Tag Archives: poetry

 is an Internal Medicine Resident (R1) at the University of Toronto. Check back the last Thursday of each month for a new featured piece as part of his series (Doc Talks: Reflections to Reality)!

 

Once an elastic band is stretched beyond its limits, it is difficult for it to return it to its unstretched state. Burnout represents a similar phenomenon: an erosion of one’s sense of self and a reflection of emotional over-exhaustion, leading to disinvestment and depersonalization. Years of intensive training, long working hours, increased managerial responsibilities, resource limitations, emotionally-involved patient and family encounters, fear of limited job prospects and litigation, and mounting clinical and non-clinical responsibilities, among other demands: physicians and other health care professionals represent a highly vulnerable group susceptible to burnout, with some estimates suggesting . Evidence suggests that physicians experiencing burnout are more likely to make poor medical decisions, share more tenuous relationships with co-workers, experience more individual and personal relationship challenges, and suffer higher risks of anxiety, depression, and suicidality. Physician burnout has also been associated with differences in overall quality of care, system-level costs, and rates of staff turnover and absenteeism.

This piece focuses on the compromise some residents and physicians make in placing themselves second while dedicating themselves to the care of others, and the silence that some encounter while struggling with burnout. It is encouraging to observe that dialogue around burnout and mental health is growing at individual, institutional, and systemic levels over time. This piece is part of that conversation. ...continue reading

Matthew Lee is a medical student in the Class of 2019 at Dalhousie University

 

I was totally unsure. Meeting a patient who knows they are going to die... wouldn’t it be intrusive, at the end? A student coming into your life: asking questions, getting signatures, asking you to share your precious time. In the same position, I don’t know if I would say yes. That thought makes me feel a bit uncomfortable. Checking in on the floor, with information hurriedly scribbled into the margins of a notebook. A brief run-in with her mother in the crowded room, then twenty minutes spent in the hallway — trying not to be obtrusive while staff hurry by. There are visitors every day, and I doubt I looked out of place.

In some ways, I chose to take on this project in order to become more comfortable with death. It’s something I have faced before, and it took years to move past my friend dying from lymphoma. He quickly stepped away to take a phone call at our convocation. It was a biopsy result. Nearly six months to the day and it was all over. It took nearly everything I had. ...continue reading

Noren Khamis is a Family Medicine Resident (R1) at the University of Toronto

 

 

 

Early morning: the student comes by in a daze
Disoriented in the hospital maze
He’s frantic and sweating, the hallways all crossed
But one look at me and he’s no longer lost

The happy father and toddler walk by
One look at me, and yikes, what a cry!
Dad lifts his daughter up from the ground
And smiles in relief when she calms down ...continue reading

Beatrice Preti is an Internal Medicine Resident (R2) at Queen's University

 

 

 

The list is long, but I know your name
Each day before, its spot was the same
Second from the top, the second room on the right
The one with three windows and a broken bathroom light

But today something’s different; the list I have’s bare
I looked for your name, but it wasn’t there
Something has happened, and, in my heart, I know
That though I fought to keep you here, you found a way to go ...continue reading

 is an Internal Medicine Resident (R1) at the University of Toronto. Check back the last Thursday of each month for a new featured piece as part of his series (Doc Talks: Reflections to Reality)!

 

"First of all," he said, "if you can learn a simple trick, Scout, you'll get along a lot better with all kinds of folks. You never really understand a person until you consider things from his point of view […] until you climb into his skin and walk around in it." — Harper Lee,To Kill a Mockingbird

This piece reflects a daughter’s internal struggle as she comes to terms with her mother’s suffering through delirium and terminal illness. Touching on the sensitive balance between seeking care and doing no harm, this piece provides an intimate perspective on the challenges many family members encounter in letting go of their loved ones during trying times of declining health, as well as on the difficulties involved in recognizing that ‘more’ is not always better — that, sometimes, less is more. ...continue reading

Sunjit Parmar is a medical student in the Class of 2019 at the University of British Columbia

 

 

 

Warmth as hostility in a cruel summer’s dream:

Surrounded by the thick, humid mid-summer air, I await the prickling breeze of late November.

I drift beneath the cool, dark shadows... a nearby cedar sways above.

Aware of the fiery weather, a sheath of saline smothering me, I mindlessly plunge into a slow, warm stream. Upset by the warmth of the swampy summer water, I catch sight of my reflection: a suddenly aged man. I look away. ...continue reading

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Michael Gritti is a medical student in the Class of 2019 at the University of Toronto

 

 

“To induce asystole as needed.”
Looking the decision in the face
wasn't as simple as I'd thought, I conceded.
But, simply, was it right? Was it just?

Eighty millimoles of potassium chloride: ...continue reading

Zeenat Junaid is a medical student in the Class of 2020 at Bahria University in Pakistan

 

I checked his file again and looked up to see the patient with a tube hanging off his shaved head. Mr. Taj Saboor, 48 years old, had brain cancer —glioblastoma multiforme. It had been removed twice in the last six months, and each time it had returned with pugnacious insistence. If cancers were little shoots and plants, or even weeds or bushes, then glioblastoma multiform would surely be Jack's colossal beanstalk of lore spurting straight up to the sky. It is fast; it is monstrous. Even when meticulously removed, one never knows where else in the brain the beans have been strewn and where hell may again break loose. It surely is the grand master of all stealthy and lethal cancers. ...continue reading

Beatrice Preti is an Internal Medicine Resident (R1) at Queen's University

 

 

 

It was the strangest of days when I met him first
Everything jumping from awful to worse
People were shouting and crying and seizing
Coughing and choking and retching and wheezing
It was nearly twelve hours before I could go home
But the attending doc called direct on my phone
And asked me, please, could I see one patient more?
Well, I couldn’t say no, so I went back to the floor
And met him there, though, then, he was alive,
But looking so dead I knew he hadn’t long to survive
Yet I took the history, and wrote everything thing down
Signed the orders, made the calls, and finished my rounds
Tucked him in for the night, and was just about to leave
When he said to me, “Doc? How much time do I have, please?” ...continue reading

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Sunjit Parmar is a medical student in the Class of 2019 at the University of British Columbia

 

 

A withering mind:
As this body crawls forth to die
My soul still marches forth and thrives.
With each passing breath
I move further from life;
Yet this soul somehow survives.
None can halt the decay—
No person, no bribe.
And still, ever-growing, ever so alive
I now realize I have lived a lie ...continue reading