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Michaela Sieh's avatar

Laura, thank you for sharing your time of having grit. Thank you for what you have brought into the world with “The Courage to Heal” and for what you are bringing into the world at this time, with your work, with this space in Substack.

Here is my response to the prompt:

I was 22, and had just started my third year of medical school. One morning, I got a phone call, asking whether I’d be able to take on a night shift, to sit with a terminally ill patient at his home. The person calling me knew me, and she was aware that I had been with my mother when she was dying. She had no idea that I knew the patient well. Serendipity?

I had just been asked to sit with my mentor, my teacher - the person who referred to himself as my “doctor father”. An endearing term that spoke about his wish to teach me medicine in the ways that he practised - wholehearted, holding body, mind, soul and spirit.

His name was Gerd. He was in his late seventies, still practising. I had been his intern during the summer before.

That evening, I arrived at his house, was greeted by his family. They were exhausted from sitting with him through many nights.

During my first hours with him, it became obvious that he was in a lot of pain. He could not speak anymore, but his reactions were clear.

There was no pain medication available. Here I was, in the house of a medical doctor, and there was no way to relieve his pain in his last days of life. I knew that the doctor who was treating him thought that pain medication should not be used because it took away the potential of a conscious dying process.

Gerd was clearly suffering, he was in agony.

What did I do? I called his doctor, said that I definitely needed morphine so that he could be free from pain. Prescribing morphine required paperwork (highly restricted medication with a lot of legal hurdles). I knew that she would not be happy with my request… A young student, requesting medication that was outside of the “usual” - and that was “against” her own belief system.

I remember that phone call so clearly. I told her which papers to fill in. I must have been very firm that I would not take no for an answer.

Advocating for my friend felt like stomping my foot on the ground: this was a request that could not be denied.

I would not be left alone again. I had been left alone by another doctor, during the last night with my mother. I would not allow that to happen again.

A raging 22-year-old to be reckoned with.

He made it through that night. I went home in the morning to get a bit of sleep and went back in the late afternoon.

And: I found the morphine on the table - ready to be injected if needed. As if that was the most ordinary in the world…

I sat next to him. Talked to him. When I noticed that he was experiencing a surge of pain, I prepared everything to give him the first morphine injection. I knew that this was the right thing to do. I knew that he would not have wanted to suffer.

I sat with him, and felt how he was slowly leaving his body. I was so grateful to be with him during these hours. Quiet. Close. In peace.

Around 2 am, he took his last breath. I woke up his wife and his children. We sat on the floor, in a circle, next to the bed where his body was, and we shared stories. Stories about him, about his life, serious stories and funny stories.

Those hours belong to the most beautiful hours of my life.

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Jen Gilman Porat's avatar

I remember when I first bought your book, many years ago. Thank you for your hard work.

I’m a fellow incest survivor and have been trying to write my way through it for almost 30 years now.

Recently, I got a middle-aged plot twist.

I was contacted by an investigator on behalf of a childhood classmate who filed suit against our elementary school teacher under the NY State Child Victims Act.

This has triggered what I call “Round 2” for me. My whole autobiography has been upended AGAIN.

I feel as if my entire story has taken on another dimension. Like I’m trying to solve a multidimensional puzzle.

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