Hektoen International

A Journal of Medical Humanities

Category: End of Life

  • Allowing my death—a delusory end-of-life decision

    Wolfgang Lederer Innsbruck, Austria   Photo by Chen Mizrach on Unsplash.  Together with the gift of life, I have received its finiteness, its perishability. As death is inescapable, when might I allow my life to end? Certainly, my life expectancy has to be longer than average, and I demand good physical and mental health right…

  • Dream on

    Paul Rousseau Charleston, South Carolina, United States   Footsteps in the forest. Photo by Nicholas D. on Flickr. CC BY-NC 2.0. Chart This is a 32-year-old female with widely metastatic breast cancer admitted to the hospital for control of shortness of breath and pain. ____ Melissa sits slumped, mouth open, snoring. I pull a chair…

  • Piano lessons

    James Stemmle West Virginia, United States   Watercolor by author. The piano teacher was angry, irritable, incontinent, and in pain. Dying of cancer, she eventually went home with hospice care. The hospice lady asked, “What would a good day look like?” They rigged things in her home to live at least one good day: a…

  • As my mother lay dying

    Peter Meyers Washington, D.C., United States   Rosalie Smiles in Her Fancy New Hat. Photo by Judy Baxter. 2006. Via Flickr. CC BY-NC-SA 2.0 My mother was sitting up in bed when I walked into her hospital room. When I asked her how she was doing, she grinned and responded, “Super!” Her doctor, standing nearby,…

  • Life lessons from death

    Pedro T. LimaRecife, Brazil “How would you like to die?” the professor asked without breaking eye contact. I averted my gaze to ponder the question, but no answers came to mind. “I’ve never thought about it. I guess that I would hope to be with people I love,” I stuttered, still collecting my thoughts. “You…

  • The Lazarus phenomenon: when the dead return to life

    Tom Sewe Nairobi, Kenya   Photo by Günter Valda on Unsplash It is a few minutes after 2 AM. A middle-aged woman lays motionless on a table in a hospital emergency department with tubes protruding from multiple orifices. The relentless cardiac monitor screams its flat-line signal as the code-blue team pants, scrubs clinging to their…

  • The unsung heroes

    Julia Angkeow Bel Air, Maryland, United States   Photo by Gert Stockmans on Unsplash The unsung heroes of hospice are the family members and friends who are there to console their loved ones when all others have gone to bed. They are the ones who never rest, constantly brooding over how to best mitigate their…

  • Unfettered grief

    Lealani Acosta Nashville, Tennessee, United States   Innocence behind the bangs of a child. Innocence by Lealani Mae Acosta. My first glimpse of unfettered grief was through shaggy six-year-old bangs, watching my mother weep, hunched over the toilet and framed by moonlight that cast the pale blue tiles of their master bathroom into darkness. I…

  • A wrong time to die

    Anthony Papagiannis Thessaloniki, Greece   Lockdown in Thessaloniki. Photo by the author. Death is the one absolute and unexceptional certainty in life. In the Bible we read that there is a time for everything, including a time to die [Ecclesiastes 3:2]. Is there ever a “right” time to die? Faced with such a question, we…

  • The proximity of death

    Paul C. Rosenblatt St. Paul, Minnesota, United States   A family outing at Lincoln Park in Chicago a few weeks before the author became ill. Pictured are the author, his mother Rose Rosenblatt, and his sister Doris Rosenblatt (now Kopfstein). Photo taken by the author’s father Harry Rosenblatt and published with permission of the author.…