Type of Submission: Health Story

Mercy

Through beautiful description and comparison Selzer writes about an interaction between a patient, his doctor, and his family at the end of his life. In the story, the patient is in the hospital, suffering and in pain. This piece serves as the doctor’s narrative, as he, too, suffers in deciding how to ease his patient’s pain, which can only be done by euthanasia. The doctor deliberates back and forth about the options and ultimately gives the patient what should be a fatal dose of morphine, yet still, he does not die. This piece raises questions about medical ethics, listening to patients, listening to families, and making informed decisions in healthcare.

This narrative could be used in courses regarding medical ethics, death, medicine, and narrative medicine. This piece could prompt discussion about medical ethics, who gets to make choices, and why certain choices are made in healthcare. It can be used to show the place of creative writing in medicine, as it provides a creative account of an interaction between a doctor and a patient.

Another GSW

“Another GSW” by Odeya Kagan is a short personal narrative detailing a young doctor’s encounter with a patient who had extensive injuries from a single bullet wound, and how the experience made her consider the ramifications of gun violence in America. As Kagan looks forward to her medical career, she prioritizes never becoming numb despite the frequency and normalization of gun shot wounds (GSWs). This story could prompt discussion of gun violence as a public health issue and the ways in which gun violence is ingrained into American culture. It could also be used to address the topics of physician burnout or the mental taxation of working in trauma and emergency departments. Hospital residents in particular may be able to relate to the sentiments of the author.

Hyperbole and a Half: Unfortunate situations, flawed coping mechanisms, mayhem, and other things that happened.

This is a graphic memoir written by a comedic blogger, divided into chapters that retell various life experiences in words and digital drawings, ranging from sibling relationships to unruly dogs to childhood memories to unconventional methods of dealing with depression. Brosh has experienced depression throughout her life, and this is a topic she digs into candidly in her book.

Selected chapters of this book could be used as brief, accessible readings in a class on mental illness or in a training for health care providers. A follow up assignment could invite students to make graphic narratives of their own and could invite discussion of how humor can be used to make difficult topics less taboo.

The Immortal Life of Henrietta Lacks

This book is a biography of Henrietta Lack, a black woman who died of cervical cancer in 1951. Before her death, Henrietta Lacks’ cells were harvested from her cervical tumor without her knowledge or consent. The HeLa cell line originates from these cancerous cervical cells, and it is the cell line most used for any study on human cells. Neither Henrietta nor her family were consulted nor informed about the mass distribution and use of her cells until decades later when her cells were already the cause of many medical discoveries and breakthroughs. This book was the first to paint the whole picture of the human behind the most famous cell line.

This book might be used in courses on research and medical ethics, on health (in)equities, or on narrative medicine. For example, it sheds light on all of the factors, both medical and societal, that led to a lack of adequate or ethical care. Her story shows the importance of health stories for humanizing medicine. It allows for reflection on the history of healthcare as it relates to women and people of color (specifically black people and black women).

Love in the Time of Cholera

Originally written in Spanish, this is a novel about a relationship over the course of a lifetime, where due to a father’s taboo, the lovers must be apart. It characterizes lovesickness and heartache as a literal sickness. It also destigmatizes love and passion in old age by showing the two protagonists finally getting to be together fifty years after they were torn apart. However, it does point to the limitations of societal expectations because in order to be together the lovers must stay on a ship pretending to be in cholera quarantine. This could be useful for teaching about elderly relationships and the stigmas around sex and intimacy in old age, as well as how real health crises, like cholera, permeate deeply into a society. One could draw parallels between cholera and COVID and the social impacts of epidemics and pandemics.

Mary Jane: A play about caregiving for a young child with serious health conditions

Mary Jane is a single mother of a young child with cerebral palsy, seizure disorder, and lung disease. The play portrays her caregiving, both in ordinary times and during a health crisis that eventually takes his life. We see her build a support network, including professional caregivers and others with whom she gives and receives support. She is a fierce advocate for her son and her descriptions of him and her life with him make clear the value of disabled lives.

I plan to use this in class as an example of a caregiver narrative that shows the ways in which family members are impacted by illness and the significance of their support and advocacy. It is a powerful statement about the joy and the pain of caregiving (at one point in the play, Mary Jane states that one of the more useful things someone said to her early on was that there would be good days and bad days). It also portrays ways that our healthcare system and society often fail to support caregivers. There are scenes in which healthcare providers address Mary Jane only as “mom” and the only staff member in the hospital who addresses her by name is a chaplain.

He was not the first dead man I X-rayed

The author had this to say about the poem: “I have X-rayed thousands of people over thirty years, but this one still come backs to me. It’s the story I tell when people ask me for ‘hospital stories,’ so it’s no surprise that I eventually wrote the story in a poem. I can still so vividly see him and me alone in that cold room.”

” Content warning : Gun violence, some graphic descriptions of bodily harm

This is a short poem written from the perspective of the author as a X-ray technologist. It describes one particular experience he had caring for a man with a gunshot wound who dies during the treatment and the poem. Provides an opportunity to talk about death and the impact experiencing death may have on healthcare providers. The brevity and personal quality of this piece leaves room for students to interpret and discuss their own thoughts and reactions.

There is a complex story in a brief poem, with lots to unpack, accessible to all audiences.

In need of a prayer

Physician’s story of visit to a suspected-COVID patient from early days of pandemic. Details the stress of not knowing how to protect herself, patients’ isolation from his family, lack of treatment options, frantic pace of ER when infections and frequent deaths taxed medical professionals’ emotional and physical stamina. Relates patients’ conditions to her own father. Vivid starting point to discuss burnout (contrast with simple exhaustion and overwork), remind all audiences of what early months of uncontrollable COVID were like as memories fade. Ends by evoking a Celine Dion/Andrea Bocelli song about prayer that could contribute to discussion of music in healing.

(Not so) golden years

Daughter describes the stress of caring for her aging parent from geographically distant place. Details many issues that created burnout in her caregiver role, including feeling isolated and embarrassed about her struggle until she found out all of the problems she faced were very common for caregivers in her position. Useful to discuss how difficult it is to care for elderly parents, especially from a distance, and caregiver burnout.

Bullet journaling to save a life

An African American woman at a predominantly white institution is diagnosed with bipolar disorder. Along with therapy, she works through her struggles with various mindfulness strategies, including a method described by Ryder Carroll as “bullet journaling.” Her story encourages consideration of writing as a mental health practice, describes the author’s adaptations of the bullet journal technique, and contains links to a TED talk and a book that go into more detail about this particular approach to intentionality. Useful starting point for talking about therapeutic (and general mental health maintenance) uses of writing. Glances of POC experiences in PWI’s, though not much detail.