A nurse examines a clinical encounter through her poetry and appreciates the individual nature of care.
Read moreOn Work-Worn Hands and Gestures of Love, a short essay by poet and educator, Joan Baranow
A writer and poet honors the memory of her mother by finding the parallels between her own work and the story of another mother and daughter.
Read moreScripting Death: When Words Fail – In Conversation with Liana Meffert’s “Death is Usually an Easy Diagnosis” by Paula Holmes-Rodman
“A medically assisted death, such as I recount in my essay “Mercies, Or, the Mostly True Tale of a Narratively Assisted Death” (Intima Spring 2023), is the antithesis of a traumatic ending in an ER. It is highly anticipated, fully orchestrated and well rehearsed – on everyone’s part but my own.”
Read moreThe Importance of Providing Compassionate Palliative and End-of-Life Care
A writer reflects on her own mother’s experience with death and dying and argues for the greater recognition of palliative care in the clinical encounter.
Read moreThe Reduction of Human Life and Tight Narrative
Writing against the backdrop of her husband’s stay in hospice care, a retired professor examines how the reduction of human life in the midst of suffering can be summarized in succinct narrative.
Read moreA Transplant Patient's Reflection on Living While Dying
An artist and organ transplant recipient considers the isolation of her own illness experience and further explores these issues in her graphic medicine comic, published in this very journal.
Read moreDesensitization to the Face of Death: A reflection by poet and medical student Catherine Read
A medical student examines the desensitization that imbues the study and practice of medicine—and advocates against it.
Read moreThe Chance to Say Goodbye... or Not: Thoughts about being prepared—or surprised— by death by end-of-life doula Virginia Chang
An end-of-life doula reflects on their experiences with dying patients and concludes by offering three life lessons.
Read moreExploring End-of-Life themes in "Nay Nay's Rebirth," a short story by Sara Lynne Wright
A retired surgeon reflects on a short story published in this journal—and in doing so, also contemplates how a comfortable and humane death can be fulfilled at the end of life.
Read moreSavoring Sunset: A reflection on saying goodbye by physician assistant Sara Lynne Wright
A physician assistant ruminates about the cycle of life, of sunrise and sunset—and how we can better appreciate each waking moment.
Read moreWhat’s the Right Way to Die? And Where? A reflection by poet Kathryn Paul
Can we decide where we should die? A writer and former caregiver reflects on offering comfort during one’s final moments.
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 moreShakespeare, Stanzas and How We Think About Death by Albert Howard Carter, III, PhD
When my sonnet “All Tuned Up” appeared (Spring 2021 Intima), I was asked to write about another piece published in the journal. I chose “I Picture You Here, But You’re There” (Spring 2020 Intima) by Delilah Leibowitz. Her poem and mine both explore how we think and feel about death.
Read moreThresholds and Transgressions, a reflection on ICU chaos, communitas, liminality and Levinas by Nancy Smith
Nancy Smith is a retired Registered Nurse. Though she moved through the many domains of hospital nursing, most of her work took place in an Intensive Care Unit. Her co-workers noticed that she would place small strips of paper with poems by various authors on her locker from time to time along with the pictures of her family.
Read moreThe Practice of Prolonging Death, a reflection by palliative care physician Chris Schifeling
“Would we rather die too soon or too late?”
The taboo of talking about death combined with a faith in the insomnia of medical technology leads many to err far on the side of dying too late.
Read moreThe Body Politic: Fashioning our own earthly justice in a challenging time by Adam Lalley
In the short story “Good As New” by Andrew Taylor-Troutman in the Spring 2020 Intima, the site of a teenager’s accidental death becomes a healing destination. At the little white cross beneath an oak tree, cancer is cured and the wounded throw off their wheelchairs. But when a line of pilgrims stretches into the next county, the miracle dries up.
Some, but not all, are restored. The inequity mirrors the disparities of our very own bodies— our health, even the lengths of our lives, are doled out unequally. There’s no earthly justice in our bodies.
Read moreSeeing is Believing: Reflecting on Miracles by Andrew Taylor-Troutman
A reflection on “My Grandpa” by Meghan Wang (Poetry / Spring, 2013)
I see his body, but I do not see him
So begins Meghan Wang’s poem and her words cut to the core of the grief I have known in watching an aged loved one. I have lost people before their actual deaths. I know that sight is a metaphor for understanding. That is the double-meaning of the poem’s line:
It’s hard to see him like this
Holding Vigil: The privilege of putting death off for another day by Elizabeth Lanphier
Stella’s speaker is running from patient to patient, hoping to catch some sleep in the call room; for my speaker it is only the mind that is running, keeping her awake.
Read moreDiscerning Different Shades of Grief by Jeffrey Millstein, MD
In my essay, “Remembrance,” I discovered my own grief for a recently deceased long-time patient while continuing to care for her widowed husband. John Jacobson’s piece “Now and Then” (Fall 2018 Intima) brought me deep into the chasm of a different type of grief, from loss of someone who was, and to a more attuned place from where to offer empathy.
Read moreDads, Daughters, Death by Pat Arnow
Pat Arnow is a photographer, writer, and more lately, a cartoonist in New York. She often writes and draws stories about death.Her artwork “A Death in Chicago, 1972: Elisabeth Kübler-Ross and My Family” appears in the Spring 2019 Intima: A Journal of Narrative Medicine.
A dad has cancer. He decides not to undergo a risky, possibly ineffective operation that might save him. His family supports his decision. He goes home to die.
Karen Dukess writes about this in “Day One of Dying” (Fall 2016) as if those choices were an everyday thing.
Well they are—now.
In this lovely memoir of a beloved father, it is striking to me how things have changed from when my dad faced terminal cancer in the early 1970s. Then the rule was maximum intervention no matter what the prognosis. No one would quibble with doctors. People died in hospitals.
That’s how the story begins in my comic, “A Death in Chicago, 1972: Elisabeth Kübler-Ross and My Family” (Spring 2019). As my father lay dying in a hospital bed, he received a remarkable visit from Kübler-Ross, who had recently written On Death and Dying. She allowed my dad to say out loud how he wanted to stop painful treatments and go home to die.
My father’s homecoming came on the cusp of change for the dying and for those close to them. We started talking about death. The hospice movement grew. There is help for what are still the hard and sad days of dying.
Yet so much is the same including the moments of grace. I recognized this lesson, a gift from our dads as Dukess describes it:
“Day 6 of Dying—I am becoming a better listener. Really, what can you say?”
Pat Arnow is a photographer, writer, and more lately, a cartoonist in New York. She often writes and draws stories about death.With “A Death in Chicago, 1972,” she tells the story of her father’s dying, which involved Elisabeth Kübler-Ross, because it’s a personal story from a time of momentous change in the way we think about death. Her artwork “A Death in Chicago, 1972: Elisabeth Kübler-Ross and My Family” appears in the Spring 2019 Intima: A Journal of Narrative Medicine.
© 2019 Intima: A Journal of Narrative Medicine