The Hug
There was a dark, empty space. / Stillness, / Where there should have been movement.
Tag: death and dying
Resident Physician Contributing Writer
Kaiser Permanente, San Francisco
Celeste Arden Swain MD is a 4th year OB/GYN resident at Kaiser Permanente San Francisco. She attended Bowdoin College for her undergraduate degree and Drexel University College of Medicine for her medical degree. She will be starting a Minimally Invasive Gynecology Fellowship in Portland Oregon this summer. Celeste enjoys trail running, surfing, and spending time outside with her husband.
Where The Tulips Bloom
Her grip on my hand is tight. Almost as tight as the elastic on the oxygen mask stretched across her face, digging furrows into her thin, sallow skin.
Life // Death
A flicker on the screen of the heartbeat, the first glimpse of my baby, I cry at the possibility of new life // An empty ultrasound, no heartbeat, a young mom cries; discovery of death amidst life.
Sparkle Shoes
“Every one of these patients should terrify you,” the fellow said. I thought he was just being dramatic.
Early Palliative Care and End-of-Life Planning as a Primary Preventative Intervention During the COVID-19 Pandemic
The novel coronavirus pandemic (COVID-19) has drastically increased the number of critically ill and dying patients presenting for hospitalized management of dyspnea, acute respiratory failure and other serious complications. The emergence and spread of SARS-CoV-2 has created unprecedented demands on all avenues of inpatient hospitalist medicine. One of the many services in high demand includes palliative care, with increased need for complex end of life planning.
My Husband’s Death
My husband was a 53-year-old man who worked full-time as a mental health aide. He was a hardworking man, with shifts from 3:30pm to 12am, and was very dedicated to his patients. He was on the frontline caring for COVID-19 patients. I work as a nurse at the same hospital during the day shift.
Witness
This elderly yet jolly gentleman answers our unending questions about his physical health, but it is his question to us that makes me pause. Do I have time for a poem? This busy clinic day, I stop reflecting on why his heart stopped beating and instead what motivates his heart to beat in the first place.
Where I’m Meant To Be
As I enter rooms filled with aerosolized forms of the coronavirus, realizing that I am at high risk of catching this highly contagious disease, I set aside my fears to hold the hands of patients — strangers and friends, all alike. I love what I do.
All That She Lost
When I first met Rita, she didn’t make things easy. She fired a barrage of questions at me, punctuating her litany with the dreaded blow to every resident’s ego — “Are you a student?” — before slouching back on her bed, sweat glistening on her gray-streaked temples as though she had run a marathon.
Facing the Inevitable: A Resident Physician’s Perspective on the COVID-19 Pandemic
As I check in on my patients each morning, I wonder if some will unexpectedly decompensate and die over the coming weeks. I think about myself and my co-residents who are in the hospital all day swabbing patients for COVID-19 without adequate personal protective equipment. Many of my co-residents are on home isolation as a result of this exposure, waiting for their test results and praying that our government will step up and fund more mask production, or civilians will return the N95s they’ve hoarded, or the set of a TV medical drama will donate their props to us.
Treat Me If You Can: DNR versus Comfort Measures Only
Caffeine’s effect waned, stomachs rumbled, attention spans faded after rounding on nine acutely ill patients on university wards. It was nearing lunch. I was the senior resident, so I chose the order in which we saw patients. As we arrived at our last patient’s room, I snapped out of my under-caffeinated daze and realized I had made the rookie mistake of leaving our newest and sickest patient for last.
Grief, Unnoticed
They said to stop compressions. We all agreed. This baby had no life when she was born, and we had fought for twenty whole minutes with our arsenal of medicine to give her life.
Resident Physician Contributing Writer
Warren Alpert Medical School
Carly is a pediatrics resident in Providence, RI at Brown University's Hasbro Children's Hospital. She attended University of Michigan followed by Case Western Reserve University School of Medicine. She uses writing as a way to process experiences in residency and hopes to encourage others to explore narrative medicine as a form of therapy. In her free time she enjoys hiking with her husband and rescue pup, reading true crime novels, and playing "punishingly intricate" board games.