The 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.

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Where 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

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The 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.

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Exploring 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.

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Savoring 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.

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What 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?

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Ways 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."

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Written 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.

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Bedside 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.

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On 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.”

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Playing 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.

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Costumes: 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.

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Beyond 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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