Category: Medicine

When We Simply Stop Caring.

I see it all around me.

Burnout. To be burnt.

When we simplyΒ stop caring.

Most ofΒ the time weΒ don’tΒ even need
to say anything.
ButΒ you know.
You hear it in ourΒ voice.
You see it in ourΒ eyes.
And you feel it too.
You know what
is going through our
mindΒ with each wayward glance.

IsΒ this whatΒ I signed up for?
Is this all this profession hasΒ to offer?Β 

BecauseΒ I haveΒ seenΒ the articles.
To prevent physician burnout.
The A-B-C’s.
Changes we must make.
Limiting expectations.Β 
Self-empowerment.
Decreased hours.Β 
Putting usΒ first.

I too used to be desperate.

What isΒ happeningΒ to me?
What is happening to my colleagues?

WhatΒ isΒ happeningΒ to medicine?

ButΒ then one day,Β I saw you.

You.

Not you the patient.
You the person.
You’re just
a person.
You are me.
And you are hurting.
And maybe I am too, although
youΒ mayΒ never know.

So I thank you for being here.

Not only do I wantΒ youΒ to knowΒ that
I honor the privilegeΒ ofΒ being able to
helpΒ you,Β but you should knowΒ that
youΒ have in yourΒ own way
takenΒ careΒ of me.

And I do care for you.

β€’

β—Š A Physician’sΒ PleaΒ β—Š

To Let the Heart Speak.

Dear Diary,

What do I write about whenΒ I have nothing to write about?

When my lips have nothing to say?

Do I paintΒ for youΒ portraits
of hollowΒ chimes adrift
in dewΒ whoseΒ songs
mesmerizeΒ with
each swayΒ of
theΒ wind’s
caress?

Do I liken you to aΒ single rose
whoΒ has but enduredΒ a
winter’s wrathΒ to
weave aΒ quilt
of fragrant
hues?

Or do I reflect uponΒ my lifeΒ as it is,
toΒ tell you how much I treasure
theΒ privilege of being able to
help you, toΒ care for
you, whenever
youΒ are
ill?

Do I try to expressΒ how tremendousΒ my
heart feels whenΒ I tellΒ you that it is
going to be alright,Β orΒ whenΒ we

knowΒ that it mayΒ not,Β that
weΒ willΒ 
conquerΒ it

together?

Do I admit to youΒ that whenever you
smile,Β my day is brightened,
my heart isΒ warmed,
and that when you
weep,Β my soul
tearsΒ with
you?

And do I tellΒ you how muchΒ IΒ appreciate you-
your presence,Β yourΒ courage- as you
battleΒ through your illnesses,
uncertainties,Β and fears-
whileΒ reminding you
that you are an
inspiration
to me?

So what do I do when my lipsΒ can find no words?

I suppose I let the heart speak.

β€’

I’m Sorry I Couldn’t Do More.

You took your life.

I’m sorry I was only
fifteen feet away.

The doctors were only fifteen feet away.

You didn’t know this.
But I spent days and nights
next door to where you decided
to end your life. Where the doctors
gather, pondering over differentials…
treatments…dissecting our every move
to ensure that we are doing the
right thing for you.

The right thing…

If I had known you,
I would have fought for you.
I know you weren’t my patient;
I know we had never even met.
I am just the person who found
you. Who pronounced you.
You were already cold,
but still, I placed the
stethoscope against
your chest and
listened.

I didn’t hear anything.

Did you hear me as
I wept for you?

I’m sorry.

I’m sorry
you were suffering.

I’m sorry you felt
as if
you had
no way out.

I’m sorry I couldn’t do more. 

β€’

This is a reflection over an event that happened during residency.
An event I still think about at times. 
A lingering guilt.

Poetry & Medicine, part II.

“I could prescribe any of a dozen antibiotics to cure
endocarditis,Β 
or even a thrombolytic agent
to stave off a heart attack;Β 
but what I
yearned for was the elixir of poetry,

which could heal the otherwise
untreatableΒ 
condition of
my broken heart.”

This quote, by poet and physician Rafael Campo*,
beautifully capturesΒ the essenceΒ of the union
between the arts…and the art of medicine.

β€’

Therefore, todayΒ I will let him speak for me.Β 
This is from his poem What the Body Told:

“To somewhere distant in my heart, they cry.
I look inside their other-person’s mouths
And see the wet interior of souls.
It’s warm and red in there–like love, with teeth.
I’ve studied medicine until I cried.”

*Rafael Campo is an internal medicine physician and poet currentlyΒ on faculty at Harvard.

Β β€’ Β  Β  Β β€’ Β  Β  Β β€’
Β 
A few bloggers I would like to ask to share a quote or two:
β€’

Rules of the Quote Challenge:

1-Post on three consecutive days.
2-You can pick one or three quotes per day.
3-Challenge three different bloggers per day.

Β 
With love,
PuppyDoc