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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Tag: pregnancy

Birth of a Hospice Nurse

Sara Conkle

The woman lying on the transport cot in the examination room was terrified. I could see it plainly in her eyes, but there was no time to stop and comfort her.

I was a young, recently graduated nurse in a busy urban emergency room, struggling to keep up with its daily array of shootings, stabbings and crises. ER nurses hustled. We dealt with life and death, and we did it quickly. That may be why I paid so little attention to the pain and fear in the woman”s eyes.

I asked her to get onto the examination table and duly recorded the facts: her last menstrual period had taken place several months before; her bleeding and cramping had started earlier

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Birth

Albert Howard Carter III

(for NCC and RAC)

My wife lies in the little room,
tight as a drum, and even more convex.
She breathes hard as the contractions come.
The doctor, some 20 feet away,
shares his lunch with me,
the husband and coach;
My wife, lunchless today,
hears this act of betrayal
and resents (I learn later)
that we are eating cake:
she’s clearly in “transition,”
when even the nicest women
can become cranky.

Groans and wails fill the hall;
The place sounds like a zoo.

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november

Allie Gips

tucked into the chaos of the emergency department
is a single room with stirrups, a floor spackled with blood,
& a woman whose face betrays nothing.
the bodies of all those i have touched who have then
died pile before me like so many broken eggshells
so i stand against the wall to distance myself from her
& her cramping uterus, her dark red clots that fall
like sleet, her blank eyes that stare strictly at the ceiling
while we busy ourselves with machinery: the speculum,

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Dance in Three Movements

Anna Schmidt

Reprieve

Once the weeks of morning sickness subside, I feel as if I’ve grown wings.

Even with the fatigue, it’s as though someone has pressed a great “reset” button on years of inflammation. That elbow joint that hasn’t straightened fully for years suddenly rediscovers its full range of motion. My knees, too, become straighter and stronger than they’ve been in many years.

Even without the meds, ditched in honor of my growing baby’s health, it is my best and most dramatic remission since my teen years–the last time my hormones went to town.

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moon - sanders

Moon

Justin Sanders

About the artist: 

Justin Sanders trained as a family doctor and is now pursuing a career in palliative care. He and his wife live in Boston, preparing to welcome their first child into the world. Having studied art history and worked in the fine arts, he has a deep faith in their healing power. He is a Pulse author and serves as its visuals editor. When not frantically cleaning house in preparation for a baby, he loves to mess up recipes from a growing cookbook collection and to read The New Yorker.

About the artwork:

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She Lives in a Small Cell

Linda Evans

She lives in a small cell
on the Maximum Security Unit
pregnant with her tenth love child
the other nine scattered 
like dried leaves in the wind. 
Beneath the baggy government-issued jumpsuit 
her belly swells and shifts with the weight of life
a heaviness of never hearing first words, 
seeing first steps, or kissing cherub cheeks goodnight, 
thoughts as chilling to the bone 
as the December blizzard outside.
Over the intercom Officer Ryan’s frantic voice, 
“She’s in labor!’

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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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Broken

Jordan Grumet

I was a third-year medical student in the first week of my obstetrics rotation. The obstetrics program was known to be high-pressure, its residents among the best. Mostly women, they were a hard-core group–smart, efficient, motivated–and they scared the heck out of us medical students.

I remember the day clearly: Not only was I on call, but I was assigned to the chief resident’s team. I felt petrified. 

We’d started morning rounds as usual, running down the list of patients in labor. Five minutes in, my chief got a “911” page from the ER, located in the next building. This seldom happened, so instead of calling back, we ran downstairs and over to the trauma bay.

We walked into pure chaos. The patient

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Babel: The Voices of a Medical Trauma

Editor’s Note: This week, on the eve of Pulse‘s second anniversary, we offer a remarkable piece. It is the true story of a hospitalization as told from three points of view: first, the recollections of the patient (who happens to be a physician); second, events as recorded in the medical charts by doctors and nurses; and third, the version put forth by the hospital.

FRIDAY

Patient:
It is fall 2005, and I am nine months pregnant. A healthy 33-year-old pediatrician, I am a longtime patient of Doctor A and Doctor B, who delivered my two young children at this hospital. My husband and I are eagerly anticipating the birth of our third child.
One

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Babies

She tells me she wants to have a baby,

my daughter who was my baby
so many years ago.

Everything comes back to me–
the waiting, the wanting, the whisking
off to baby-earth, that angelic place,
passing through life
with its normal sounds, smells, and sights,
into the realm of women’s starlight, bright
as Polaris, a celestial universe of power,
revolving so far away
that only women with growing
babies under their swollen, milk-gorged breasts
could inhabit this land.

Just for a moment, I want to have a baby again.
My aging body with its downhill breasts
and lost uterus aches to soar to that planet.

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