Virtual Mentor. February 2001, Volume 3, Number 2.

Perspectives

Through the Student's (or Physician's) Eyes: Sag

A poem about the different reactions a staff surgeon and a medical student have to the same painting of a patient displayed on a hospital wall and the emptiness that binds them.

Jennifer Bau


Sag - 1. To droop, sink, or settle from pressure or weight. 2. To lose strength, firmness, or resilience  

Rumble, rumble of elevators
Whir, whir of conversation
Flashes of plain clothes, suits, skirts, and scrubs
Weaving between beds, wheelchairs, canes.
In this morning hospital hallway,
Thin, gray surgeon 
Stops at a painting 
Pulling on the wall, 
Gleaming white coat 
Starched, long and flowing, 
Embroidered with many titles
Pockets sagging with the weight 
Of tools, pens, papers, pager, 
Sipping coffee from a Styrofoam cup, 
Baggy eyes squint 
At the painting of the patient 
Wrapped in the healing snakes.  

He thinks
Nice contour of reconstructed breast
Navel drops off to the left a bit
Too bad about lymphedema in the arm  

Zipping around the corner, 
Medical student in jeans, T-shirt, 
Back sagging from the weight of 
Books, books, books
In her backpack, 
Sipping coffee from a travel mug, 
Stops short. 
Crashing into old, important surgeons 
Is frowned upon. 
Baggy eyes meet baggy eyes 
Thin, wan smiles of understanding 
Are exchanged. 
She looks to the painting and thinks
Snakes and a lady. 
Not on Friday's test. 
Peering closer,  

She wonders, 
Does the new breast bounce 
Like the other one? 
Does that scar show 
With a bikini on?  

Three seconds of silence, then
The surgeon's pager screams
And the med student is reminded 
To go learn the lymphatic drainage system
Of the breast.  

Later, in his office, 
The surgeon settles in his chair
Behind his great oak desk, 
Runs his slender fingers 
Over the dusty framed photos, 
His children's pictures from grade school 
All grown now, with families. 
He wonders how their mother 
Likes her new place. 
He thinks about the painting
Pulling on the wall, 
The patient with the team
Of helpful snakes, 
His shoulders sag 
And he whispers
A verse his grandma taught him
                With men, things are impossible. 
                With God, all things are possible. 
                              Yet I'm no longer God
                              To them  

Later, in the library, 
The med student shifts in her chair, 
Now understanding the importance 
Of axillary and cutaneous lymph nodes, 
She stretches, cracks her knuckles, 
Notices the dent still on her finger 
Where the engagement ring 
Used to be. 
She thinks about the painting
Pulling on the wall
Her eyelids sag 
And she murmurs,
                Hope all those healing snakes are standard
                When my white coat 
                Is long enough for respect
                Because it sure would be nice 
                To not have to do everything 
                All by myself  

The night hospital symphony plays, 
Hum, hum of generators
Buzz, buzz of lights
Blended with the sighs
Of vending machines 
Grateful for some rest. 
And as the surgeon and the med student 
Step home to this beat
To freezer meals and cold beds, 
The patient in the painting
Pulling on the wall
Cries out to the jaded journeyers
                We don't want everything you have
                And you don't have to be everything to us
                Just make sure that we're surrounded
                By more hands 
                Than we can hold

Jennifer Bau
2000  

Jennifer Bau is a poet and first-year medical student at Penn State University College of Medicine with an interest in family practice. Her medical poetry has won recognition in the Delta Epsilon Sigma Undergraduate Writing Competition.  

Bau is the first-year editor for Wild Onions, an annual publication of poetry, prose works, photography and artwork created by members of the whole Hershey Medical Center community and funded by The Doctors Kienle Center for Humanistic Medicine.  

In October, 2000 Bau participated in the poetry reading The Voices of Breast Cancer organized to coincide with the art exhibit Breast Cancer: Moments In Time.  

 

Virtual Mentor encourages medical students to submit 
essays recounting events from their educational experience or contemplations evoked by patients, teachers, students, or situations they encounter. E-mail Faith_Lagay@ama-assn.org
 for information or with submission attachments. 

All submissions will be considered by the editorial staff. Publication is not assured.

The viewpoints expressed on this site are those of the authors and do not necessarily reflect the views and policies of the AMA.