Category: Medical Poetry

To Let the Heart Speak.

Dear Diary,

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

When my lips have nothing to say?

Do I paint for you portraits
of hollow chimes adrift
in dew whose songs
mesmerize with
each sway of
the wind’s
caress?

Do I liken you to a single rose
who has but endured a
winter’s wrath to
weave a quilt
of fragrant
hues?

Or do I reflect upon my life as it is,
to tell you how much I treasure
the privilege of being able to
help you, to care for
you, whenever
you are
ill?

Do I try to express how tremendous my
heart feels when I tell you that it is
going to be alright, or when we

know that it may not, that
we will 
conquer it

together?

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

And do I tell you how much I appreciate you-
your presence, your courage- as you
battle through your illnesses,
uncertainties, and fears-
while reminding you
that you are an
inspiration
to me?

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

I suppose I let the heart speak.

The Flawed Physician.

She stands facing a closed door.

Your door.

As her gaze converges onto
enameled surface, she notes its
texture- the evenness a comfort to
a moment of hesitation within.

Smooth and finished–flowing
imprints mapping the course of
fine fibers swept over timber.

Flawless.

She makes a move to knock,
but her hand pauses,
and for a moment she wonders
whether you will find her pleasant.

Whether she will be worthy of your trust.
Whether you will believe in her.

Because she is flawed.

Like veneer upon wooden door, she
is but a polished version of herself.

As she again surveys its exterior,
she is let in upon a different truth–
that from underneath the surface
the grain peeks through, coarse
and jagged, its valleys exposed,
blemish revealed, age betrayed.
It is but fresh lacquer upon a
damaged interior, eroded and
frayed by the stress of time.

Like a white coat to the skin,
it cloaks the imperfection
and vulnerability of that
which lies beneath.

A coat enshrouding
scars of personal defeats–
An awareness
of critical introspection while
striving to exhibit confidence and certainty.
A struggle
to remain objective while
craving to empathize with you.
A hunger
to continue feeling through perpetual
immersion into death and suffering,
while self-preservation casts increasingly

impenetrable layers of emotional shield.
And a fear
of not doing enough, while similarly
recognizing the peril of doing too much.

But as her knuckles meet the door,
she is reminded of an oath–taken
at the dawn of this journey–
an oath of compassion, of
integrity, of humility–

an oath to do no harm.

So as she enters
your room,

she smiles–
for she never forgot its
concluding admonition:

That one would never lose the joy of helping others.

Therefore as an imperfect human being,
she will do her best to ease your suffering,
treat your illness, be your advocate–
Not because it is her obligation,
but because this is her love–

To help her fellow man.

To care for you.

•      •      •

“…may I long experience the joy of healing those who seek my help.”

-Oath of Hippocrates

•      •      •

caduceus

When the Heart Stops.

A cardiac arrest. A resuscitation made. A life recovered.
One patient tells me his experience.
This is his story.

Death.
Amid the chaos enclosing,
beseeched by an ambiance of ages to come,
I hear the seraph’s dulcet calls.
Immured by words 
divine and bittersweet,
they sculpt the frigid air,
and I am comforted.
As flesh is pierced, poisons forced,
I am held in tender embrace–
its whispers an oasis to the fears
that boil within my breast.

A skyward calling, its promised hope
glistens the starlight above me.
Memories, regret, longings and dreams–
a cycle ripened to revolve anew
cascades within my being.
I then behold a fleeting sight–
a son, wife, a father, my life–
their love commanding,
gazes imploring.

Therefore
with a strength untold

I fight
until with the sun
I am ushered
out of the grasp
of the ebbing eve.

I open my eyes.

 

•      •      •

◊ The Cardiac Arrest – A Physician’s Perspective ◊

•      •      •

 

I.C.U.

Lines, tubes, wires, chains.
Dignity stripped, cavities drained.
The metronome of your pulse above
the beeping orchestra, dissonant buzz.
Each gesture tracked, beat recorded,
breathing measured, life distorted.
Do you still feel free?

The body, its function a masterpiece to muse,
altered by poison, fluid infused.
Vesicles, vessels, organs affixed,
shrouded in blood, lymph intermixed.
Adhered in oneness by tendon and skin,
scarcely quickened by a pump grown dim.
Do you still feel strong?

Risen before the dawning sun,
a swarm of stoic white has come
to declare the status of your issues–
Liver, kidney, heart, lung, tissue.
To examine and prod, inspect then move
a person, a soul, or a number to improve?
I hope you still feel human.

The Arrest.

A code called.
She races
as the seas part
for her crossing.

Reposed before her–
rhythm without pulse,
fluid without flow,

substance without life–
is you.

Invaded
as lines in your thigh

penetrate a pump paralyzed,
as tube between ashen lips
thrusts into stagnant air.
Poison pushed into a heart
quivering, she watches as

your chest rises
with the force

of each counterfeit breath.

The symphony begins.

Thump
Shock delivered.
Strike through the breast.
Voltage down your limbs.
Buoyant, jerking,
Each retort
a life feigned by lightening.

Crunch
Bones crush.
The carol of ribs,
a surrender to the fury
of each compression,

quickens with her pounding heart.
Each chord
a dissonant harmony.

Glazed are your eyes
as they pulsate
with the cadence of their dance.
She looks at you.
Pleads for you to return.
Prays to the god she plays.
But your eyes plead for something more.

You leave her.

The story ends.

And the orchestra leaves.

•      •      •

◊ The Cardiac Arrest From a Patient’s Perspective ◊

•      •      •

The arrest