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Pronouncing Someone Dead

Photo: Tim Green

When I was an intern in internal medicine, I admitted a patient to my service with pancreatic cancer.  Pancreatic cancer is a bad one; back then, only ten percent of patients with it would be alive within five years after being diagnosed.  My patient was a farmer in the full bloom [...]

The Caregiver's Manifesto

Photo: LaPrimaDonna

How many patients have I known over the years who’ve found themselves caught in the quicksand that is caring for a chronically ill loved one?  Too many to count, so I’ll recount just one.  Mrs. S is an elderly woman married to a retired university law professor, who has been slowly losing [...]

The Six Reasons People Attempt Suicide

Though I’ve never lost a friend or family member to suicide, I have lost a patient (who I wrote about in a previous post, The True Cause Of Depression).  I have known a number of people left behind by the suicide of someone close to them, however.  Given how much losing [...]

Preparation Prevents Piss-Poor Performance

One day, about a year and a half ago, my wife and I were walking along a street near our home when she grabbed my arm and suddenly exclaimed, “I think that woman is in trouble!”

I followed her gaze to a car stopped at a light and saw to my horror a woman being prevented [...]

How To Keep Your Child (And Yourself) Safe From Strangers

Photo: Tasslehoff Burrfoot

It seems almost every few months a story of a child abduction saturates the news.  Amber alerts occur several times a year in many localities.  Stories of children who vanished years or even decades past re-run every so often as reminders that some families remain locked in grief even as the [...]

Only Three Ways To Die

Photo: DerrickT

“The absolute truth, Dr. Lickerman?” Emily (not her real name) said to me, tears sliding down her red, swollen cheeks.  “It was a relief.”

She wasn’t referring to being fired from a job she secretly despised or having a divorce finalized from a husband she no longer loved.  She was describing instead how [...]

Overcoming The Fear Of Death

Photo: Fiona MacGinty

In January of 2007, I developed a mild stomach ache and general feeling of being unwell while at a Sunday brunch.  Initially, the pain sat in the center of my abdomen just above my belly button, but gradually over the course of the day inched its way down into my right [...]

Letter To A Widow

Photo: iessi

I remember when I first read the pathology report on my patient, Mr. Jackson (not his real name), my stomach flip-flopped.  “Adenocarncinoma of the pancreas” it said.  A week later, a CT scan revealed the cancer had already spread to his liver.  Two months after that, following six rounds of chemotherapy, around-the-clock morphine for pain, [...]