A medical student examines the desensitization that imbues the study and practice of medicine—and advocates against it.
Read moreOn Brian Ascalon Roley’s "Caregiving"
A pediatric emergency physician reflects on the burning intensity found at the heart of caregiving.
Read moreLeading Change in Healthcare Through a Healing Nature
A pharmacist fiercely advocates for lasting change via a healing framework.
Read moreA Moment of Intimacy
A writer questions the dynamics that shape—as well as disguise—not only the clinical encounter, but also personhood, identity, and intimacy.
Read moreRepeat After Me: Questions about the brain in transition by writer Nancy Huggett
A caregiver reflects on the orienting power of repetition. and how such repetition allows us to anchor ourselves within our lived narratives.
Read moreDescribing Cancer with Imagery and Metaphors by Sarah Smith, MD
A family physician considers the importance of metaphors and imagery when grappling with life-threatening, unimaginable illness.
Read moreThe Lost Patient Narrative in our era of "EHR-Centered" Medicine: A Reflection by family medicine physicianJacqueline Redmer
A family medicine physician reflects on the true costs for the patient and the clinician of the increasing digitization of modern medicine.
Read moreOn "Where Are You, Mary Oliver?" A pediatric ER doctor contemplates what two poets taught her about healing
A pediatric emergency physician reflects on the enduring power and comfort of Mary Oliver’s poetry during difficult times.
Read moreSurprising Behavior in the Pandemic
A palliative care nurse analyzes poetry and studio art created in response to the ongoing pandemic—and appreciates how these different pieces generate surprising parallels.
Read moreWaiting: A reflection on anticipating a diagnosis by poet RN Amy Haddad
A nurse, poet, and educator ponders the lot of patients—one that often includes loss of identity, dislocation in time and space, and of course, waiting.
Read morePoems Help Us Deal with Change and Choice by Anne Corey
A writer advocates for the power of poetry—as well as its curious ability to make us better accept uncertainty, mystery, and even ourselves.
Read moreThe Gifts Reserved for Age: A Reflection by Richard Scott Morehead
A professor of medicine reminisces about his former student, whose work appears alongside his own in this very journal.
Read morePoets on Poets: A Look Back and Forward by Ellen Goldsmith
A poet reflects on what companion poets and their poetry can offer us in the face of unexpected illness and loss.
Read moreThe Wisdom of the Pomegranate: A Reflection on Poetry and Mothers by Sina Foroutanjazi
The void, the empty feeling of loss; this is perhaps what connects Ceren Ege’s Dictum Wisdom (Intima, Fall 2021) and Pomegranate Protocol (Intima, Fall 2021) above and beyond their chronological relationship.
Read moreWhat the Dying Need by Rachel Prince
Shortly after reading Vigil, I stumbled upon Sara Baker’s poem, “What Do the Dying Want?” (Spring 2015). In this work, Baker explores the titular question by wondering how healthcare professionals, hospice workers, or even caregivers and family members can properly address the needs of the dying – is the correct way through words and stories, reminiscing, music, meaningful touch, or just holding space and being present?
Read moreSirens and Hummingbirds: How Poetry Can Make Sense out of the Mundane by MS4 Anna Dovre
As a medical student, I've gotten into the habit of saving folded-up scrap paper from the hospital and stealing moments during rounds or lectures to jot down scattered words and phrases. They're things I can't get out of my head, like "white cheddar Cheez-its® and stale cigarettes" or "I'm not a bad Mom." Snippets that don't make sense on their own, but together they have a strange sort of alchemy. The distilled essence of a day's humanity. A tragicomic piece of found poetry. After my first year of clinical rotations, I decided to sit down and see what I could cobble together to find out whether meaning would come if I made space for it. What arrived was, if not meaningful, at least interesting, and it eventually became "Self Portrait of the Artist as Medical Student."
Read moreBeyond Acronyms: Contemplating what 'OLD CARTS' really stands for by Tulsi Patel
“OLD CARTS” is an acronym we’re taught in medical school to guide us on questions to ask to elicit a history of the patient’s illness: Onset, Location, Duration, Characteristics, Aggravating or Alleviating factors, Radiation (of pain), Treatment, and Significance. Although OLD CARTS is a helpful checklist initially, over time it begins to feel perfunctory, done to check off a requirement on the rubric. We ask many questions, and I am keenly aware I’m asking because I want something from the patient—I want telltale signs, any clues on the diagnosis, any information that the care team can act upon and use— I feel greedy.
Read moreGetting it Right, Even When it Feels Wrong: A Reflection by poet Ceren Ege
In his video “Inside Anxiety and Depression,” William Doan’s words “writing is drawing” were a reminder of my existence as a poet and artist, and how the latter is an identity I felt uncomfortable with for a long time. I squirmed at the creation of “art” out of another’s suffering, even though my father’s illness felt like the only thing worth writing about. Now I sit with a different question: whether anyone’s suffering is entirely separate. I think owning suffering defeats the very aim of why we move it to articulation—to release it, to divide the burden of it, and to comprehend it with others.
Read moreOut of Time? A reflection about illness and its toll on our past, present and future by Sophia Wilson
In her observant poem “Brain as Timepiece (Administering the Clock-Drawing Test to My Patient With Dementia)” (Intima, Fall 2018), Jennifer Wolkin describes the disordered clockface drawn by a patient with dementia: each number stands outside its perimeter like lost digits. The patient’s subsequent drawing of an ‘X’ over the wayward numbers suggests an erasure, not only of cognitive function, but of time itself. Time’s toll equates to a ‘crossing out’ of past, present and future as the ‘disease devours …organ tissue’.
Read moreA Simple Ritual: Reflecting on the Moments Before Surgery by poet and orthopedic surgeon Photine Liakos
Surgeons are well-known for precision and protocols. There is often a ritual nature to our actions when preparing for surgical interventions, an orderliness and discipline: checklists, time-outs, pauses, consensus.
Read more