Medical Humanities Commons^™

Cârța Monastery, Barbara L. Gracious

HCA Healthcare Journal of Medicine

The Cârța Monastery, a former Cistercian monastery, is pictured here from one of its sides, conjuring the romanticism that is beloved in medieval ruins. The photo was taken on a sunny fall afternoon in the Țara Făgărașului region of Romania in southern Transylvania. Cârța Monastery was started around 1202 by a group of Cistercian monks from Egres Abbey in the then-kingdom of Hungary. Cistercian architecture is considered some of the most beautiful of the Middle Ages, and walking the grounds of the Monastery indeed evoked a profound sense of gratitude, awe, and peace in the shadow of its beauty that …

Covid: The Sound Of Silence, Saptarshi Biswas

HCA Healthcare Journal of Medicine

COVID brought its toll of deaths. Something the human race has not experienced in recent times. Something almost unimaginable in the modern world! But having joined a new hospital and moved to a sleepy old town, COVID gave me a sense of solitude I have not experienced for eons. There are times you wonder at the endless ocean in front of you and communicate with your inner soul.

And Yet, Angelina Hong

HCA Healthcare Journal of Medicine

As healthcare workers, invested in the wellbeing of our patients while also hoping to grow as individuals, we sometimes tend to view our jobs as a rigid duality—we are either “in love” with our practice and persevere flawlessly through all hardship, or we are “burnt out,” coldhearted, and defeated by the heavy workload and expectations of medicine.

In reality, we all sit somewhere in the middle of a blurry spectrum, balancing out physical, mental, and emotional pain with the immense honor of saving and cherishing human life, while simultaneously struggling to reconcile our altruistic goals with realistic but necessary human …

Resilience, Nicholas D'Angelo

HCA Healthcare Journal of Medicine

On one of the busiest parkways, in the midst of a spring drought, despite the lack of soil a sunflower blooms. This tiny beacon of hope represents the enduring spirit of humanity managing to struggle through this recent global pandemic. For me as a program director, it conjures to mind my graduating family medicine residents. Due to COVID-19, they had to pull extra shifts in the hospital, flip patients in the ICU, and witnessed death on an unprecedented scale. Despite this adversity, they continue to grow professionally, thrive individually, and show the world their sunny smiling faces.

Ode To My Emr, Kelly T. Clouse

HCA Healthcare Journal of Medicine

Our EMRs should empower us, but unfortunately, they often bully and frustrate us. This poem is an expression of my frustration and disappointment with my own EMR. Creating it allowed me to channel my frustration and disappointment.

Ambivalence At 10 000 Feet, Marc Perlman

HCA Healthcare Journal of Medicine

The transition from medical neophyte to seasoned physician is a gradual process spanning the course of many years. However, there are various milestones throughout the experience that capture increases in decision-making capacity and responsibility, such as the switch from pre-clinical to clinical medical education. Medical students in their clinical years are endowed with an abundance of knowledge from their pre-clinical years and are just beginning to synthesize and apply that information to patient care. “Ambivalence at 10 000 Feet” captures a reflection of a third-year medical student on the theoretical decision to provide emergency medical care in the absence of …

My Heart, Mina Bhatnagar

HCA Healthcare Journal of Medicine

A poem expressing a daughter’s love for her father through their shared passions for cardiology and medicine.

Medicine's Roots: Through The Banyan Trees, Emily E. Klosterman

HCA Healthcare Journal of Medicine

I started residency before the COVID-19 pandemic, at a time when we were able to see our patient’s faces without masks, give reassuring smiles, and sit closely while discussing a difficult diagnosis. Little did I know that in 2019, the way we practice would change overnight, as an unprecedented virus took hold. We could no longer see our patients’ faces, reassuring smiles were hidden by masks, and close conversations were held at a distance. Our homes became our claustrophobic havens, and the hospitals were saturated with patients.

Driven by a deep-rooted need to assist others, we continued onward. As life …

Tattoos In Medicine, Marcus Ibrahim

HCA Healthcare Journal of Medicine

I am a second-year family medicine resident with a rather large arm-sleeve tattoo. As you can probably deduce by reading the title of this editorial, it will focus on how tattoos in healthcare may be perceived by others. My goal is to illustrate some of my perspectives, opinions, and experiences regarding making my tattoos visible in the clinical setting.

Identifying, Addressing, And Eliminating Microaggressions In Healthcare, Tracy Macintosh, Michelle Hernandez, Anuja S. Mehta

HCA Healthcare Journal of Medicine

Microaggressions are pervasive throughout society, including in healthcare and academic institutions. They are often unconscious but accumulate over time, and they negatively impact the recipients' productivity and achievement by creating a sense of inadequacy as well as a lack of belonging. We outline several evidence-based strategies and teaching frameworks that institutions and training programs can adopt to reduce the prevalence and impact of microaggressions against trainees from historically marginalized groups, and that can promote psychological safety for everyone.

Gender Dysphoria Versus Acute Psychosis: Can One Properly Diagnose Gender Dysphoria Solely During Acute Psychosis?, Kristy A. Fisher, Samantha Scemla, Clara L. Alvarez Villalba, Jessica Kroin

HCA Healthcare Journal of Medicine

Gender dysphoria occurs when a discrepancy between one’s sex assigned at birth and one’s gender identity causes distress or impairment in function, which can lead ultimately to seeking treatment in the forms of psychotherapy, hormonal therapy, and/or gender-affirming surgery. Clinical care guidelines also recommend pharmacological treatment of psychiatric comorbidities if indicated. A review of the current literature demonstrates comorbidity between gender dysphoria and psychosis, including cases of gender dysphoria with schizophrenia and the occurrence of gender dysphoria symptoms during manic or psychotic episodes. The existing literature has yet to specifically examine gender dysphoria amongst individuals with schizoaffective disorder. The authors …

Is There A Bias Toward Unvaccinated Covid-19 Patients?, Abbas B. Jama, Anwar Khedr, Hisham Mushtaq, Nitesh K. Jain, Thoyaja Koritala, Syed Anjum Khan

HCA Healthcare Journal of Medicine

With more than 22% of the United States still not vaccinated for COVID-19, we are trying to shed some light on whether there is any bias when treating unvaccinated COVID-19 patients. We highlight several reports where some individuals or organizations displayed possible bias, whether implicit or explicit. We examine the legal and ethical implications of these biases and offer a general overview of how to tackle them.

A Vista Of Kahana Bay, Haryashpal Bhullar

HCA Healthcare Journal of Medicine

This is a picture of Kahana Bay in Honolulu, HI I took when I was visiting my friend stationed at Tripler Army Medical Center last year. Like me, he is a Psychiatry resident and I had not seen him in over a year, so meeting him was quite meaningful to me as we had so much more to talk about. Having this vista behind us while we climbed and shared stories made for one of the best hikes of my life. I often look at this photo and realize the freedom we had to fly to all sorts of beautiful …

Corona, Syed Anjum Khan

HCA Healthcare Journal of Medicine

We all are witnessing unprecedented pain and suffering, enduring unsurpassed tribulations. As a doctor working in an intensive care unit each day, I carry the burden of my patients and their families, my coworkers, my own family and friends. I never think about myself, the burden on my soul.

Yet I believe there will be a better tomorrow. A new day, where COVID times will be remembered with tears in our eyes yet a comfort in our smile that it’s past.

Music And Medicine, Sanjana Sundara Raj Sreenath

HCA Healthcare Journal of Medicine

This digital artwork, titled “Music and Medicine”, explores the role of holistic patient care as well as the important role of music as a therapeutic tool. Patients often seek connection and belonging during illness, and music serves as a powerful tool in healing. The important role of music in minimizing anxiety and improving mental wellbeing has been brought to the forefront during the Covid pandemic, given the drastic increases in depression and anxiety levels during this time.

Lanterns In Marrakesh, Stefan Mann

HCA Healthcare Journal of Medicine

This photo was taken in Marrakesh, Morocco in 2014. I decided to travel there after a few friends inspired me with their descriptions of a beautiful desert-filled country with kind people, mountains and incredibly delicious food. For me, traveling is truly food for the soul. It allows you to break out of the monotony of work-life and potentially step outside of your comfort zone. I absolutely love exploring various cultures and over the course of my life I have traveled to over thirty countries and have back-packed numerous countries solo. There’s no better feeling than embarking on an adventure free …

A Moment Of Peace: An Artistic Representation Of The Influence Of Healthcare On Social Disruption, Nafisa Choudhury

HCA Healthcare Journal of Medicine

This original pen-and-ink artwork features a lily on the water symbolizing peace. As war, distrust, chaos and coups wreak havoc throughout many developing nations, healthcare workers and public health officials should be encouraged that we do in fact have a part to play in managing the human health affected by the disruption. Health work can provide a zone of comfort, spread solidarity and understanding, and manage the human toll of war. Healthcare workers have major roles in peace-keeping efforts as a result of these determinations and their impact on peace should be acknowledged and lauded. We hope that as we …

After Code Blue, Komal Kinger

HCA Healthcare Journal of Medicine

Starting intern year comes with its own challenges and learning opportunities, especially in a pandemic. In this paper I reflect on one such situation. The code and passing of a particular patient earlier this year taught me many lessons and it has impacted the type of physician I aspire to be.

Movement In Stillness, Shalini Chaliki

HCA Healthcare Journal of Medicine

These images feature the Lower Antelope Canyon which was originally called Hasdestwazi, a Navajo word that means “spiral rock arches.” After hundreds of years, monsoons, winds, and flash floods eroded the slot canyon into the geological wonder that it is today. It enchants tourists and engulfs visitors as it flows around them in every direction. Just east of Page, Arizona, the massive sandstone formation is sacred to the Navajo Nation for its representation of Mother Nature’s many gifts and the passage to time; it is also a reminder that things are larger and greater than ones’ self. While these photos …

Hands, Marc Perlman

HCA Healthcare Journal of Medicine

“Hands” is inspired by my first encounter with a donor in the cadaver lab during my first year of medical school. This poem highlights the intimate relationship between the medical student and their “first patient” and captures the factors that helped me realize the grandeur of the dissecting experience. Through an awareness of the donor’s hands, I became viscerally aware that the cadaver is a real human being who donated their corporeality to help students learn. The bilateral vulnerability of this experience is a critical milestone in the development of health care providers. Given the recent transition from in-person to …

Physicians’ Emotional Intelligence: Improving Performance While Reducing Burnout, Miriam Zylgerblait Lisigurski, Umair Shaikh, Brian Toston

HCA Healthcare Journal of Medicine

Today’s physicians are being confronted with an increasing number of challenges and opportunities as our evolving healthcare system progresses into the future. The expectation is not only to provide the best clinical care, but also to satisfy metrics, fulfill budgets, achieve high patient satisfaction levels and accomplish institutional requirements in order to be considered good providers. All these additional demands seem to be affecting not only the clinical performance of physicians but also their wellness, increasing the risk of burnout, depression and suicide.

We’Re All On This Spaceship Earth, Nancy Si

HCA Healthcare Journal of Medicine

The photo features the geodesic sphere at Epcot, Disney World in Orlando, FL. Inside the dome, there was an iconic ride called “Spaceship Earth”, which has since been shut down for refurbishment. This photo was taken November 2019, approximately 6 months before it was shut down. Much like how the ride emphasized the progress that human civilization has made in the last several hundred years and hopes to make in years to come, the current pandemic has shown us how far we have come in the medicine and other STEM fields. We hope only to do better and be better …

Still Learning: Covid Through The Eyes Of A Medical Student, Alexis Strahan

HCA Healthcare Journal of Medicine

As a first-year medical student when the COVID-19 pandemic found a foothold, I felt an overwhelming amount of emotions that accompanied the pandemic’s spread. Fear, although a reasonable choice, was not the first emotion that I experienced. In fact, it was a general feeling of paralysis. I had not six months prior taken an oath to commit my career and life to the service of the public’s health care needs, yet I could provide little more than the textbook knowledge of biochemistry or genetics from my first semester of learning. My hands felt unarmed and unskilled for the fight. What …

Covid-19 With Congruent Affect, Mitchell Thomas

HCA Healthcare Journal of Medicine

Music is a vehicle of capturing an individual’s experiences: a new beginning, a broken heart, complete joy, and even catharsis. Before deciding to embark on my path in medicine, music was my interest. Creating music is my therapeutic method of relieving stress, providing a productive outlet when coping with my stressors, and allowing me to focus on becoming a better student doctor. It has carried me through tough times and continues to do so. This instrumental song I wrote represents how I felt as a second-year medical student going through the COVID-19 pandemic; from being isolated in a state away …

Heart Grows Fonder, Jasmine Saini

HCA Healthcare Journal of Medicine

This painting was inspired by one patient’s mindfulness practice that he developed to cope with depression of a recent loved one’s death. Similar to my family of green thumbs, this patient found catharsis in cultivating his late wife’s garden of fruits and vegetables after her death. Through mental health practices such as meditation and exercise, a person has a chance to process and heal from difficult circumstances.

Gautama Buddha: Illustration Of A Patient’S Vision, Haryashpal Bhullar

HCA Healthcare Journal of Medicine

As a psychiatrist in training, I often have the privilege to connect with the unique thoughts and visions patients may be experiencing. The descriptions shared by one patient during my early psychiatry inpatient rotations stuck with me and eventually inspired me to pursue a residency in the field. While interviewing, she expressed a deep spirituality and often finding solace in the mindfulness teachings of Gautama Buddha whenever she was distressed. She would strengthen this coping mechanism by contemplating him sitting and meditating deeply, within a naturalistic setting, however struggled in describing exactly what she was imagining. I further gathered this …

Covid-19: The Culprit, The People And Lessons Learned, Kayihura Manigaba, Mukundwa K. Gael

HCA Healthcare Journal of Medicine

COVID-19 has had a palpable impact on everyone from losing jobs to losing loved ones. It has altered our social dynamics and disturbed the world economy. We should all learn something from this challenging time. This article elaborates on three lessons learned by two brothers who grew up in Rwanda right after the 1994 genocide against the Tutsi, where more than one million people died in 100 days. One, Dr. Kayihura Manigaba, is currently responding to the COVID-19 pandemic as a clinical pharmacy manager and as an infectious diseases pharmacy specialist at a hospital in Florida, U.S, and the other, …

Consented End, Rabia Mazhar

HCA Healthcare Journal of Medicine

This poem is a reflection upon my personal experience of taking care of a young patient with post-partum sepsis and multi-organ failure following the delivery of her second child. She was able to spend one night at home with her family before suddenly decompensating and becoming encephalopathic. In her last moments awake, she relayed to the EMS her wishes of being placed in hospice. The poem narrates her spouse’s internal struggle after respecting the patient’s wishes of withdrawal of care.

Nicaraguan Homeowner Showing Gratitude For Concrete Flooring As Part Of A Public Health Mission Trip, Breonna Kinnison

HCA Healthcare Journal of Medicine

I’m Bree Kinnison, a fourth-year medical student and aspiring psychiatrist. When I’m not studying, I enjoy painting using acrylics. This painting depicts a very fond memory of mine. After completing the medical portion of our mission trip in Nicaragua, we began our public health portion. Along with fellow students, I laid concrete flooring in this woman’s house. For all 76 years of her life, she had never experienced anything other than a dirt floor in her home. Traditional dirt flooring in Nicaraguan homes is responsible for many preventable illnesses. When shown the final product, she reached out and hugged the …

Why I Brought My Mother Home, Barbara L. Gracious

HCA Healthcare Journal of Medicine

According to the Alzheimer’s Association, in the United States more than 16 million adult family members provide care for a relative with Alzheimer’s disease or other dementia. The economic value contributed by unpaid caregivers is $234 billion dollars. Such caregivers are vital to the ability of the U.S. to meet caretaking needs, as the projected number of individuals suffering from dementia will nearly triple over the next 30 years. A meta-analysis found that decisions to provide family caretaking are rooted in long-standing family relationships. This essay explores one family’s decision to move from long-term institutional care back to family-based care …