Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

When the train comes for you

Christi Bartlett, MD
Physician
August 1, 2019
Share
Tweet
Share

I found you standing on a platform. It was a foggy, damp morning, and your vision was obscured. People came and went, some with urgency, others not so much. Some people you knew, others were strangers. Your husband was usually nearby, often holding your hand, other times out of sight.

At times you could hear his voice, but couldn’t find him with your reach. There were noises that would startle you, but even in the rare silence, you could not find repose. It seemed as though something was physically holding you in place, making it difficult for you to move about.

Voices interrupted, some with muffled whispers, others with clear directives. You smiled a nervous smile as each new sound approached, making its way through the fog.

You smiled when you heard my voice. I was a stranger who had been sent to help you navigate the platform. You had never been there before, but I had walked the old, worn planks nearly daily for the past several years. The fog was familiar to me, as were the voices. The unpredictable urgency and the unsettling silence set the tempo to which I go about my day. I could tell that you were uncomfortable and uncertain, struggling to find your bearings. I knew the platform, but you didn’t. I knew the secrets of the platform well and wanted so badly to tell you. I couldn’t on that first day. Strangers shouldn’t share such secrets.

The next time you heard my voice, we were no longer strangers. The fog thinned briefly, and you looked up and saw my eyes. Yours were sunken and dark, but still with a small twinkle, the last embers of a brilliant and beautiful fire. I found your husband nearby as the fog again thickened. He held your hand. I held your hand. There were numbers on a screen off in the distance. The screen was often the source of the startling, urgent noises.

120, then 111, then 98, then 82. More noises. I did my best to quiet them.

Then you turned your head toward me.

“Do I have to go?” Your question surprised me.

“Yes.”

“When is it coming?”

“Soon. It’s still off in the distance, but I can feel the ground starting to tremble. It’s getting closer.”

“That’s what I thought.”

You knew all along, but you needed to hear the words. A tangible confirmation of the truth you’d known in your gut. You needed me to say it.

You needed me to tell the others our secret.

Your husband stayed on the platform and was there when the rest of your family arrived. The urgent noises subsided and gave way to the soothing sounds of familiar voices. You relaxed in the tranquility as you said goodbye and squeezed the hands of the people you love. They held you tight, reluctant to let go. Eventually, the grip loosened and you were able to make your way toward the edge of the platform. The old, worn planks creaked softly under the weight of your thin frame. A whistle cried nearby.

ADVERTISEMENT

Somewhere in the dark of night, a train pulled up to a platform. A burst of fog enveloped you, and when it cleared, you were gone.

Christi Bartlett is a palliative care physician who blogs at her self-titled site, Dr. Bartlett Pear.

Image credit: Shutterstock.com

Prev

I'm sorry: Why I lost my love for medicine

July 31, 2019 Kevin 4
…
Next

5 steps to fix our EMR disaster

August 1, 2019 Kevin 1
…

Tagged as: Palliative Care

Post navigation

< Previous Post
I'm sorry: Why I lost my love for medicine
Next Post >
5 steps to fix our EMR disaster

ADVERTISEMENT

More by Christi Bartlett, MD

  • A letter before the yearly checkup

    Christi Bartlett, MD
  • How to have an exciting death: 5 tips from a palliative care physician

    Christi Bartlett, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • Why nurse practitioners train on the backs of physicians

    Lynn McComas, DNP, ANP-C
  • Does medical school train students to become managers or leaders?

    Maria Yang, MD
  • The U.S. doesn’t have enough faculty to train the next generation of nurses

    Rayna M. Letourneau, PhD, RN
  • How a physician keynote can highlight your conference

    Kevin Pho, MD
  • Chasing numbers contributes to physician burnout

    DrizzleMD

More in Physician

  • It is time to bring doctors back to medicine

    Marcelo Hochman, MD
  • A critique of medicine’s response to RFK Jr.

    Rakesh A. Shah, MD
  • Can AI spot a frivolous malpractice lawsuit?

    Howard Smith, MD
  • The hidden danger in pediatric dental offices

    Irim Salik, MD
  • Are you addicted to false urgency?

    Yekaterina Angelova, MD
  • How therapy helps uncover hidden patterns

    Maire Daugharty, MD
  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The ignored clinical trials on statins and mortality

      Larry Kaskel, MD | Conditions
    • Why medicine needs a second Flexner Report

      Robert C. Smith, MD | Physician
    • Your clinical notes can save lives with AI

      Jalene Jacob, MD, MBA | Tech
    • Healing from medical training by learning to trust your body again [PODCAST]

      The Podcast by KevinMD | Podcast
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • The ignored clinical trials on statins and mortality

      Larry Kaskel, MD | Conditions
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
  • Recent Posts

    • Your clinical notes can save lives with AI

      Jalene Jacob, MD, MBA | Tech
    • It is time to bring doctors back to medicine

      Marcelo Hochman, MD | Physician
    • Why physicians struggle to embrace pride and why it matters for leadership [PODCAST]

      The Podcast by KevinMD | Podcast
    • Your nervous system does not need another hack. It needs a walk.

      Larry Kaskel, MD | Conditions
    • High-risk pregnancy: Who should manage your care?

      Alan M. Peaceman, MD | Conditions
    • A critique of medicine’s response to RFK Jr.

      Rakesh A. Shah, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The ignored clinical trials on statins and mortality

      Larry Kaskel, MD | Conditions
    • Why medicine needs a second Flexner Report

      Robert C. Smith, MD | Physician
    • Your clinical notes can save lives with AI

      Jalene Jacob, MD, MBA | Tech
    • Healing from medical training by learning to trust your body again [PODCAST]

      The Podcast by KevinMD | Podcast
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • The ignored clinical trials on statins and mortality

      Larry Kaskel, MD | Conditions
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
  • Recent Posts

    • Your clinical notes can save lives with AI

      Jalene Jacob, MD, MBA | Tech
    • It is time to bring doctors back to medicine

      Marcelo Hochman, MD | Physician
    • Why physicians struggle to embrace pride and why it matters for leadership [PODCAST]

      The Podcast by KevinMD | Podcast
    • Your nervous system does not need another hack. It needs a walk.

      Larry Kaskel, MD | Conditions
    • High-risk pregnancy: Who should manage your care?

      Alan M. Peaceman, MD | Conditions
    • A critique of medicine’s response to RFK Jr.

      Rakesh A. Shah, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

When the train comes for you
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...