Hektoen International

A Journal of Medical Humanities

Category: End of Life

  • The lady in red

    Mary Liz OvercashGalveston, Texas, United States The long-term care facility was tucked in the back of a strip mall, behind restaurants and sporting goods stores, as if someone had hidden it away. As I wandered through the halls looking for my patient’s room, I didn’t see a single other person. I knocked softly on the…

  • Plato’s and Bacon’s views on the role of medical care for chronic diseases

    (Abstracted from the essay on Francis Bacon by Lord Macaulay) “To Plato, the science of medicine appeared to be of very disputable advantages. He did not indeed object to quick cures for acute disorders, or for injuries produced by accidents. But the art which resists the slow sap of a chronic disease had no share…

  • Fear of being buried alive

    Howard FischerUppsala, Sweden “Cremation eliminates all danger of being buried alive.”– “Short reasons for cremation,” an Australian pamphlet, c. 1900 It has been said that one of our most common fears is being buried alive.1 Someone is mistakenly thought dead, placed in a coffin, and buried. We will not discuss other forms of alive burials,…

  • The sophia and phronesis of modern medicine

    Meaghan O’Connor Durham, North Carolina, United States   The Doctor. Luke Fildes, 1891. Tate Gallery, London. Via Wikimedia.  My first clinical experience was working as a hospice aide my sophomore year of college. During that experience I watched my first patient suffer—physically and spiritually—and eventually die. Not bound by the time constraints of more formal…

  • Reclamation

    Natalie Perlov Philadelphia, Pennsylvania, United States   “Tell them you love them.” Photo by Neil Moralee on Flickr. CC BY-NC-ND 2.0. Like many people, my first experience with death was losing a grandparent. I remember my parents organizing my late grandfather’s affairs, noting our religious practice of having as few people as possible touch the…

  • A time to live and a time to die

    Amera Hassan Minneapolis, Minnesota   Photo by Gaspar Zaldo on Pexels. “Well to be honest, doc, I don’t quite care whether I do live or die.” He said it so nonchalantly and he was smiling too, a crow-footed wrinkle on either side of his eyes. When this patient was first admitted to the floor, he…

  • Medicalization of death and dying: Room for growth in end-of-life care

    Rose Parisi Albany, New York, United States   Artwork by Kristen Merola. In recent years, the way in which Americans cope with death and dying has evolved considerably and become institutionalized and over-medicalized. Whereas over time people have died in their homes, untethered to wires and machinery, modern medicine has turned people into patients and…

  • Saying goodbye

    Anthony Papagiannis Thessaloniki, Greece   “A walk into life’s sunset.” Photo by author. Her head is bald, her face pale. Only a couple of weeks have passed since her latest cycle of chemotherapy, which imposed its ravages but offered no benefit. The disease is marching relentlessly ahead, the survival horizon drawing closer each day. She…

  • A series of messages

    Fung Kam Yan Hong Kong   Sign outside the author’s grandmother’s hospital ward. It was a Sunday. I sat outside the ward in my white coat, my eye protection fogging up, trying to catch my breath through the KF94 mask. My grandmother was inside, also struggling to breathe. The nurse said that only two visitors…

  • Please don’t die in the hospital

    Alexandra DeFeliceFalls Church, Virginia, United States I don’t like the way people die in the hospital. I don’t like the color schemes, the paleness that seeps into every empty wall, every window shade, every floor tile; every cafeteria counter, every elevator sign, every parking lot stripe—the paleness, the sterile acceptance, that appears, eventually, in every…