Type of Submission: Health Story

Marigolds in the CT Scanner

In the radiology department of a hospital in India, a Western doctor is asked to participate in a ceremony of puja or blessing. The ceremony reawakens in him a new sense of gratitude for medical technology, which he's often taken for granted. The story can be used as an example of the different cultural attitudes towards health care and technology, and particularly the deeper spiritual meanings attached to technology in non-Western cultures.

Patient Stories – People Managing Chronic Conditions

The Agency for Clinical Innovation is an Australian organization seeking to promote innovation and implementation of innovation in healthcare. Their site offers a range of resources including narratives, networks, and information. Under the resources tab, they offer five patient stories about managing chronic illness with the stated purpose: “These patient story videos highlight the importance of self-management and coordinated care to support people living with chronic conditions.” One of the featured videos titled “Kay’s Story,” provides an interview of Kay describing her experience and relationship with chronic illness, specifically diabetes, Graves’ Disease, and COPD. These diagnoses led to Kay developing agoraphobia, a fear of leaving one’s home or going outside. She reached out for help and support through the Aboriginal Medical Service, which provided her with steps to begin building confidence in going out, and self-managing her chronic illness and agoraphobia. The tone of the video is uplifting and positive, and she describes how this support allowed her to overcome her agoraphobia and begin practicing and advocating for self management. Brief stories useful for undergraduates, especially pre-health majors. Also community groups looking for ideas to promote wellness.

La crisis de agua potable en Uruguay

This NPR podcast examines a health issue that often goes overlooked: access to potable water. The water crisis plagued a town in Montevideo Uruguay for three months. This coincided with one of the worst droughts in 40 years. This podcast focuses on how the water shortage affected children at a school in Salinas which is a small town. It explores health problems grounded in infrastructure. It features personal stories and experiences of the students through interviews that show the how lack of access to potable water affects children. Transcript available in Spanish will help intermediate learners follow spoken language.

Un chispazo de conexión humana

Agus Morales describes his visit to Faiz, a man from Pakistan, in the hospital during the COVID-19 pandemic. He describes Faiz’s shock when he speaks to him in Urdu as he had not spoken his native language since he first arrived at the hospital. The story highlights human connections that can grow from shared language, both speaking and being understood in a medical setting. This is a part of a collection that includes visual as well as written narratives regarding experiences during the COVID-19 pandemic. Useful for medical Spanish classes, well-told story that will resonate with general composition students, good example of a health narrative for humanities-driven upper division courses. Intermediate level, 1-2 pages.

Family silence around disability complicates brothers’ bond

In this brief interview, Terrence Ho describes his relationship with his brother Torrance, who was diagnosed with Duchenne muscular dystrophy as a child and passed away at the age of 37. The interview addresses family relationships, cultural stigma, and Terrence's roles as caregiver and advocate for this brother. Terrence also describes Torrance's talents as an artist and power wheelchair hockey goalie. Terrence has advice for other siblings about how to manage family dynamics, emotional stress, and patient advocacy. The interview reveals what an important role siblings play over time when a child has a degenerative condition, and also speaks to the difficulty parents may have in talking to children about their brother’s or sister’s disabilities. There are several mentions of types of health care and services that were provided or that would have been useful. This brief story provides insight into challenges and rewards of the sibling relationship, one that is often overlooked. It could be used to prompt discussions about family caregiving, family communication, and ways health care providers can support family caregivers.

Case Report

"Case Report" document's the author's simultaneous experiences of being a medical student and sexual assault survivor. It moves through the aftermath of the trauma living solidly in two worlds, as an insider and outsider of healthcare. This brief story describes numerous interactions with a range of health care providers, as well as interactions that occur with friends, a pharmacist, patients, and others. By showing examples of unhelpful and helpful ways people responded to a sexual assault survivor, this story can prompt important discussions about compassionate care and social support. It also provides insight into how a provider's own traumatic experiences inform their approach to medical care. Some of the interactions in the story are difficult to read so advance notice may be appropriate with some audiences.

The tennis partner

Abraham Verghese is a bestselling novelist (Cutting for Stone; The Covenant of Water) and this memoir is written with elegance as deep as his medical expertise as an internist. The story of his close relationship with a medical student whose life unravels through addiction gives profound insight into physicians who struggle with addiction (like anyone else, but also quite differently). His role as a teacher and mentor for medical students gives an up close view of what medical education can be: sensitive and humane, without denying how much physicians must learn under often-stressful conditions. Pre-health professions students, medical students and graduate health humanities courses committed to reading the whole book would find much to discuss about both those issues. I used Chapter 11, an extended examination of and conversation with a patient, hospitalized for various complications of being both a heroin addict and unhoused, to talk through humanistic approaches to medical care with undergraduates.

Body of Work

Anna Dovre's story "Body of Work" is a meditation on the various ways she has encountered death through her medical education: learning to intubate on a cadaver, witnessing death in the emergency department, sitting with a hospice patient. Her essay reflects on the ways death is experienced and understood in the process of medical education and the connections and disconnections with one's own understanding of mortality. She starts her reflection with a description of her practice time in a cadaver lab and the physical benchmarks for competency when performing an autopsy. The following section about her time as a hospice companion juxtaposes personal experience with a discussion of clinical terms for ways and stages of dying. "To die actively means the pauses between breaths lengthen and stutter; the mind slips into unconsciousness; the skin begins to mottle into starbursts of purple and blue. To die inactively—well, that becomes a question of semantics, of philosophy." The story raises questions about how we honor life and make one's last moments and after death a respectful and respected process. How can we, as the living, be more appreciative of the gift of life while caring for those around us? This quotation, "If anything, the scene on the table has become more gruesome, but perhaps that has rendered her less real, less human to me," from after the autopsy is a stark realization that will inspire feelings and emotions in readers.

Wake Up

This song expresses the desire to discover that a diagnosis of cancer is not real, to "wake up" from the experience and emotions of approaching and fighting illness to discover it's been a nightmare, rather than one's new reality. The song is from the musical, Club Meds, which tells the stories of three people affected by cancer and by each other. Songs can be powerful tools for teaching by providing emotional resonance, perspective, and connection to a topic that can otherwise feel isolating or clinical. Lyrical stories engage emotions in ways that data or factual information alone often cannot. In "Wake Up," pace, rhythm, and repetition convey feelings of wanting to deny or resist a diagnosis yet being forced to come to terms with it. Stories of illness told in song can also allow individuals to connect with themes of mortality and end-of-life on a personal level, creating empathy for the fear or stigma associated with these topics. This can be especially beneficial in communities where discussing mortality is a cultural taboo. Mortality-themed lyrical stories can normalize discussions around death and dying. In a community setting, they can facilitate support groups or workshops where people feel safe to discuss these topics openly. In clinics, they can make patients and families feel more comfortable asking questions or expressing concerns about end-of-life care options. For both patients and families, lyrical stories about mortality can provide solace and a way to process grief. They serve as a form of art therapy, encouraging reflection and emotional release, which can be healing during or after the grieving process.

The Desperate Son

Witnessing his father's decline from cancer, an oncologist wrestles with his own fears and desperation. The story illustrates what happens when roles are flipped and a health professional finds himself at the centre of a family health crisis. What would you, as a health professional, do when faced with a similar situation? The story could be used to promt discussion about care at end of life and provider-patient communication.