Hektoen International

A Journal of Medical Humanities

Tag: End of Life

  • Some subjects are given

    Michael Salcman Baltimore, Maryland, United States   Self-portrait with fiddling Death. Arnold Böcklin. 1872. Alte Nationalgalerie Berlin   Some subjects are given to the authors of poems and songs, of mechanical puzzles and lives, given over and over like a spiking fever in an old TB ward or the low level irritation of a cancer…

  • The good shepherd

    Pallavi Tatapudy South Kortright, New York, USA   “Mr. Yankees stayed silent, but his eyes all the while were yelling, ‘O, my Good Shepherd, please don’t do this to me. How could I have gotten three strikes so soon? Give me the strength to continue playing in the game of life. I beg you to…

  • A house call

    Martin Duke Mystic, Connecticut, United States   A doctor visiting a sick woman, and taking her pulse. Many years ago, in the mid 1980s, when I was still in clinical practice, I made a house call accompanied by a second year medical student who was coming to my office one day a week as part…

  • How we love

    Linda Clarke Guelph, Ontario, Canada   Photo by James Sullivan 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…

  • Ushers of life

    Genevieve Kupsky Washington, D.C., USA   Our obligation to our patients continues into the sunset of their lives. The sun sets on the cherry blossoms of Washington, D.C. in springtime. Photographer: Rami Halaseh “You are on holy ground. Time is sacred, and the veil is thin.” The chaplain left the newly-oriented volunteers with these words…

  • The talk

    Akshay Khatri Valhalla, New York, United States   Photo from Pixabay 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…

  • When there’s no plug to pull

    Darcy Sternberg New York, New York, United States   On the Waves of Love. Edvard Munch, printed by Otto Felsing. 1896. The Art Institute of Chicago. At night I lie awake on the living room sofa staring at the moon, envying its constancy. Change had eaten up our lives. My husband, Marty, and I met…

  • An act of cowardice

    Michael Shen Indianapolis, Indiana, United States   Charon carries souls across the river Styx. Alexander Dmitrievich Litovchenko. 1861. Russian Museum, St. Petersburg. In autumn, the leaves turn yellow and die. The cirrhotics in the unit do the same. Their path already charted, their lives like leaves in the wind, we carried them as long as…

  • La Pieta

    Rachel Fleishman Philadelphia, Pennsylvania, United States   La Pieta, 1498–1499, Michelangelo, St. Peter’s Basilica, Vatican City. Via Wikipedia. CC BY 2.5. A mother holds her dead child. His body flops open without resistance, freshly dead. His head is cocked back, shoulder lifted, arms release the last vestige of grip. Her face sullen, her hand beside…

  • A good man

    Tuhina Raman Philadelphia, PA, USA   The Liquor Bar by Wharton H. Esherick. Illustration for the book Song of the Broad-Axe by Walt Whitman. c. 1923. Philadelphia Museum of Art. My heart sank as soon as I saw it—tumor nodules in the trachea and a mass eroding through the stent in his airway. I had…