Hektoen International

A Journal of Medical Humanities

Dawn of mourning

Paul Rousseau
Charleston, South Carolina, United States

Poet’s statement

I am a hospice and palliative medicine physician and see suffering on a daily basis, suffering which is often callous and brutal. In addition, I experienced suffering first hand with the death of my wife 3 years ago from the ugly ravages of scleroderma. I have used writing, particularly essays and poetry, as a way to help me heal and continue to confront the daily debris of terminal disease–writing has brought me comfort, solace, and an open heart.

Dawn of mourning

dedicated to Pamela Rousseau
I slept on a chair
Of metal and memories
Stained with the love and
Sorrow of many a family.
The clock motioned to my struggle:
I stood and her eyes
Closed like the final
Chapter in a book, a
Page turned after 52 years.
Then her heart rested
And stopped, a dark
Gesture in the rising
Of a white harvest moon.
It was silent—no longer the
Flailing of immortality or
The struggle of breath,
Her journey secured
Above the thickness of death.
I cried—they said
They’re sorry, the
Nurse and chaplain.
And I walked to the
Elevator, a swirling
Dawn of mourning
Floating like a heavy fog,
A shirt without a button, a
Shoe without laces.


DR. PAUL ROUSSEAU has practiced hospice and palliative care for 28 years, and has written about his patients and his own experiences as a physician caring for terminal illness. He has published in the Annals of Internal Medicine, JAMA, Chest, and Journal of Palliative Medicine to mention a few. He lived most of his life in Arizona, but last year relocated to Charleston, SC where he currently serves as Associate Professor of General Internal Medicine and Geriatrics and Medical Director of the Palliative and Supportive Care Program at the Medical University of South Carolina.

Highlighted in Frontispiece Volume 2, Issue 1 – Winter 2010

Winter 2010

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