Still, teaching

You said you weren’t afraid of death, but dying. We talked about comfort, expectations, grief, hospice. You got sicker and sicker, but always allowed my students in the room. I asked one time, and you said even dying you couldn’t stop being a teacher. Quietly, softly, patiently, you taught them more than I ever did.

A Harrowing Elixir

New world virus. Acute Leukemia.Suffering alone, “no visitors allowed.”Wicked pain forbidding sleep.Relief, please –Groggy,Footlong eyelashes obstructing vision.Beetles crawling up left arm.Kidnapped by night nurse: (malicious intent).No one knows.Orange walls, secret room.Must escape!Pack bags – Push IV pole – RUN! My iatrogenic delirium.(Courtesy of opiates and sedatives)

SMA syndrome

Supplementary Motor Area(Not the one the belly surgeons worry about)Median premotor cortexFrontal aslant tractContralateral akinesia, normal reflexes, and tonePreop warningFamilies worriedPatient confusedI am frustrated90% recovery in weeks to monthsReassure the familyDo they believe me?Do I believe?All relieved by improvement at post-op visit

First Do No Harm. Doing Nothing is Harm.

Treating poverty with metformin is hard.“I want my inside to match my outside,” she said.Where others see a political punching bag, I see people.And they see me.In seeing each other, we are helping each other.I provide care.They remind me of why I went into medicine in the first place.

Being a Daughter

I am a pharmacist; my dad is dyingI am his advocate–we are visiting his care team nowI understand the words and translate for my familyI understand what’s happening to his aging bodyI know what the others don’t—it won’t be longToday, can you please help me be his daughter?

My Family

I received a national leadership lecture award.I gave this lecture to my colleagues.My family heard me speak—my voice, my words.My son said: “I have never seen you so animated!I guess you leave it all at work.”He has a point:I missed so many opportunities.Leaving it all at work.

War is worse, maybe.

War or COVID-19, you choose; I’ve done both. From Iraq, you go home in a year.From COVID-19, you come back tomorrow.In war, they give you a medal.In COVID-19, they give you 3 shots plus.Get hurt in a war, they send you home.Get hurt in a pandemic, you come back tomorrow.

Irony

There is no time
For patient care.

Rattle

Her rattle is heard across the hall.

Can’t Rehab Death

29 y/o: This encounter. Us. This matters…

Why?

Why did they feel the need to make unprofessional comments?

Survivor’s Guilt

Residency:
A journey at full velocity;
Together,
Yet alone.

An Enraged Soul

It was 4AM, a rapid was called
The patient was stabilized

My New Identity

By some I am thanked. “Thank you for the work you do.” By others, I am condemned.

Three Echoes

Took care of your mother.
Heart was broken

Jacob

I save people every day, but I couldn’t save you.

Worthless

Death counts rising
No superhero in sight

If they only knew

I remember finding my rhythm in the ER. Most days I am pining for more.