Narrative Medicine Monday: Complaint

We discussed writer and physician William Carlos Williams’ “Complaint” during a poetry lecture at the first workshop of Harvard’s Media & Medicine program. I was struck by how differently those in the class, mostly clinicians, interpreted this poem.

I saw it as Williams’ manifesto for physicians. Healthcare professionals often feel a calling to their work. Though it is a challenging road, in both training and practice, there is rich meaning inherent in the work we do. Williams at first seems reluctant to move into the dark in the middle of the night, but when he arrives to the patient’s home, he is able to “shake off the cold.” He finds a “great woman / on her side in the bed.” There was discussion as to what Williams meant by “great woman.” Why do you think he used this adjective? Do you find his tone in the poem complementary or otherwise?

There were different thoughts on Williams’ curious use of “perhaps” in the following lines: “She is sick, / perhaps vomiting, / perhaps laboring / to give birth to a tenth child.” These are things that, as her physician, you’d expect him to be clear about. I wonder if the use of “perhaps” is a commentary on medicine itself. Our patients could be suffering, and do, from all kinds of illness and ailments and, though not interchangeable, regardless of their disease, we owe them our attention and compassion.

Williams ends tenderly, a hope for the profession, despite a tone of distancing himself from the situation. These last lines reveal the intimacy that often occurs between healthcare providers and patients. The doctor begins in the chill of midnight, going because he is called, but ends with this moment of compassion. Can you relate to this scene, either as a patient or as a physician?

Writing Prompt: Do you think in today’s world of modern medicine patients and their doctors still connect in the same way as during Williams’ era? How is a house call different from an office visit at a clinic? What do new technologies (email, video visits, chat) offer patients and their medical providers, and how do these interactions limit that relationship? Alternatively, think about the title of this poem. Why do you think Williams called it “Complaint?” Write for 10 minutes.

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Free Write Friday: Cross Country Ski

The stillness is deafening. I startle to someone coming up behind me until I realize the swishing is from my own skis, legs scissoring across the powder, cutting into the silence-laden air. My quadriceps, my calves burn under layers of cotton, of smart wool. My nose ignites with the chill of exposed skin, nares dripping with shock. I pull my hood tighter, cocooning my half moon ears.

We come to a pond, sheets of ice overlay sections, tempting the foolhardy. A carved wooden sign marks it a “swimming hole.” I try to imagine a sticky summer day when a jump in those waters would be desirable, a welcome cooling. But all I can think about are my fingertips, numb and double-gloved, constantly flexing interphalangeals, willing the circulation to return.

I hear the river’s rush before we see it, the waters churn over smooth rocks, under the precarious bridge. The sound floats on the air, over the snow, down the trail, amplified as if running parallel, overhead, all around, rushing through us as we ski closer to the river’s edge.

The trail forks, we turn right, enter a grove of birch trees, slender white bark complementing the elegance of the silent snow. There’s a muffling to the drifts, an insulation and paradoxical amplification of sound. I like the set grooves in the trail, a designated place to put my slim skis, a comfortable path to follow. They keep me focused, respectable, out of harm’s way.

Today though, it’s too cold – single digit temperatures jolt this moderate-weather gal. We’re unable to enjoy the journey, frozen extremities too distracting. We hurry back to the warming hut, thermosed hot chocolate and a rush of heat greet us.

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Free Write Friday: Beach

She walked down the hill to the beach, bundled in a down coat, fingerless gloves and a white knit hat. Sneakers on pavement gave way to fine sand spilling over her laces as each step took more effort. Closer to the shoreline the sand was more compact, sturdier beneath her. Here she could stroll along the rocky ground, now pounded by the November waves, wind whipping them into a fury.

She imagined a storm, how it would rage in years past, toss fishing boats as they struggled to avoid the lighthouse signaling at the point. She thought of the contrast, just yesterday sun warming her face as she ate lunch, read, wrote on a picnic table perched on the beach, watching couples meander along the shore with their dog. She could linger.

The wind beat fiercely as she climbed a small hill to circle back. But as she found herself among the golden reeds, atop a mound just set back from the rocky beach, she felt suspended, wind pounding from all directions. She paused, the intermission comforting, demanding reverence.

Pressure on all sides, she remained. It was as if liquid, not air, compressed her. As if warmth, an unexpected peace held her in the midst of the chill November day.

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Narrative Medicine Monday: Monday Morning

Audrey Shafer, an anesthesiologist and mother, writes of medicine and motherhood in her mesmerizing poem “Monday Morning“. Highlighting two simple moments at home and at work, Shafer explores the contrast and commonalities between motherhood and her work in medicine. No wonder I love this piece!

What do you think of the juxtaposition of the narrator’s young son and the cool sterile environment of the operating room? The OR is a glaringly lit, predictably ordered, pristine place. As a mother, I could picture the incredible contrast of her preschooler son’s soft body clutching his favorite blanket in the dim early morning. A home with young children is often unpredictable, littered and intimate.

Shafer comments that the one who is exposed and vulnerable in this poem is the author herself. Would you agree? What do you learn about her as a person and as a working mother by reading this poem?

Writing Prompt: Think of a moment at work that reminded you of or seemed in direct contrast to a moment at home. How does your personal life inform your work and vice versa? Write for 10 minutes.

 

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