A writer and hospice nurse explores the parallels between one of her essays published in Intima and a studio art series previously published in this journal.
Read moreThe Importance of Touch in Medicine (and Beyond) by neonatologist Katherine C. White
A retired neonatologist recalls her time in the NICU when the specter of HIV loomed large—and laments the precautions against touch that have returned with the advent of the COVID-19 pandemic.
Read moreWhere do you turn for comfort? A reflection on Popsicles, Tater Tots and hospital gift shops by internist Ben Goldenberg
“Sometimes the job we do isn’t about fixing what’s wrong but rather helping each other survive within the confines of our brokenness.” Artwork: The Art of Being Here by Kirilee West Spring 2022 Intima
Read moreThe Chance to Say Goodbye... or Not: Thoughts about being prepared—or surprised— by death by end-of-life doula Virginia Chang
An end-of-life doula reflects on their experiences with dying patients and concludes by offering three life lessons.
Read moreExploring End-of-Life themes in "Nay Nay's Rebirth," a short story by Sara Lynne Wright
A retired surgeon reflects on a short story published in this journal—and in doing so, also contemplates how a comfortable and humane death can be fulfilled at the end of life.
Read moreThe Sincerity of A Great Story: A Reflection on “A Life” by Judith Hannah Weiss
A writer analyzes a piece of fiction published in this journal—and comes to discover the power contained within each line of writing.
Read moreSavoring Sunset: A reflection on saying goodbye by physician assistant Sara Lynne Wright
A physician assistant ruminates about the cycle of life, of sunrise and sunset—and how we can better appreciate each waking moment.
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 moreOn Caring and Suffering by Michael Evans, William Doan, Kiernan Riley, Kalei Kowalchik, and Logan DeSanto
A nurse offers a plea in the face of a worsening pandemic and increasing burnout among healthcare professionals.
Read moreWhat’s the Right Way to Die? And Where? A reflection by poet Kathryn Paul
Can we decide where we should die? A writer and former caregiver reflects on offering comfort during one’s final moments.
Read moreOn Witnessing Another’s Pain—Or Is It Our Own?
When one exists in close proximity to the pain of another, whose testimony is it? A scholar reflects on the shared experience that can result from suffering.
Read moreThe Wisdom of the Pomegranate: A Reflection on Poetry and Mothers by Sina Foroutanjazi
The void, the empty feeling of loss; this is perhaps what connects Ceren Ege’s Dictum Wisdom (Intima, Fall 2021) and Pomegranate Protocol (Intima, Fall 2021) above and beyond their chronological relationship.
Read moreWhat the Dying Need by Rachel Prince
Shortly after reading Vigil, I stumbled upon Sara Baker’s poem, “What Do the Dying Want?” (Spring 2015). In this work, Baker explores the titular question by wondering how healthcare professionals, hospice workers, or even caregivers and family members can properly address the needs of the dying – is the correct way through words and stories, reminiscing, music, meaningful touch, or just holding space and being present?
Read moreWays of Knowing (and Not Knowing) When the Prognosis is Terminal by writer PK Kennedy
"Right in here, remove your clothes. Underwear and bra can stay on but put the robe on so it's open in the back, not the front, okay?"
The words are coming at me in a torrent; I can’t understand any of them, but I know the drill.
I throw my stuff in a bag, take a deep breath, and open the door to the inpatient surgical waiting room. It smells like alcohol and ice and has no memories I can sense. Am I the first person that’s ever come here?
“You’re here for the lumbar?”
I cut her off before she could say puncture. "Yes."
Read moreWritten in the Stars: A Reflection on Youth Cancer by Will Moody
For every young adult diagnosed with cancer, a time comes when we ask ourselves a question.
Why?
Why did this happen to me? Why now? They are not questions we want an answer to, but as humans, we crave finding meaning in our lives. We do it because the alternative is accepting that cosmic randomness determines our very breath.
Why did this happen to me? Why now? They are not questions we want an answer to, but as humans, we crave finding meaning in our lives. We do it because the alternative is accepting that cosmic randomness determines our very breath.
Read moreBedside Mannerisms: Finding the time to care by pediatrics resident Vidya Viswanathan
In medical training, there is an increasing didactic focus on empathy and professionalism. In many of these sessions, I have learned certain skills: Sit down at the patient’s level. Ask them open-ended questions. Don’t interrupt. Use an in-person, video or phone interpreter. These skills are helpful. But often, they run up against the great limiting factor in many of our clinical encounters: time.
Read moreOn Vulnerability and Transformation, a reflection on open hearts and medical training by hematologist-oncologist Jennifer Lycette
“Retrospection Series” (Fall 2019 Intima), Joseph Burns writes on undergoing open-heart surgery at age twenty-three, only two months before In he started medical school. At first, he is reluctant to share his story with his peers. “It was a secret that was contained within the walls of the physical exam simulation rooms.” But as his training moves forward, he is motivated by his experiences “to become the best physician possible…to be the one who provides care, love, compassion, and primarily hope in situations where all may seem lost.”
Read morePlaying Favorites: When Caregivers Recognize a Wider Capacity to Love by Flo Gelo
“The Favorite” (Spring 2021 Intima) by clinician Amy Tubay is a story about having one. It’s a story about the defiant heart—how certain patients enter our affections in ways that are largely mysterious. That love—a love that overrides rules and regulations—isn't something we pay enough attention to in the health professions.
Read moreCostumes: What a Plague Doctor Wears to Deliver Care by family physician Carla Barkman →
This past Halloween, I rewatched The Rocky Horror Picture Show and thought about costumes. Who here is truly in disguise? Is it Frank-N-Furter with his heavy eye makeup, corset and garter, or Janet and Brad with their buttoned-up blouses, white doll shoes and matching purse, who come alive only after they are stripped to their underclothes and made up, for the final performance, in drag? Sometimes we dress up as monsters, but perhaps more often we hide our quirky selves beneath bland cloaks of conformity, afraid of the attention an unusual performance might attract.
Read moreBeyond Acronyms: Contemplating what 'OLD CARTS' really stands for by Tulsi Patel
“OLD CARTS” is an acronym we’re taught in medical school to guide us on questions to ask to elicit a history of the patient’s illness: Onset, Location, Duration, Characteristics, Aggravating or Alleviating factors, Radiation (of pain), Treatment, and Significance. Although OLD CARTS is a helpful checklist initially, over time it begins to feel perfunctory, done to check off a requirement on the rubric. We ask many questions, and I am keenly aware I’m asking because I want something from the patient—I want telltale signs, any clues on the diagnosis, any information that the care team can act upon and use— I feel greedy.
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