When I read, I find there are moments where it seems the author has plucked an emotion or idea out of my own experience and brought it to life on the page. This happened as I read Katherine Guess's piece, “I Need to Tell This Story” (Fall 2014 Intima), which chronicles the author's discovery of the emotional and psychological importance of sharing one’s own story. Guess adeptly writes, "I realized that [my patient] needed to tell [her] narrative in order to sort through the events of the last few days." This discovery perfectly describes my own experience in writing my poem, "Emergency Department," I found myself continually revisiting my patient, her loss, and my own personal struggle with the emotional burden of informing a patient she had miscarried.
Read more“What Would You Do, Doctor?” A reflection on how much a doctor should share with his or her patients by Katie Guess →
The questions begin as soon as the patient or family member hears a diagnosis. They come in no particular order. Sometimes, they come frantically. Sometimes, they come slowly, but nevertheless, they come. The physician can usually predict the questions. “What are the treatment options?” “What are the chances of success? Of cure?” “How long does he or she have?” And most physicians likely have memorized research results to regurgitate. But then the patient or family asks the question the answer to which cannot be found in medical literature, “What would you do, doctor?”
Read moreThe Price of Cancer by Wendy French →
My son says I’m a pessimist because for me the cup is never half full or empty: the contents have been spilled entirely. Maybe it’s the work I have undertaken over the past year as Poet in Residence for Macmillan Cancer Centre, UCLH. All day I have to be as positive and empathetic as I can for patients who are in various stages of diagnosis and treatment.
Read moreBearing Witness and the Power of Narrative Medicine by Vaidehi Mujumdar →
I wrote “The Operation” many times. The first draft was probably in Winter 2013, when I was just free writing short ethnographies that would later be crafted and edited into my undergraduate thesis. In the same way, I see “Witness” by Annie Robinson, published in the Fall 2013 issue of the Intima, as an arm of “The Operation.” Superficially, both talk about reproductive and sexual health. But what resonated the most with me is this one line:
Read moreThe Hospital as a Dynamic Spatial Experience by Tarina Quraishi
In the Spring 2015 Intima piece “On Elevators,” I navigate the spatial experience of a hospital, charting how the diverse anxieties of the exam room, waiting room, break room and boardroom intersect briefly inside the cramped quarters of an elevator. In her piece “Coming out of the Medical Closet” in the Spring 2014 Intima, nursing student Angelica Recierdo similarly characterizes the medical closet as a place to gather not only supplies, but emotional strength to enter a patient’s room.
Read moreBearing Witness to Orphans, Mothers and Strangers by Sara Awan →
In the the poem, "Close to the Flowers: Notes from a Tanzanian Orphanage," Woods Nash bears witness to the plight of orphans, mothers and strangers in a faraway place. It is visceral, the plastic-ness of the sack, the dirt, the body. It is painterly. It illuminates. It is very very very sad. It is a small poem fit for a billboard.
Read moreBreathing in Metaphor and Simile by Julia Jenny Sevy
Immediately my eyes fixate on the center bottom of the photo. The figure is flesh colored and kneels in an anthropomorphic way, so we know it is human. But the truly remarkable thing about the photo is the feeling that oozes out of it, or rather, her. I feel for her yet I can barely see her. "Things She Cannot Show You" (Fall 2014 Intima) instantly causes me to contemplate language and the great limits it places on conveying an illness narrative; and in turn, how this lack of adequate language leads to intense isolation for humans experiencing, quite literally, unspeakable things.
Read moreSeeing beyond the Double Blind Study: A Reflection on Evidence-Based Medicine and Scientific Truth by Lily C. Chan
While evidence-based medicine and the double-blind study is certainly a valid lens through which to view illness and health... the marginalization of intangibles or unquantifiables such as the patient experience and physician-patient rapport is an unfortunate side effect.
Read moreString Theory: How Learning to Play the Violin Saved Me by Jason Cheung
As I ruminated over my experience of learning to play the violin, playing collaboratively, and then using those skills to heal myself and others, I found Erica Fletcher’s “Viola Strings and Other Troubles: Mentoring a Medical Student’s Artistic Endeavors” (Intima Spring 2014) a source of inspiration. Ms. Fletcher reminded me that tuning a violin or a viola string, or engaging in an artistic endeavor generally, can temper the ebb and flow of a journey of recovery through a mental illness.
Read moreAnother Reflection on the Slippery Slope of Compassion by Nina Gaby, APRN-PMH
Yesterday, in the hall of the outpatient clinic where I practice as a psychiatric nurse practitioner, my patient politely took my extended hand at the end of our session and then quickly hit the button on the wall sanitizer. The wall sanitizer had been my first impulse as well, but I refrained, worried as to the message I might give if I immediately cleansed my hand after we touched.
Read more“I am not a Role Model” by Jacob L. Freedman
One’s identity is unarguably a product of one's history and life experience. We are also the product of our parents, grandparents, and the distant branches of our family tree. Beyond the obvious genetics—thank you for the 6’2’’ genes Grandpa Frank and not-so-much-thank-you for male pattern-baldness Grandpa Tudrus—our elders serve as our role models for adulthood, parenthood, career aspirations, and everything else one could possibly think of.
Read moreCan Art Mediate the Indignity of Illness? by Claire Constance
I was born and raised in a Catholic family. This revealed itself in the landscape of my childhood in subtle ways: stray rosaries in the the silverware drawer, conversations in which saints were talked about like old neighbors (“Have you seen the rake?” “Hmm, have you talked to St. Anthony lately?”), and the occasional mass in my family’s living room, presided over by my Jesuit uncle. As a fledgling Catholic, I was also exposed to a lot of talk about dignity.
Read moreA Transmutation: Balancing the Emotional-Intellectual Constraints of Becoming a Doctor by Irène Mathieu
Eyes closed, lips pressed in a determined smile or grimace, back hunched to brace against the forlorn landscape, the central figure in Renua Giwa-Amu’s piece “Elmer” reminds me of my own medical journey. A fourth-year student on the verge of graduation, I reflect on how my entire education thus far has been dependent on the pain and illness of countless patients I have read about or cared for.
Read moreCelebrating Life: Thoughts about Blood, Flowers, Orphans, and Dating by Doug Hester
As someone who works with words some days and in medicine on others, I have always enjoyed the names of the human blood group systems. While most of us are familiar with A, B, and O nomenclature, there are over thirty other systems, mostly describing “rare blood types”—those that could dangerously react to a transfusion
Read moreLines of Vision: What Doctors vs Patients See by Catherine Klatzker
In both the fictional "Absolution" and the nonfiction "What We See When We See Each Other" we are reminded of our shared humanity, and of how much we don’t see when we see each other.
Read moreLifting the Clinical Gaze by Amy Caruso Brown
The first time I spoke of the encounter depicted in “E.B.” was during an interview for pediatric residency. The interviewer, a steely-eyed child abuse specialist, asked – not gently, but keenly – about my most difficult experience in medical school. I was surprised that what came to mind was not the drama of bullet holes and blood in the ED, interviewing a woman my own age chained to the wall of the psychiatric ED, or playing tic-tac-toe with a child with leukemia who seemed well but was expected to die from fungal disease – the kinds of gut-wrenching experiences that we swapped like war stories over beers at the end of a rotation.
Read moreOf Humans and Aliens by Andrea Hansell
“Hospitals tend to have an extraterrestrial air. Shiny structures filled with yawning expanses of slick, sterile floors, strange beeping machines, and masked creatures with gloves cutting open sleeping bodies.”
Read moreThe Intimacy of Illness: Reading Tom Whayne’s poem, “I Kiss You” by Ellen Lapointe
The experience of sitting at the bedside of a loved one as s/he comes to the end of life is utterly one-of-a-kind: unique to the people involved and the circumstances of those final days, hours, and seconds. But there are also so many common—if not universal—elements to it as well.
Read moreThe Immeasurable Cost of Infertility: Reflections on Holly Schechter’s "Genealogy" by Katherine Macfarlane
It feels like I’m always talking about infertility these days. Is infertility just more common because women are waiting longer to have children? We wait longer so we have more problems? Not necessarily.
Read moreSecrets We Keep: Gaining a Perspective on Love by Kim Drew Wright
“A Mother’s Life” is part of a linked short story collection I’m working on. The collection involves how we often lose our true selves but always come back to our essential essence in the end and how often we hide parts of ourselves from those people closest to us.
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