Submission Medium: written

“El sur” por Jorge Luis Borges

“El Sur” follows Juan Dahlmann’s journey from a sanatorium on the brink of death due to a head injury. He experiences eight days of intense suffering and pain before his transfer to the sanatorium. Inside, he feels imprisoned and faces the risk of sepsis. His doctor promises a recovery and return to his southern estate. The narrative highlights the impact of physical injury on mental health. Short story appropriate for a Latin American literature course for advanced students; focus on illness and healing brings a different lens to Borges that health-oriented students could appreciate. Available online for free.

Tuve Depresión Postparto Dos Veces y Nunca Me La Diagnosticaron

Describes a woman’s experience with two bouts of undiagnosed postpartum depression. She explains her thoughts and experiences of feeling unable to take care of her children and how these were largely ignored by health professionals. Story is framed with Q&A about postpartum depression: symptoms, frequency, treatment, etc. Acessible, magazine-style 10 minute read, intermediate and native speakers; good discussion starter for a community group.

El misterio del duelo, aprenda cómo estar presente

This story describes the pain of a mother who gave up a foster daughter, Coco. A year later, she adopted a baby boy, and described this grief to the social worker, noticing that having language to describe the specific loss – “duelo por falta de derechos,” – ‘grief because you have no rights (to keep the child)’ – helped the family move on. 10 minute read, upper intermediate level.

Mi hija estaba muy viva. ¿Cómo es posible que ya no esté?

Sarah Wildman describes her grief after losing her 14 year old daughter to cancer. Her efforts to describe her feelings lead through several languages, offering possibilities for discussion of translation. Intermediate level, 2-3 pages.

LitMed: Literature Arts Medicine Database

Scholars, educators, patients, students, and anyone interested in medical humanities can search this site for annotated entries that describe works of literature, fine art, visual art and performing art related to medicine. Housed at the NYU School of Medicine, the annotations are written by an editoral board of medical humanities scholars from across North America.

Users of the site can search by words or phrases of their own, peruse an alphabetical index of titles, or use the extensive system of tags. It is possible to narrow a search to a particular kind of work (e.g., “All visual arts” or just photography, painting/drawing, or sculpture) or to medical humanities topics (e.g., history of medicine, medical anthropology, science and medicine). Stories by “physician” or “nurse” can also be searched. The site has over 3000 items at the time of this submission.

An entry includes a summary description of the work as well as a commentary.

The ones we sent away

The author found out at age 12 that her mother had a sister who was institutionalized before age 2 with intellectual disabilities that left her unable to speak. She traces her aunt’s life through various institutions, most of them deplorable, and hears her mother’s grief over the separation from her only sibling. She contrasts the attitudes and treatment of such disabilities in the 1950’s through the 1980’s with much more open acceptance and inclusion of nonverbal persons in the 2020’s, based on a photo that went viral on Twitter. Detailed memoir of three generations’ relationships with the sister: the author’s grandmother, her mother, and herself. Traces the evolution of attitudes toward intellectual disabilities in the 20th and 21st centuries from close relationship to the issue, noting that children born today with her aunt’s condition are able to live much fuller lives because of greater inclusion in educational, social and family contexts. Includes many links to relevant sources, from memoir to scientific works. About 15 pages; also has audio version.

Learning Our Son’s Language

Pediatrician Vidya Bhavani Viswanathan describes learning to communicate with her autistic son by changing her own expectations about what constitutes “communication” and how we can connect with one another without words. Her essay details the course of her son’s loss of language at age 3, and her own struggle to come to terms with this. She writes, “I am a writer, and for me his loss of verbal language was so crushing because words were my primary currency of existing. The way I understood the world was through words, and the way I explained it was through words.” Gradually, however, she learns “how to achieve connection without words” and she gives an eloquent list of examples: “Shared enjoyment of something he was interested in; cuddles and tickles that lead to a fit of giggles; city walks with moments of pause to quietly smile his dazzling smile at the crunchy leaves on the ground, the touch of a rough brick wall, the screech of tires, and the wail of an ambulance.” The story also includes information about treatments, screenings, therapies, and assistive technology, yet the emphasis is not on “fixing” her son, but on ruling out possible medical causes for his loss of language and then learning to appreciate how he communicates and how she can enter and appreciate his world.

The essay could prompt a discussion about autism acceptance, and the importance of presuming that autistic children can connect and communicate when provided with accommodations and supports. It also encourages an appreciation of autistic perspectives and challenges deficit-based stereotypes.

Silenced

Donna Lambers, a maternal/fetal medicine specialist, describes the impact on her medical practice and sense of self when her vocal cords are affected by a thyroidectomy for thyroid cancer. She loses the ability to control vocal inflection. “For instance,” she writes, “I’m unable to raise my voice at the end of a question… I can no longer tease or kid or be sarcastic with my family and friends, because it comes off sounding mean. My voice, having lost its cadences, is unpleasant to hear; and now, when giving perinatal counseling to my patients, I have no way to convey the empathy and emotion I feel for them…” She describes with great insight the many ways this has affected her interactions with patients, their families, and co-workers, as well as the frustrations she experiences.

The story could open up a discussion about the ways in which effective communication requires more than simply clear transmission of information and the taken-for-granted ways that we construct relationships and enact identities through subtle cues. It also speaks to the challenges of this particular non-visible disability.

Literature and medicine: A short course for medical students

This article describes an informal course on literature and medicine for medical students. A wide range of books, plays and poems were used with medical and non-medical themes. Students enjoyed the course and particularly welcomed the non-medical components. Several book lists are provided with an emphasis on classic authors (e.g. Jane Austen, Harper Lee, Lewis Carroll, although The Color Purple is also included in one). Description focuses on general structure and students’ reactions rather than details of discussions. The author urges informality for this kind of literary discussion and suggests even calling it a “club” rather than a “course.” Could be useful to discuss ethics of care or as a starting place for a more diverse reading list.

Code Switching: Gravel Against Stone

Andrew C. is a queer East Asian medical student who writes about altering his voice and pronunciation to perform what he calls “the most stereotypically masculine version of myself.” He describes having learned to do so as a child of immigrants, growing up in a suburban Georgia suburb and wanting to fit in. In the essay, he analyzes why he continues to feel the need to do so in medical school. He says he has yet to meet someone like him who is a physician, and so code-switching is required if he is to enact the implicit model of “competent physician” that is on offer to him. He writes: “I am still carrying the heavy weight of my childhood notion that to be different is to be singled out as ‘other’—and I fear that it may impact the outcome of my medical education. These vocal habits are a form of self-preservation. But when I reflect on my childhood, and my lack of exposure to queer-physician role models, I fear that I will be perpetuating the problem.”

The essay is an eloquent example of why it is so important for health care providers to come from a range of identities and social positions. It also speaks to the challenges for those providers who come from under-represented groups and why equity and inclusion require not only that we diversify, but also that we welcome and value the diversity that people bring.

The essay is brief enough to be read together in a class or workshop. It is one of several essays from a writing contest by Pulse, an online site that publishes personal narratives about health care.