In my professional role as a medical illustrator, I'm often drawn to a good metaphor. As a patient, the allure of metaphor can be dangerous.
Read moreGiving Up Metaphors: A reflection about how we talk about illness by poet physician Ronald Lands
In both the literary world and in the clinical world, metaphors take hold of our relationship to illness and health.
“Giving Up the Fight,” by Rebeca Stanfel (Spring 2023 Intima) is a first-person account of her struggle with sarcoidosis and the metaphors that complicated her ability to deal with it. Well-meaning friends and family assailed her with encouragement that depicted chronic illness as a battle to be won or lost.
Read moreBig Moments are Surrounded by Little Moments: An End-of-Year Reflection by doctor Rory O’Sullivan
Big moments are surrounded by little moments. That’s what I was trying to pull out in my story “There’s a Special On Car Washes,” published in the latest issue of Intima. That bewildering sensation, common in life and especially in healthcare, that extraordinary things happen but that time marches on without sentimentality. You win the big game but when you get home you still have to take out the garbage. You receive a life-changing diagnosis and then you have to figure out the machine to get out of the hospital parking lot.
Read moreLearning to be Present for an Act of Dying by UCSF Medical Center professor Krishna Chaganti
It is the great privilege of medicine that we are asked to show up, constantly, albeit in a different role than a family member would be. To not look away is in the fabric of what we do. It is partly why the practice of medicine can be exhausting, electronic charting and reimbursement quibbles aside. We are asked as caregivers not to dispense always but to receive, to hear questions that we don’t want to reflect upon. It is our privilege to be present.
Read moreListening to Beethoven: A Reflection on Professional Responsibility and Personal Recognition by poet Susan Carlson
“I like Beethoven the best!” is a declaration made by a patient of Mitali Chaudhary, as she readies to leave his hospital room. A busy senior medical resident at the University of Toronto, Chaudhary juggles many demanding responsibilities with her desire to get to know this elderly patient. In her Field Notes essay titled “Beethoven’s Symphony No. 5,” published in Intima’s Fall 2023 issue, she recalls how she’d tried to get her patient to respond to questions about symptomatology, all the while aware that twenty-three other patients – along with a group of junior residents and medical students – were awaiting her time and attention. In that moment, she finds herself turning away from an opportunity for a personal interaction with him in order to ensure she manages her tasks appropriately.
Read moreThe Thing About ‘Good News’ at the Doctor’s Office by neuropsychology postdoc fellow Sarajane Rodgers
In theory, whenever we go to the doctor, most of us want to hear “good news.” The test is negative. You don’t have ___. Your results are inconsistent with ___. There are times where we take that in and walk away with an emotional weight removed. Other times, we are left with a void. The diagnosis we thought we could hang a hat on is taken away. Now where do we put our hat?
Read moreOn "Feeling Blue" and Self Care: A reflection by neonatologist-poet Elizabeth Osmond
© Feeling Blue Amanda Hage Spring 2022 Intima
It is a challenging time to practice medicine. We are emerging from a global pandemic that is casting a long shadow. This has mingled with austerity for public service funding and a cost-of-living crisis. Members of many healthcare professions have been on strike.
Read moreReligious Moments in Medical Practice by internist John Pierce
A retired physician reflects on his glimpses into religion and spirituality while confronting his patients’ illness and suffering—as well as his own.
Read moreHow Patients Teach Us by Catalina Flores
A nurse contemplates how and why patients are made to feel like burdens—simply for having several needs.
Read moreThe Gifts Reserved for Age: A Reflection by Richard Scott Morehead
A professor of medicine reminisces about his former student, whose work appears alongside his own in this very journal.
Read moreWhat's a "Good Patient"? A Reflection by Jacqueline Ellis
A scholar wonders if and how she can become her doctor’s favorite patient—and what that may mean for the sacred patient-physician relationship.
Read moreThe Hospital Gift Shop: An Unlikely Refuge by Maureen Hirthler
An emergency physician fondly looks back on an unlikely refuge within the hospital: the gift shop.
Read moreCuring Bodies: How Uncertainty and Variation Shape Early Experiences in Medicine by Anna Harvey Bluemel
A physician reflects on the uncertainty that comes with the study of the human body, and the unpredictability that comes with the pursuit of medicine.
Read moreConnecting with the World of Our Patients: A Reflection by Savita Rani
In her poem “Internet Dating for Centenarians” (Intima, Fall 2021), Sarah Smith paints an animated picture of her cheeky and cheerful elderly patient. Smith, a board-certified family physician and author of The Doctor Will Be Late, describes her dilemma about which topic to discuss with her patient—lipids or love.
Read moreLauds: A solitary prayer at the scrub sink by pediatric surgeon Kristen A. Zeller
In the hospital, routines carry us through our days and lend a semblance of structure to the chaos of lives disrupted by illness. Some routines happen on a large scale—weekly gatherings of departments for Grand Rounds, hospital leadership meetings for safety huddles, the hustle of getting a cadre of operating rooms started nearly simultaneously in the predawn. Other routines are more intimate—the sequenced process of doing a sterile central line dressing change, the donning and doffing of PPE outside a patient’s room, the one-one-one nursing handoff at shift change.
Read moreThe Shit Poems: A Reflection by Drea Burbank
I am interested in the juxtaposition between my use of poetry to shed traumatic experiences and memories from medicine, and the description of William Carlos Williams by Britta Gustavson (“Re-embodying Medicine: William Carlos Williams and the Ethics of Attention,” Spring 2020 Intima).
Read moreHow Touch Affects Healing, a reflection by Wendy Tong
In her Field Notes essay “Hand Holding” (Fall 2019 Intima), Dr. Amanda Swain describes the experience of beginning her surgery rotation as a third year medical student. In the early days of the rotation, she feels an intense sense of being out of place within the “intricately choreographed dance” of the operating room. But when the next patient is wheeled in, Dr. Swain is reminded of how a nurse once took her hand before she underwent surgery, the touch conveying an unforgettable message of comfort during a time of deep vulnerability.
Read moreDoctoring and Disobedience: Speaking an Important Truth, a reflection by Kelly Elterman
Sometimes, the truth can be uncomfortable. It can be difficult to hear and often, even more difficult to say. In her Field Notes piece entitled “Doctoring and Disobedience” (Spring 2020 Intima) Dr. Lisa Jacobs recalls her struggle with being told to hide the truth of a prognosis from an elderly patient with metastatic disease. Despite the instruction of her attending physician, and the decision of the patient’s family and ethics team to not speak of death to the patient, Dr. Jacobs feels compelled to let her cognitively-intact patient learn the truth. So strong is her conviction that she takes on considerable risk to her own career for the sake of bringing the truth to her patient.
Read moreWho Draws First? A reflection about racial stereotyping by Dr. Ibrahim Sablaban
So, who draws first? Figuratively speaking. In America, someone’s going to draw. Someone’s going to attack and define you by some arbitrary standard. And that someone could be anyone.
Read moreAre We Still Ourselves? By Marie-Elisabeth Lei Holm
Facing death led Kalanithi to grasp the flow of time in an entirely different way. From being a steady currency–a predictable resource of skill-building and career advancement–it dawned on him that time does not always follow a linear path of progress.
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