Hektoen International

A Journal of Medical Humanities

Tag: ICU

  • The man shackled on 4 Northwest

    Andria AlbertTucson, Arizona, United States In one of the patient rooms tucked into the Northwest (NW) wing of the fourth floor of the hospital, there lay a particular man. Upon walking into his room, you would find nothing extraordinary about him. He is young, early thirties, with a head full of curly brown hair and…

  • Spirituality in medicine

    Gautam SenKolkata, India Imagine a hospitalized patient in the advanced stages of a difficult disease. He wonders whether he will survive and, if he does, in what state he will spend the remainder of his life. Alone in bed, he sometimes finds himself struggling with the meaning of life. He feels isolated, helpless, and lonely.…

  • Painting an ICU

    Mark TanNorthwest Deanery, England, United Kingdom “[Monet was] only an eye – yet what an eye.”— Paul Cézanne Much has been written about Claude Monet’s ophthalmic pathology.1-4 However, attributing his stylistic development to cataracts alone seems an overly reductionist view. In 1874, at least fifteen years before his Japanese Bridge and Water Lilies series, his…

  • 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…

  • Intubation incarceration: A true tale of torture

    Abram GabrielPiscataway, New Jersey, United States For five days, I could not speak at all. In November 2010, I had a brainstem stroke resulting from an arteriovenous fistula. I spent nearly a month in a coma in a regional teaching hospital, and seven weeks in an acute rehabilitation center. While my mind is now clear,…

  • Things to think

    Dean GianakosLynchburg, Virginia, United States Think in ways you’ve never thought before.If the phone rings, think of it as carrying a messageLarger than anything you’ve ever heard,Vaster than a hundred lines of Yeats. Think that someone may bring a bear to your door,Maybe wounded and deranged; or think that a mooseHas risen out of the…

  • Being our best selves: hidden in full view

    James StollerPeter ReaAlan KolpCleveland, Ohio, United States We live in a paradox framed by a tension between age-old wisdom about excellence and our current state. The paradox is this: our behaviors and our priorities are often at odds with age-old truths about how we can be our best selves. This paradox—that these truths are widely…

  • Navigating the waters of post-COVID survivorship

    Denise BockwoldtChicago, Illinois, United States On the TV news, COVID survivors are being rolled out of the hospital in wheelchairs, applauded and cheered on by a crowd of hospital staff. “They’ve recovered!” the reporter announces happily. It is a hopeful sign for everyone who fears this virus, and for healthcare workers a ritual that affirms…

  • Gymnopédie

    Mark TanNorthwest Deanery, UK Oblique et coupant l’ombre un torrent éclatantRuisselait en flots d’or sur la dalle polieOù les atomes d’ambre au feu se miroitantMêlaient leur sarabande à la gymnopédie [English translation]: Slanting and shadow-cutting a bursting streamTrickled in gusts of gold on the shiny flagstoneWhere the amber atoms in the fire gleamingMingled their sarabande…

  • 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,…