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Titanic

Jeanne LeVasseur ~

Even now, some eat strawberries in the sunshine,
some pace the deck in a strong salt breeze,
while for others, the music is winding down.
Always unfair–a few of us in lifeboats,
some sinking in the icy water,
others on a slanting deck about to go under.

We make salami sandwiches on rye,
smoke a cigarette after passionate love,
and wave goodbye to the yellow school bus.
We never know when–
until the deck slants and the loud machinery
grinds still.

Lucky are those who glimpse the stars,
get a chance to be noble,
to love and forgive, as the fugitive melody swells.

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Conundrum

Matthew Hirschtritt

Walking from an exam room to the nurse’s station in the small outpatient clinic where I worked as a second-year medical student, I paused by a window to gaze out at the winter sunset. After a moment, I looked down to scan the notebook where I kept my schedule and notes for my last patient of the day.

4:15, Ms. Smith, 26, lump on groin–the bare bones of a story waiting to be filled in.

Feeling tired and looking forward to dinner, I sighed dramatically, dropped into a chair in front of a computer console and called up Ms. Smith’s electronic health record. 

Like most medical records,

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Mementos and Memories

Paul Rousseau

Delores sits tilted to the right in a worn wheelchair, a curtain separating her from a sleeping roommate. 

She is wearing a blue blouse stained with something orange, perhaps Jell-O, and white pants and white socks. A worn gold wedding band adorns the fourth finger of her left hand. Her hair is a shiny gray, perfectly coiffed, and her face is etched with deep wrinkles, a testament to eighty-nine years of life. 

A tiny bedside shelf displays two faded black-and-white photos from the 1930s or ’40s: one is of Delores in her twenties, a demure smile on her face; the other shows Delores with a young man

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Food

Joanne Wilkinson

I have a stress test nearly every year. I do this because my mother dropped dead of a heart attack when she was thirty-six, and now I am thirty-five.

They stick EKG leads on me, and for weeks I have blotchy red circles on my skin where it’s reacted to the adhesive. I run on the treadmill. Sometimes the cardiologist scans my heart and arteries with ultrasound; other times, he injects me with a radioactive marker. Sometimes he looks at me as though I’m wasting his time. Sometimes he frowns and looks concerned when he hears about my family history.

I always pass the test.

Why did my mother have a heart attack? I don’t have satisfying answers for this. Was her

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An Intern’s Guilt

Anna Kaltsas

“She’s been here for two months already. She’s very complicated; you’re going to be spending a lot of time with her and her family,” my fellow intern said as she began signing out her patients to me. 

It was my first rotation in the medical intensive care unit, and I was terrified. I was in my first few months as a “real” practicing physician–a title that I still felt uncomfortable with. If a nurse called out “Doctor!” I wouldn’t respond, thinking that she couldn’t possibly be referring to me.

My fear mushroomed as my co-intern rattled off the patient’s problem list–bone-marrow transplant, shock liver, congestive heart failure, anemia, coagulopathy, sepsis, acute renal failure, ICU neuropathy, encephalopathy, ventilator-dependent…I knew what these meant, I

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Invisible Thread

Donald O. Kollisch

From: Michael

To: Donald O. Kollisch
Subject: Serious medical update

Don,

I can’t say for sure why I’m writing to you, but you were such an important part of my life during the onset of my illness that I feel a strong desire to communicate with you.

The mysterious autoimmune disorder that was lurking in my body has finally had the decency to declare itself. Unfortunately, it is systemic sclerosis, also called systemic scleroderma, which means I’m facing a gradual but ultimately fatal process of skin, joint and organ degeneration.

It has hit my lungs, seriously affecting my breathing capacity, and has hit my digestive system also. Recently I was in the hospital

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The Limits of Medicine

I can not change the color of the sky.

The texture of the rain, the distance of a star
must needs be fixed by ancient ritual
unaccepted by our modernity.

I can not change the length of your night.
The number of hours, the days of your life
are set by stern fate, impassive to sighs,
unsympathetic, and cold to your plight.

I can not count the breaths that are left.
Day into day, year into frightened morn,
only you, in your heart can know
the obscurity of the sand that now sifts.

I can not make a single tear move;
Its salt will wend its way to the earth
that calls with an irresistible force,
one that will not soon leave off.

I have

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Finding Innisfree

Roger looked up at me over the oxygen mask, his eyes drawn wide by the sores stretching his face. He lifted a hand for me to take.

“I’m glad you’re here,” Jen had said before I’d entered his room. “They’ve taken him off a lot of the medication. He’s very lucid, but he’s depressed and scared.”

The previous fall, Roger and Jen had begun couples therapy with me. They were both thirty-two and had been together for ten years. Three years before they came to me, Roger had been diagnosed with leukemia. A bone-marrow transplant had left him cancer-free, but his prognosis was guarded. He and Jen argued frequently, his desire for independence clashing with her insistence on managing his care.

When they first visited

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Mothers and Meaning

John G. Scott

“Dr. Scott, this is Dr. Font.” The call came from my mother’s cardiologist as I was about to see my first patient of the morning. “Your mother is worse. You’d better come as soon as you can. I don’t think she’ll survive the day.” Those blunt words shattered my denial: I had convinced myself that it was possible to fix the cumulative, lifelong damage wreaked on my mother’s heart by her atrial septal defect, a congenital condition.

I thought back to the time, weeks earlier, when I’d gone to visit my parents. The vibrant, life-loving, intellectually engaged woman I knew so well was beaten down by her illness. Pain clouded her eyes and lined her face. I could see the bony outlines

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