SPOTLIGHT -
Caring for the Patient
I want my patients to believe I consider Peabody’s advice before I see them, that I recognize our shared humanity...
Up in Smoke
He smoked trabucos, mild miniatures produced by the Austrian monopoly, but preferred Don Pedros and Reina Cubanos...
Looking Like a God
The trouble with looking like a God becomes clear after we learn to wear our mask of omnipotence, pretending to know the answers to questions...
A Lobsterman Looks at the Sea
His new hip healed in, we’re working on a bluff, talking doctors and health care reform as we shove a new propane tank into place...
A Curious Kind of Love
Sometimes when proposing a treatment plan, I flash to an image of my patient seated beside me on this orchard bench watching orioles court in May’s sharp sunlight...
Lazy Birder
Dawn is at five, but I sleep past nine, not caring if I miss a few warblers flying home for summer...
Hit by a Bus
That’s how he’d like to go, he tells me, not by this slow seeding of liver and spine, not with all the tears and long good-byes.
Sleeping Daughter
The Big Bad Wolf and Wicked Witch liked to creak the stairs by her bedroom door and wake her from dreams calling, “Daddy!”
Steel Against Steel
On the cracked macadam court in the shadow of The Castle on the Hill, below fake gun turrets built with bricks...
Talk Radio, 2 am
I’m driving home from the ER, not ready for sleep, eaten up by memories of my mistakes...
Motorcycle Racer
We’ve been meeting since his PSA spiked and he decided on surgery. Radiation finished, nerves nicked by the robot...
Extinction
After a managed care company calls me to be “a prescriber,” I recall The Book of Dinosaurs my grandfather gave me the day I turned seven.
It’s Always a Brain Tumor
It's always a brain tumor when I have a headache. “Don’t be crazy,” I tell myself, “You’re just inventing a doctor-mind catastrophe.”
Fifty Shrinks
Fifty Shrinks allows us to see ourselves through the sensitive eyes of a colleague and artist.
Practicing My Scales
When I learned my first scale at 45 I knew I would never rip loose and free like the pros who started as teenagers, when time didn’t matter and practicing was just another form of play.
How a Psychiatrist Writes a Poem
I begin by remembering my hours as a patient and Freud’s “Fundamental Rule”: Say Whatever Comes to Mind...
Lunch Break at a Residential School
When I’m hungry, I love to stroll past the campus barnyard and visit the colorful, caged characters who live, like me...
Psychiatrist Baseball Cards
I’d love to create a new set every year, our glossy portraits on one side, caduceus in the corner, honors, cure rates, and publications on the back...
Words Heal: Coping With Cancer
When a full-time writer's husband was diagnosed with cancer, she found writing poetry helped her cope. She guessed that others would, like her, find their experiences with cancer best expressed through poetry. So began The Cancer Poetry Project.
Data Point
Three years deep in despair, he’s swallowed every pill I prescribed...
X-Ray Vision
Under the V of her cashmere sweater, sacs of silicone sag in tangled scar, their arc of cleavage a triumph...
Doctor Dumpling
If I could be edible, I would want to be a steamed vegetable dumpling, pure white like my doctor’s coat…
Modern Medieval Artist Poetry
While I watch the artist paint, I imagine him in the time of plague crafting a portrait of a Medico della Peste, a Plague Doctor wearing an ibis-like mask...
Suicide Rates
In the graph, bands of color recede like mountain silhouettes drawn by a child...
Royal Blue
I never take calls when I'm with a patient, except today when the phone rings from Boston-liver mets on his scan, biopsy tomorrow...
Fathers of Only Children
After all the encores at Tanglewood, the only music left is September’s song of crickets scraping their legs for mates...
Moonrise, Tanglewood
The sharp steel wall of the concert hall encloses the melody and wounds the summer sky, a soft yellow glow gathering before moonrise...
Late Last Night
Outside, the bluestone patio warmed my bare feet, and I smelled Casablanca lilies and honeysuckle we planted last spring.
Favorite Patient
Before I knew much psychiatry I met his angry stare in the ER, a homeless man with a three day beard...
Prayer
We climbed concrete ramps from the subway’s underground world, up to the grandstand and my first vision of heaven...
Coordinated Specialty Care: Paving the Way for Psychosis Recovery
Looking Ahead to the ASCP Annual Meeting With Joseph F. Goldberg, MD, and Anita H. Clayton, MD
Major Changes in the Treatment of Schizophrenia: A Long Time in the Making
Psychiatry’s Wrong Bet