In my blog “With Great Difficulty or More Fully” (July 24, 2021), I referenced an article written by Dr. Ira Byock in which he discussed how doctors faced the end of life. Whether it was coincidence or not, only a few days after reading Dr. Byock’s article, a friend sent a poem by Dawna Markova (Awakin.org) titled “I Will Not Die an Unlived Life.” I’d like to share it with you.
A Medical Humanist's Notes
A few days ago, I came across a folder on my computer that contained a New York Times article (June 30, 2016) titled “At the End of Life, What Would Doctors Do?” by palliative care physician Dr. Ira Byock. The article explored what doctors think when facing death, referencing Dr. Ken Murray’s online essay “How Doctors Die,” which offered a personal observation that doctors who recommended late-stage treatments may not prescribe the same for themselves.
In digging through files, I discovered a job description of my first position in the world of cancer care. Memories flooded in, including how I initially refused to accept the job. Let me tell you how the door was opened.
Most of us recognize the challenges healthcare institutions face in balancing budgets in a time of escalating costs. So, how do hospital administrators decide what projects or services should be funded and what are expendable? It seems that in most instances the basic principle of “income producing” is what determines what stays or goes.
The other day a dear friend Rachel Hadas emailed to tell me that she “loves the intuitive wisdom, in cutting through Gordian Knots, that I demonstrate in my blogs.” I liked the sound of what she was saying but wanted to be sure that I understood the meaning of her words. So, as I often do, I looked up the definition of Gordian Knot. You see, Rachel is a renowned poet and professor of English Literature at Rutgers University and her metaphors are chosen with care.
I recently discovered an Associated Press article that appeared in the Los Angeles Times in 2003. It was like reaching into a time capsule, which brought back so many memories of our co-founder the late Pat Barr and the early days of working as a medical humanist. Below is the article.
I have always been interested in definitions. What frequently comes to mind is what Aristotle said, “A definition is a phrase signifying a things essence.”
I was recently re-reading an email exchange with Dr. Skip Durning, who at the time was director of Hospitalist services at North Adams Regional Hospital. He wrote to me following a presentation to hospital staff that included our video “Voices from the Lived World of Illness.” After the viewing, the discussion with attendees highlighted the challenges of healthcare communication, especially when someone is seriously ill.
It’s common practice for doctors to document a family history of medical problems. This can be useful information to diagnose presenting symptoms and to identify health issues to which we could be genetically predisposed. So, with this theme in mind, I’m sharing an excerpt from a short story titled “Michagas,” which I wrote many years ago. For those who are unfamiliar with the meaning of the word, it describes a certain ‘craziness’ that is indigenous to Jews.
You never know what you find when digging through old files. In one of many piles was a copy of a lecture presented at Brown Medical School in 1998 titled “Medical Humanism in Practice.” The authors were cancer patient, Pat Barr; psychologist, Dr. Bernard Bandman; oncologist Dr. Letha Mills; and me, at the time serving as a patient advocate at the cancer center in Bennington.