A Piece of My Mind (Jama & Archives Journals) by The Journal of the American Medical Association Jama,

By The Journal of the American Medical Association Jama, Roxanne K. Young

Reflections and insights on future health, sickness, and healingNow in paperback for the 1st time, a bit of My brain brings jointly revealing own essays that first seemed within the magazine of the yank clinical organization (JAMA). those engrossing, relocating vignettes--written by way of physicians, sufferers, kinfolk, scientific scholars, and others--offer a different glimpse into the typical stories and relationships within the scientific world.Baring their souls and beginning their hearts, the authors percentage their so much own moments, tales, and observations. you are going to listen from the intern who couldn't cover her feelings, incomes reprimand from her supervisors yet appreciation from her sufferers . . . meet an alcoholic whose indomitable spirit helped her defy all of the odds . . . event the heartbreaking comedy of a Monday morning HIV medical institution . . . be encouraged through the oncology social employee who chanced on a brand new love of lifestyles in the course of her personal fight with breast melanoma . . . and study from the health professional who discovered that by way of witnessing her sufferers' braveness she turned a greater physician.Compelling, touching, and every now and then funny, a section of My brain deals a deeper knowing of physicians, sufferers, drugs, and the straightforward human act of assisting one other person."These tales, established in technology, are transmitted to readers . . . after filtering via a human middle . . . continually succeeds in bridging technology and the humanities."--William H. Foege, MD, Emory collage

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Yet I often have the feeling, as a physician, that I’m walking into private areas. A friend from medical school once chided me for failing to ask necessary questions that I thought were too nosy. I walked in and touched the mother on the shoulder. She stood and faced me, tears streaming down her face. She said, “Oh, Doctor, I remember you. It’s happened so fast. . ” Clumsily I tried to touch her, to comfort her, and then suddenly I was holding the crying mother close. She began to tell me stories about her daughter; my beeper remained blessedly silent.

When I approached Danny with the syringe, he would retreat to the corner of his crib; it required three adults to hold him still. Since I was no longer allowed to nurture Danny, I became merely his unwilling tormentor. I tried to imagine his wrist was attached to one of the disembodied plastic limbs on which I had practiced venipuncture. But his pulse was strong, his skin warm and soft, his whimpering a constant reminder that I was invading a living being—a little boy the same age as my own towheaded son.

I hadn’t taken the time to know. Mrs Hines was discharged from the hospital after three days. Fortunately, she sustained no long-lasting ill effects from her hypotensive episode. For three years, I have followed her in my clinic, and her systolic blood pressure has remained elevated. She takes all of her previous medications at their former homeopathic but effective doses, and I have renewed this regimen on a quarterly basis. I saw her for the last time two weeks ago. We reminisced about our initial encounters together.

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