0
Poetry and Medicine |

Whipple

Marc L. Demers, MD
JAMA. 2011;305(14):1392. doi:10.1001/jama.2011.350.
Text Size: A A A
Published online

Extract

This guy mostly grows corn, and his hands tell me he's really doing it.
Wiry, thin, country strong. But his eyes are yellow now, like his crop.
Pretty thin lying down.
CT scan shows the bump, the fuzz, and the pinch.
Tough row, but maybe we can. Maybe we can.
I talk about the operation, and the wife gets a bead on the farmer pretty quick.
Forty-five years tells her what he sees, looking at his feet.
The scaphoid field shows a lifetime of hoists, lifts, pushing,
and a few months of drinking coffee without the eggs and toast.
He's prepped. Time out. I cut. We're off.
Pancreas grasps superior mesenterics like a hand on a hammer.
We try to pry stingy fingers from tubes, blood rich and soft as cornsilk.
We are pushing for that sweet spot that tells us we are done but for the cleaning up.
This time, the hammer strikes back. No Whipple. Yellow planes grow clawed and puckery, just exactly
Where soft and wet would do.
And the resident, first all fingers and fire, now detumescent.
Not today, Pal. Close him up.
Today is my day. Today I write the bitter coda, played twice—
Once for son and wife, then again for the farmer.
The farmer gets the news, the gash, and the six out of ten scale.
He gets it—he gets what I say and gets what I mean.
His thanks, as real as dirt, are chipped from courtesy lived sixty-seven years.
I get to know the man who mostly grew corn.
Whenever we shake hands, mine milk and his like barnboard, we are dear to one another.
The exchange fair and bitter:
The offering of my hands, shy of true, for a shard of redemption.

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Related Topics
Jobs