bucket next to the surgeon’s feet.

The scrub nurse and I do the count: sponges, needles, clamps.
I chart these numbers. Post op the count must match. I snag
the tips of the ties on the surgeon’s sterile gown. He spins

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The Apparition

The drug wore off, and in a minute’s time I travelled from epidural bliss to full-on, body-wrenching pain. An ominous feeling welled up inside me, and then it came bursting out in a primal scream.

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Time Bomb

A lot of waiting goes on in hospitals, and not just in the so-called “waiting rooms.”
I lie in bed waiting for the next day to arrive. It is a small room with an eraser board where, on the next day, I can mark the estimated gestational age at twenty-four weeks and two days, far short of a normal forty-week pregnancy. The bleeding that brought me here has stopped, and now I’ve started my “count up” ritual toward the day of delivery.
I start the next few days with a good attitude. I plan to use this forced bed rest to study for my board recertification and to catch up on friendships. It is hard to understand why each day ends with

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We Pretend That We’re Not Afraid

Caitlin Bass

We stand outside in the heat. We swat at the occasional persistent mosquito. We try to ignore the sweat beading down our foreheads and the backs of our necks. We retreat to the deepest recesses of shade we can find. We wish for a hint of a wisp of a smidgen of a breeze. We hold court on life and love. We laugh and tease and are determined to have a good time. We could be in Atlanta or Austin or Anytown, USA.

We pretend that we’re not afraid.

We are afraid, though. Our fear is legitimate: Some people hate us. And some of them are armed and dangerous.

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Special Delivery

Deborah Pierce

I first met Marie five years ago. A petite, soft-spoken woman in her thirties, she was the patient of one of the residents whom I supervise at our community hospital. Marie worked in housekeeping for a large corporation; she and her husband, a bus driver, had a six-year-old son. Now she was twenty-six weeks (six months) pregnant with their second child.

Marie’s blood pressure was markedly elevated (168/120), she had fairly high amounts of protein in her urine, and her baby measured small on the ultrasound. These pointed to severe preeclampsia–a serious complication that can quickly worsen, leading to kidney damage, seizures or even death for mother and child, and that can only be cured by delivering the baby.

The

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