Category: Death & Loss

To Let Go.

Despair.

Asphyxiated by the device
meant to grant you life

you pleaded to be released.

Lines running
through your veins
fighting to give you strength-

they only imprisoned you.

You-
always present
aware of the
commotion about you.

Bustling nurses
weeping children

through it all
your eyes were
locked onto mine.

“Help me let go” was your plea.

You grabbed my hand
shook your head

as if you knew this act
had been playing
long enough.

As if someone had
interrupted your journey
toward the place

you were meant to go.

So we released you.
Withdrew your tube
diminished your drips.

Severed the chains that bound you.

We comforted you.

You turned
toward your children.

Through a surge of strength
you assured them

it would be okay-
that through your going on
they would go on.

Then you turned back to me.

Though undeserving
of your last moments

you entrusted them to me.
You held my hand
held my gaze.

“Thank you,” was what you said.

And then you took your last breath.

And let us go.

 •       •       •

This patient has been in my heart lately. This post is a re-sharing of an account of our last encounter. A gentle reminder to treasure each moment given. 

 •       •       •

The Background Story

Continue reading “To Let Go.”

A Memory of Ground Beef.

Once when I was on a specialized heart failure service, I took care of a teenage boy. He had a form of idiopathic dilated cardiomyopathy (a weak, enlarged heart), and he had a huge heart…in more ways than one.

He loved baseball, pumpkin pie, and horses. His family owned a farm, so before he got sick, he would often go horseback riding. He also loved to draw.

We—a team of five physicians—took care of him for a month while he was waiting for a heart transplant. He liked us. We liked him. So he drew us as well.

I thought he was clever. But he thought I was even more so. All because he liked my joke:

“What do you call a cow with no legs?”

“Ground beef.”

That was it. He was just a great kid, trying his best to live the life given to him.

It used to be, that at the end of our visits, we would both say to each other, “Ground beef!” with a wink and a huge smile. It perplexed the other physicians, but we knew exactly what we were talking about.

It was just a silly joke. But for the two of us, it somehow meant something more. 

I found out recently that he passed away. And today I found the drawing he gave me. And I wept.

So here’s to you, dear buddy…

Ground beef 😉

Tomorrow.

Cheer that blossomed within our hearts,
stirred by your presence at each day’s start,
yearns to wilt when you depart.
But our song will sing again, tomorrow.

The smiles that pierced through saddened guise,
the rays which conquered thundered skies,
they ache to dim neath heaven’s cries.
But the sun will rise again, tomorrow.

For many years our lives you blessed,
but the hour has come for you to rest,
to soar upon hills on golden crest.
So have no fear, tomorrow.

For on that day, I know we shall meet again.

Dedicated to Pam, in memory of Sammy ♥

Ophelia.

Chant of thunder, orchestra of wind,
a breath of heart’s unrest.
Lightening flash in half moon’s glow
unearths laments repressed.
Raindropped streams upon her face
masking moistened eyes,
lead her gently by zephyr’s call
into awaiting skies.

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. 

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

The Drowning.

Anguish
as waters frosted by twilight
weigh upon gossamer wings.
Deceived by a thirst unquenched,
I descend upon a reflection,
sinking into myself.

Imprisoned
within bitter tides,

I reminisce of a life relinquished–
where pinions sway unfettered
above blossoms coaxed by spring,
flittering from bud to bloom,
each bead of nectar
a fragrant haven.

Peering above to
heavens turned black,

tapestries of stars taunt
as they unbraid before me.
Below bitter waters,
shadows enshrined
whisper silently,
beckoning.

By the lure of
exhaustion

I succumb
to the abyss’
waiting embrace,

the warmth within now
a quivering of a fading flame.

I enter into the void.