A writer living with rheumatoid arthritis finds companionship in another writer living with Lyme disease. Although these two diseases may be different, they continue to manifest in similar ways.
Read morePoets on Poets: A Look Back and Forward by Ellen Goldsmith
A poet reflects on what companion poets and their poetry can offer us in the face of unexpected illness and loss.
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 moreThe Role of the Medical Television Drama in Cinemeducation
What is the purpose of the now-ubiquitous medical television drama in the age of pandemics? And whose voice does it center: the physician’s or the patient’s?
Read moreTo Enhance, Supplement, and Support
What is the physician’s role in the clinical encounter, and what is their responsibility to the patient? A physician reflects.
Read moreHands-On versus Hands-Off Medicine: Reflections of a Surgeon
Inspired by two pieces written by medical students, a surgeon reflects on his own experiences in medicine and the role that human touch plays in the clinical encounter.
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 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 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 moreSirens and Hummingbirds: How Poetry Can Make Sense out of the Mundane by MS4 Anna Dovre
As a medical student, I've gotten into the habit of saving folded-up scrap paper from the hospital and stealing moments during rounds or lectures to jot down scattered words and phrases. They're things I can't get out of my head, like "white cheddar Cheez-its® and stale cigarettes" or "I'm not a bad Mom." Snippets that don't make sense on their own, but together they have a strange sort of alchemy. The distilled essence of a day's humanity. A tragicomic piece of found poetry. After my first year of clinical rotations, I decided to sit down and see what I could cobble together to find out whether meaning would come if I made space for it. What arrived was, if not meaningful, at least interesting, and it eventually became "Self Portrait of the Artist as Medical Student."
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.
Read moreOut of Time? A reflection about illness and its toll on our past, present and future by Sophia Wilson
In her observant poem “Brain as Timepiece (Administering the Clock-Drawing Test to My Patient With Dementia)” (Intima, Fall 2018), Jennifer Wolkin describes the disordered clockface drawn by a patient with dementia: each number stands outside its perimeter like lost digits. The patient’s subsequent drawing of an ‘X’ over the wayward numbers suggests an erasure, not only of cognitive function, but of time itself. Time’s toll equates to a ‘crossing out’ of past, present and future as the ‘disease devours …organ tissue’.
Read moreRooms and Wombs and Writing: A Reflection on Stories Highlighting Life’s Impermanence by Patrick Connolly
I’ve come back to Hemingway’s “Hills Like White Elephants” so many times. He uses third person objective point of view to create a chill in a scene that could otherwise be exuberant and exotic. A train station, central Spain, a hot afternoon, people talking about their lives together, an unspoken baby on the way – and that is a problem.
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 moreInside Voices: Learning When to Listen, When to Control by writer Marleen Pasch
In my short story “Rocks and River,” ( Fall 2021 Intima) a young woman named Tran Huong Giang stands on the MacMillan University Bridge and looks into the ravine below. She knows—as does writer Meredith O’Brien in her essay “Another Game Day”(Fall 2021 Intima)—what it’s like to hear two voices.
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