I recognized right away a kinship with Bessie Liu’s “Variations on the Negative Space Before Healing” (Fall 2023) and its use of subtraction to create new meaning; The poem by Liu, a third-year medical student at Johns Hopkins School of Medicine. very much feels like a sister to my poem, At the Doctor’s Office, I Check, Yes, I Have Experienced the Following: Sudden Weight Loss (Fall 2023).
Read moreWhat Clown Doctors See and Don't See: A Look at Healthy Humor by Phyllis Capello
For thirty years, my hospital work (I’m a clown ‘doctor’/musician for Healthy Humor) has included meeting and entertaining families in clinic waiting rooms, Pediatric ICUs, triaged Emergency Departments and in out-patient, in-patient rooms. Clown-doctor encounters can, if invited, also extend to physical therapy and treatment rooms, hallways, nurses’ stations and elevators. In ED and in out-patient and in-patient rooms permission comes from the medical and childlife staff first (and pertains to situational or isolation status). After that, the child’s permission (being our ultimate “boss”) to enter is strictly respected. In a hospital environment, we are one thing a child can prevent from entering their room.
Knowing when to present ourselves and when to exit means we are not often present for the trauma of Emergency Medical procedures unless specifically requested by staff. I do not see the immediate medical aftermath of a bullet wound. The hands of professionals as they seek to save a life as in Kirilee West’s drawing of hands entitled: “6:21 P.M.” That is why the piece really speaks to me of the drama and humanity inherent in the moments before a medical clown can be of any use to a patient.
Her drawing resonates with me as my poem, “The Ballad of a Harlem Boy,” was written after a nurse shared her distress about a child’s death. Telling us (we work in pairs) of her direct experience, I could only think of her hands and their expert ministrations during that terrible time and of the depth of her humanity for the mortally-wounded fourteen-year-old and his mother.
We all want our hands to be of use: I, in my small way, making music or writing poems; medical staff whose hands take on the most difficult and tender of roles; the artist’s hands who can capture with a charcoal stick the enormity of what we might see if, after the fact, we can allow our creativity to take a step back and tell a story.
Phyllis Capello, who is a writer and musician, is a NYFA fellow in fiction I and a winner of an Allen Ginsberg Poetry Award. Her collection “Packs Small Plays Big” is from Bordighera Press, 2018. Cantastoria work (sing/storyteller) has taken her from Ireland-to-Istanbul. She has presented at the International Oral History Conference in Rome, Italy and has been a musician/clown since 1990 with Healthy Humor Red Nose Docs, as well as a member of the poetry/activist trio, The Ferlinghetti Girls. In 2023 she was honored with People’s Hall of Fame Award for teaching artistry for her work in New York City schools. Her poem “The Ballad of a Harlem Boy” appeared in the Fall 2023 Intima: A Journal of Narrative Medicine.
On Work-Worn Hands and Gestures of Love, a short essay by poet and educator, Joan Baranow
A writer and poet honors the memory of her mother by finding the parallels between her own work and the story of another mother and daughter.
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A medical student reflects on the loss of their father to a devastating neurodegenerative disease as well as the power that music can hold during the illness experience.
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A writer reflects on her own mother’s experience with death and dying and argues for the greater recognition of palliative care in the clinical encounter.
Read moreLeave Work at Work
Which story is heard, and by whom? Which story do people want to hear, and why? A COVID nurse provides explanations as well as recommendations about storytelling.
Read moreThe Embodied Connection in Patient-Provider Interaction
A former PICU nurse examines the power of both embodiment and gaze in the clinical encounter.
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 moreAbsences in Cortney Davis' "It Was the Second Patient of the Day"
A writer and father ponders the power of absence in the clinical encounter, as well as the power of presence.
Read moreLet Me Speak My Free Mind into You: Seeking Genuine Connection in Medical Practice
A medical student examines two poems published in this journal in order to advocate for genuine connection in medical practice between patients and physicians.
Read moreAfter Testimony, Tribute
A testimony and tribute to one writer’s mother who passed away from COVID-19.
Read moreHungry for the Everyday: On Jennifer Abernathy’s "Hunger"
A nurse ponders the role of food in the ICU setting—as well as the hunger that it can stir and the memories that it can evoke.
Read moreOn Disability, Tools, and Dignity
What is the interplay between dignity and disability? A writer living with Ehlers-Danlos explains.
Read moreWhen Magic Meets Medicine: A Reflection on the Power of Play
Through poetry, a writer and community-based coach appreciates the magic at the borderland of the known and unknown.
Read moreTherapeutic Alliance: A Key to Effective Treatment
A retired nurse practitioner close reads a Field Notes essay published in this journal and emphasizes how shared identities and backgrounds can generate a more therapeutic alliance during the clinical encounter.
Read moreThe Sense of Being Lost in the Face of Illness and Death
How does grace manifest itself in the clinical encounter? And what of eulogy and testimony? A psychiatrist-writer explores two poems published in this journal to find deeper meaning.
Read moreThe Beautiful Surprise
What is the beautiful surprise that can be found in the clinical encounter between patient and physician? A writer and nurse explains.
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