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Birth of a Hospice Nurse

Sara Conkle July 10, 2015 18 Comments

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

Popping the Question

Mitch Kaminski January 16, 2015 34 Comments

Mitch Kaminski

Mr. Dwyer isn’t my patient, but today I’m covering for my partner in our family-practice office, so he’s been slipped into my schedule.

Reading his chart, I have an ominous feeling that this visit won’t be simple.

A tall, lanky man with an air of quiet dignity, Mr. Dwyer is eighty-eight. His legs are swollen, and merely talking makes him short of breath.

He suffers from both congestive heart failure and renal failure. It’s a medical catch-22: when one condition is treated and gets better, the other condition gets worse. His past year has been an endless cycle of medication adjustments carried out by dueling specialists and punctuated by emergency-room visits and hospitalizations.

Teaching the Wound

Joanne Clarkson December 19, 2014 14 Comments

Joanne M. Clarkson

For LS

Assume pain, I tell them, the young, the
minimum-waged, those who work the midnight
shift with no chance for stars. We lean
over the bed of a 93-year-old man with advanced
Parkinson’s disease. His face is
frozen, even his eyes don’t seem to move
unless you watch the sheen. These

student aides are to turn him, bathe and lotion
his stiffened limbs. After they roll him silent
and awkward as a rug, I notice the bandage
discolored with seepage, covering his left
calf. The notes had not mentioned

Continuing Education

H. Lee Kagan June 27, 2014 9 Comments

H. Lee Kagan

The nasogastric tube was killing me. It had been in place for twelve hours now, threading its way up my nose and down my throat, past my esophagus, into my stomach. Try as I might, I couldn’t swallow away the nasty lump stuck to the back of my throat. And every time I tried, it hurt.

Decades before, as a physician-in-training in upstate New York, I’d put in more nasogastric (NG) tubes than I could remember. At the time, I hadn’t regarded NGs as a big deal. But now I was having my first personal experience with this vile little snake, and it sucked–in every sense of the word.

Two days before, I had come down with a viral gastroenteritis, or stomach

Solitary Confinement

Stewart Decker January 10, 2014 14 Comments

Stewart Decker

I’ve made a huge mistake, I thought.

The fever had come back. The fever had come back, and I was stuck on a bus. The first of five buses, actually….

I am a fourth-year medical student at the University of Minnesota, but right now I’m a long way from home. I am spending a year in South America, studying international public-health issues by working in emergency rooms, non-governmental organizations (NGOs), social projects and surgical suites.

When this story began, I’d been living in a small, remote town called Central Yuu, in the Ecuadorian jungle, helping the villagers to build a potable-water spring-protection system. It was on a rainy day there that I collected a connect-the-dots pattern of insect bites on my ankles.

The Calling

Lawrence Dyche January 7, 2011 No Comments

Lawrence Dyche

I am a non-physician who teaches physicians. A clinical social worker by training, I help doctors learn to be more compassionate and skilled in their human interactions. I sit in with residents as they see their patients. I help them to become better listeners, I remind them that as they touch the body they also touch the soul, I emphasize the enormity of witnessing. And after two decades of doing this work with innumerable students, I still regard the medical profession with awe–not simply the doctors but the calling, and the extraordinary way I’ve seen some people answer it.

Back in the Eighties, when I was beginning this work, I shadowed a resident for an entire day on the wards of a city

Adam

Genevieve Yates October 22, 2010 No Comments

Genevieve Yates

I tried to focus on the chart in front of me, but it may as well have been written in Russian. I’d been awake for thirty-two hours, and my brain, thick with fatigue, refused to cooperate. I knew I shouldn’t be working, but I was too proud, too stubborn, too something to admit that I wasn’t coping.

On the first day of my neurosurgical rotation, the resident I was replacing had told me, “Ten-to-fourteen-hour days, twelve days on, two days off. Say goodbye to your life for the next three months!”

I was prepared for the long hours, endless paperwork and ward-round humiliations. I expected that it might be necessary to take a leave of absence from my personal life. What I didn’t expect was

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

Tag: the good doctor

Birth of a Hospice Nurse

Popping the Question

Teaching the Wound

Continuing Education

Solitary Confinement

The Calling

Adam

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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

Tag: the good doctor

Birth of a Hospice Nurse

Popping the Question

Teaching the Wound

Continuing Education

Solitary Confinement

The Calling

Adam

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