Hektoen International

A Journal of Medical Humanities

Tag: End of Life

  • 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…

  • A house call

    Martin DukeMystic, Connecticut, United States 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 of her course in physical diagnosis. The patient I had been called…

  • 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…

  • When there’s no plug to pull

    Darcy SternbergNew York, New York, United States 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 in 1986 when he was forty-nine and I was thirty-five. Should I have been concerned by a shaky left…

  • An act of cowardice

    Michael ShenIndianapolis, Indiana, United States 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 we could. We poked and drained and filled, knowing that nothing would change the inevitable. Like leaves,…

  • La Pieta

    Rachel FleishmanPhiladelphia, Pennsylvania, United States 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 him open and offering, she holds but does not touch her son. A single moment of…

  • A good man

    Tuhina RamanPhiladelphia, PA, USA 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 been hoping against hope. It is always difficult losing a favorite patient to a bad disease. I had biopsied and stented his airway five weeks earlier.…

  • Gingerbread

    Olga DiganchinaAstana, Kazakhstan The two most important days in your life are the day you are born and the day you find out why.-Mark Twain Patients had mostly become faceless for me. I had treated and discharged so many of them as a resident that I seemed to have a job on an assembly line.…