Narrative Medicine

Narrative Medicine Monday: Solving for X

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Author Pam Durban tries “Solving for X” in her nonfiction piece in Brevity. Durban tells us that she’s “never been good at word problems,” the kind that involve trains and “variables of time, speed, and distance.” At seventy years old, she is now able to “manage the simpler calculations” such as knowing that she “doesn’t need a dental implant that lasts fifty years.” At her current age, though, she finds some of these “word problems of life” are riskier and “always end with an unsolvable X–the date of her death.”

Durban muses on how to manage these unsolvable Xs. She experiences a bout of amnesia in an E.R. and recalls an uneasiness with the concept of eternity, finds her “multiplying Xs” just as unnerving. Durban masterfully gives us a glimpse into the mind of a woman in the last part of her life, but highlights that even nearing the end, the question of time can be perplexing, unsettling and stretch out into the future.

Writing Prompt: Have you calculated, like Durban, your need for a thirty-year roof or if you’ll be around for the next solar eclipse? Can you relate to Durban’s unease with “multiplying Xs?” Why do you think she “sees a way” in the memory of returning to her father’s grave? If you are a medical provider who cares for elderly patients, what can you take from Durban’s essay that might be helpful in how you approach patients who are making decisions about medical care and treatment plans? Write for 10 minutes.

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Ramblings

Free Write Friday: Lockers

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You have nightmares about lockers. Narrow gray sheets of metal from ceiling to floor, endless rows line the halls. You circle the maze of corridors. You’re turned around, pressured, panicked, late. You can’t find it at first, the one that belongs to you. You pause at one, then the other: all wrong, all empty. 

Others watch you, they laugh. Or, worse yet, they ignore you. You’re insignificant. If you finally find what you’re looking for, it’s shut, impenetrable. You spin the lock to the right, to the left, to the right again. The white notches of the knob blur and you realize your numbers are wrong, it’s all wrong. 

Something’s off, you can’t remember. You missed whole assignments, entire courses, a full year of your life passed by all wrong; you forgot to pay attention. You rush for help, but it’s no use. You can’t recall time and now it’s too late. You won’t resign yourself to fate, so instead you struggle. You keep spinning the lock back and forth, back and forth until it clicks open. But it doesn’t matter now. Instead of relief you feel grave, an ominous weight when you unlock what you’re looking for. The moment, the urgency, the purpose, it’s passed you by. 

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Ramblings

Free Write Friday: Waiting Room

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It could be a doctor’s office or a therapist’s office or masseuse’s office or dentist’s office. Everyone rushing in, stops suddenly. This place is only meant for halting. It’s a purgatory of sorts. No one makes eye contact. You could be here for a tooth extraction, a horrid cold, a spasming back muscle, a debilitating anxiety that usually keeps you holed up at home. You don’t want to assume why others are here, so you ignore each other. 

Looking around, there’s a water cooler, an assortment of tea bags set out on the table: peppermint, earl grey, African red bush. The best flavors are depleted, the black tea bags overflow. It’s silent, save for the buzzing of the fluorescent lights overhead, plastic rectangular panels alternating with popcorn ceiling. 

A waning lamp sits on a corner table, the time on the small clock is wrong and it’s aggravating. Shouldn’t a waiting room of all places keep correct time? A laminated wood coffee table is centrally located with magazines stacked too neatly. Who keeps them all so organized, so appealingly kept? Choosing a magazine is like a Rorschach test, wondering if others will judge the decision, if you can live with it yourself. The intellectual rigor of The Economist or the gossipy superficiality of People? The organizational practicality of Real Simple or the envy-inducing travelogues of Condé Nast? Maybe you’ll just scroll, head down on your phone, where you can maintain anonymity.

You sit too straight backed on the worn leather couch, waiting. You should slouch back, relax. It’s increasingly challenging to sit in silence, in stillness, in this incessantly rushing world. You distractedly peek out of the corner of your eye. The wide leaves of the adjacent plant are drooping, yearning for a drink of water, clearly neglected. It makes you wonder at the reliability of this place; shouldn’t plants be tended to just as people are? You guiltily realize, your own office plants are just as wanting. 

Someone opens the door, a stocky middle-aged man. You don’t look at him directly but glance up through your lashes just a moment, long enough to take him in. He’s calculating, surveying the room, deciding if he should grab tea, a magazine, where he should sit. He falters, then grabs a Time magazine. You try not to judge, but you do. He must be serious. But when he sits down, he takes out his phone, scrolling through intently, waiting for his turn. 

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