Hektoen International

A Journal of Medical Humanities

Category: End of Life

  • The proximity of death

    Paul C. RosenblattSt. Paul, Minnesota, United States In September 1951, I was a very sick twelve-year-old, covered with bruises and red dots where blood vessels were leaking. My nose had been bleeding for days and nothing we did stopped it. My blood was not clotting. The morning my mother took me to the University Hospital…

  • Goals of care

    Leah Grant Portland, Oregon It was the beginning of my intern year and I felt like an impostor. Facing new responsibilities in both the hospital and clinic, I was aware of my lack of experience when patients asked for my medical opinion. But as I began to see the same patients again and again in the…

  • One chaplain’s journey: Teaching, hospice, and humanities

    Terry McIntyreForest Park, Illinois, United States Auburn University was an easy choice for a graduate student with two preschool youngsters. Teaching medieval literature was the draw. Later, a divorce necessitated working as a project manager in sub-contracting. When the Lutheran campus pastor in Ann Arbor wanted me on the property committee, I declined. Instead, I…

  • Gulliver at Luggnagg — Learning about the immortal struldbrugs (abridged)

    The Luggnaggians are a polite and generous people . . . they show themselves courteous to strangers. One day . . . I was asked by a person of quality, “whether I had seen any of their struldbrugs, or immortals?” . . . He told me “that sometimes, though very rarely, a child happened to…

  • Sarah’s lesson

    Henri ColtLaguna Beach, California, United States Sarah put her hand on my forearm and dug a fingernail into my white coat. “Doc, I druther you not call my husband in just yet,” she said. “Doc?” I smiled. “You never call me Doc.” I finished installing the morphine pump and set the dose at an hourly…

  • Tracing wisps of hair

    Miriam RosenPittsburgh, Pennsylvania, United States My mother was diagnosed with cancer when I was fourteen. For the next nine years, she lived her life with elegance and seemed to do it with ease. She continued her psychiatry practice, only gradually reducing the number of patients she saw. She read the New York Times cover to…

  • The good shepherd

    Pallavi TatapudySouth Kortright, New York, USA “You have arrived.” The Google Maps navigator tells me I have reached my destination. I look around, doubting if indeed this is the right location. This looks like a vibrant suburban neighborhood with life all around and surely not what I imagined. There is no external sign that a…

  • How we love

    Linda ClarkeGuelph, Ontario, Canada The communities of health care and medicine are richly storied. For almost three decades, I have invited people in those communities to tell me their stories and they have been generous in their telling. A story told can be image-laden and many of those images become part of my own story.…

  • Ushers of life

    Genevieve KupskyWashington, D.C., USA “You are on holy ground. Time is sacred, and the veil is thin.” The chaplain left the newly-oriented volunteers with these words as we completed our training. My mind was spinning with the implications of this experience. Each patient we interacted with would have a prognosis of six months to live…

  • The talk

    Akshay KhatriValhalla, New York, United States I walked into the emergency department with a sense of trepidation. The patient I was evaluating was Mrs. G, a woman whom I had cared for in the hospital a few months earlier. Now she was back from the nursing home with more shortness of breath. Having received a…