Hektoen International

A Journal of Medical Humanities

Tag: lungs

  • The doctor behind the labcoat

    Varun Raj PassiBangalore, India Sanjeev knew he was not asleep, and the very fact that he was conscious enough to know this made him worry. The relentless clicking of the wall-clock above his bedstead amplified his anxiety. He knew that the more clicks he registered now, the less sleep he would get, and in turn…

  • On the way to school

    Mary JumbelicSyracuse, New York, United States A thin line of blood oozed from a shallow cut in the skin, like the first stroke of an artist’s brush on a blank canvas. The second and third incisions intersected the first to form a large Y-shape. Sanguinous fluid beaded up along their lengths. As the scalpel penetrated…

  • Pediatrics and theatrics

    Howard FischerUppsala, Sweden 1. Initiation. I had had a busy night on call in the city’s largest women’s hospital. I was a second-year pediatric resident assigned to the Neonatal Intensive Care Unit. My pager went off while I was in the hospital cafeteria. I called the unit, and one of the fellows told me that…

  • Remembering Sir Thomas Lewis’ contribution to understanding heart failure

    Daniel GelfmanIndianapolis, Indiana, United States Sir Thomas Lewis (1881–1945) has been called one of the “fathers of modern cardiology” due to his many significant contributions to that discipline. In 1930 he wrote a landmark paper clarifying the disease “congestive (heart) failure,” revealing clues that are present in the jugular veins, for making the diagnosis and…

  • Heart failure

    Charles Halsted Davis California, United States By the time I completed my third medical school year, I had learned the basics of physiology and biochemistry, but had never been face-to-face with a person who depended upon my skills to survive. I had never heard a racing heart nor the sounds of gurgling lungs. I was assigned…

  • Schistosomiasis

    Charles Halsted Davis, California, United States She was admitted to Ain Shams Hospital in Cairo after vomiting blood, having slipped into Nile mud while harvesting sugar cane eighteen months before. Surprisingly, she had not fallen into the current, but had regained her footing and survived her fall. Although all seemed well for the next year…

  • 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,…

  • Not-so-natural history

    Anthony PapagiannisThessaloniki, Greece Physicians learn about chronic disease by watching its natural history and attempting to modify it with therapies. Cardiologists record episodes of ischemic disease, oncologists follow the progression of malignancies, and pulmonologists note changes in respiratory function over time. When patients are first seen, the disease is often already established. It is less…

  • Hope quarantined

    Prasad IyerSingapore Poet’s statement This fictional poem expresses the feelings of a migrant separated from his family during the COVID pandemic. Hope quarantined Quarantine forceth divorced soulsDistanced families and broken wholesShards of thoughts, impaling my core Locked down borders’ hearts a sore Shallow slumber, uneasy sense Worries, anxieties common hence.  Weeks and months in the twilight zoneTogether in…

  • Ignes Fatui of the neurotic mind

    Ashten R. DuncanTulsa, Oklahoma, United States Rocking in my vessel sturdyUpon the waters of a swamp so dirty,I am in the crow’s nestEn route to my impending test. Ever since I was young,I have been given to the far-flung:Quiet panic of a possible foe,Wishes to never disturb another’s flow. In the confines of the nest,I…