when you leave medicine

when you are in medicine,
medicine is the world.
when you leave medicine,
the world becomes the world.
and the world feels vast
and you feel small
but you feel like you can take it all.

[Featured Image from Wikipedia, Creative Commons license]

mariana to everest

How can I take in Mariana to Everest
And battle Time, when she thinks she’s the cleverest?

Here’s a curled-up baby, damp and crying
Blinking with its black eyes at the room
Every eyelash, fingernail complying
With the human blueprint from the womb. 
Here’s a wrinkled shell, her soul still beating
Even after AIDS has gnawed her flesh
How to live when all of life is fleeting?
How to age, when birth appears so fresh?

How to love, when lovers die tomorrow?
How to rage, when justice walks away?
How to grieve when tears don’t lessen sorrow?
How to see the weave within the fray? 

We must follow creature intuition
What humans did before we managed fire
We must understand another being’s condition
And do our best to give what they require. 

We serve our human sisters and our brothers
We cannot always choose their paths through mortal night
Touched by the ancient calling: healing others
It’s enough to lend our steady beams of light.

[Featured Image by Salim Fadhley]

broken thing

I am a broken thing now
All of my feathers are frayed
I hold a glass in my claws
And shiver under its weight.
The poison that heavied my soul
Was a slow, thick drink.
I was baptized in human tears
Over a hospital sink.
Or maybe I was drowned
with human blood and hair
I can’t distinguish exactly
(but it smelled like hospital air.)
I cannot watch sad films
See the actors’ broken eyes
Because my broken back
Hauls the weight of their actual cries.
The fiction is no longer fiction
It’s wrenched itself off the page
But real fiction’s worse than fiction
Since nobody filters the rage.
Nobody gives your hero
The extra chance they deserve.
They beat your hero with a bat
And crush them like a nerve.
They burn your hero with matches
And go out to watch the game
You document the wounds and regrets
And remember your hero’s name.

universal donor

I hate it I
All the thinking I hate about the facts the lists no thinking that is about the pattern of the veins on a leaf
Fake thinking dead brain no reason to think; it is in scientific fact actually about inserting that five-thousand gauge lance into the throttled vein of a druggie
So tired that nonthinking becomes thought becomes effort slogging through moist warm suffocation air leaking pressing into the nares suffocating
Forced here there are cotton balls in my ethmoid air cells there are frogs hopping on my tympanic membranes there are leeches sucking blood straight out of my abdominal aorta
There are small carefully selected sea urchins and metal wedges inserted in the sulci of my brain
Electrified by eels swimming in my cerebrospinal fluid
Other ribs of other animals are sharpened and then placed carefully in my own intercostal muscles as punishment
Not quite piercing my lung pleura
I react to the xenograft but it can never be removed: That Is The Rules.
Other animals are crawling up and down the walls why is it always small animals crawling on the walls?
I wish I could pull one person for walking side by side with me
Holding my hands with both of their hands
But my hands have no nails anymore: they are peeled
Instead of nails I have bleeding stumps
The bleeding stump of the small boy injured by his cousin in the door with the bone sticking out of his shortened finger moaning through the ketamine it was not deep enough
I have accumulated all the injuries
That is why I am here
I collect them all that they may be replayed over and over again on my own body and on the bodies of the people I love, in my nightmares in my daydreams and there is not a single person here who would deny it – that they have this experience – except they all deny it, lies to cover up their carnivorous porous wilted souls, they refuse to realize that they are just here also to soak up the blood with their blood, to graft the skin with their skin
Nobody is a healer who is whole
For you must give away small pieces of your soul like chips flaked off dry low-quality clay
They will mix you in with sand and bake you sleep-deprived until you shred off, a universal donor
One day I will look in the mirror
After taking a pee in the disgusting bathroom that has toilet paper strewn about in fragments
And I will see dead eyes staring back.

It will be like a guidewire

It will be like a guidewire
Clear, straight path to follow
Since we are all of the same caliber.

But no!
Blood clots mistakes sharp turns extra branches atypical anatomy
Who said all the bodies were the same?
Lies.
You will bend until there is cursing
And still you will get stuck
And break
And none of it is your fault
For there is a system which must fit everybody
And by fitting everyone, nobody fits perfectly.
No patients
No physicians
No students
They call us learners but we are all learners
We are all broken behind the guidewire
Covered in blood.

hyperinsomniac

Blood spilt beneath the hospital bed
Tracked by clogs across the floor
Blinding lights bleeding panicked voices
Statue mute helpless overlooking
“Someone take the twins.” The uterus

She screams when they push the medicine.
He cries when the cancer lung
Twelve family around the dead body frozen nameless
No family only nurse with HIV+ when she succumbed.
“11:15 AM” the nurse he said declaring the dead.
Why do I feel like prey?
Pray.

Intersections with those powerful claiming power
With those hungry claiming ignorance.
All the organs of the body laid before me
I am either a god or an imposter.

Sleepless nights
Seeing my family with a liter of blood beneath
Hearing all screams echo in my
Hearing all
Hearing
Draining
Drowning
2 liters of blood on the floor adrenaline. Stop.