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

Mourning the death of my medical practice

Michael Chen, MD
Physician
February 13, 2013
Share
Tweet
Share

“I did it,” I mumbled to myself.

The numbness overwhelmed my immediate sense of dread throughout my body.  I was trembling inside, full of anguish and at the same time, unable to contain my seething anger over an uncontrollable destiny.  Just a few minutes ago, I turned off her life support system.  The series of beeps had slowed down, pace by pace, like the ritardando in a finale movement of a concerto.  It was the end of a life journey for her. I had given birth to her 9 years before.  The birth of an idea that started with a promise to myself that I could do better as a doctor.

The idea blossomed into a wonderful, unforseen miracle.  Through her, I was able to find happiness in my work and my craft again.  Through her, I caught a glimpse of the true art of healing.  Through her, I was able to connect to my patients in a meaningful way and in return, most of my patients were deeply grateful for my aid to them and their families.  Through her, I saw my patients as complete human beings, full of promise and capability, but also acknowledging their deepest fears … their demons and imperfections.   Through her, I was able to motivate my patients to strive for good health and a balanced lifestyle.

To watch a 60-year-old beam with accomplishment for finally quitting smoking after 45 years was equally amazing as a 12-month old first learning to walk unassisted.  It was slow and incremental for sure, but it really stuck once their new habits became integrated with their old ones.  Through her, I learned to not pass judgement on others and I learned to forgive.

She was born into a world at a time when others no longer valued her ideals and thus, no longer valued her existence.  Unable to thrive in such a cold, hostile, unforgiving environment, she began to slowly wither.  A once vibrant soul now smothered by a system that valued production over quality.  A system failing to understand that human beings are not robots and widgets and that one cannot thrive merely if you meet a certain numerical threshold.  A system unable to respect human individuality and life experiences. A system that values quick fixes instead of meaningful, long-lasting healing.

In many ways, I hated myself for not being able to protect her.  For I had felt that I had brought her up in this world and I had somehow committed her to suffering and decay by coexisting with a sick system.  For many years, I thought I could save her from the system, but I could not change her world, no matter how hard I hoped.  It was not mine to control.

As time went on, she became sicker … infected by the same illness the system had brought on to her.  Through her, I began to lose the feeling of happiness in my work, my craft.  Through her, I became angry at the world. Through her, I began to lose hope. 6 months prior to that fateful day, I watched her as she was suffering in agony. All the misery had consumed her soul … and what was left of it, she knew that it could not last. And through her, I was beginning to learn the painful lesson of being able to let love go, to let it be. She reminded me that the idea of her never dies and like the phoenix riding from the ashes, ideas can always be reborn. Perhaps it wasn’t the right time, yet, but in the short time she was alive, life was truly a miracle.

In the last six months, I prepared for her death. Grief struck as my patients became saddened by the news. I mourned at the promise and the idea that was soon to be a swan song forever etched in my memories of what it once was. Nothing could prepare me for what was about to happen next, as the end came near. For it was like the hands of God … I had created, but I could destroy. I was frightful of what I was capable of. The vessel of fury and madness of what was incomprehensible … the good now gone … now filled with uncertainty.

The last gasps of her soul struggling one last time to survive. The repetitive beeps now no longer deafening to my ears, the beeps coalesce into a singular, iridescent hum fading into black. The promise of tomorrow, the torch of her once vibrant flame peeks through the window curtains beside me as her soul drifts away. Even as she goes, she continues to amaze me with her little miracles. She was real. She was my medical practice.

Michael Chen is a family physician who blogs at About Family Health.

Prev

6 tips for getting your doctor to listen to you

February 13, 2013 Kevin 15
…
Next

AMA: Join physicians and medical students in advocating on key issues

February 13, 2013 Kevin 4
…

Tagged as: Primary Care

Post navigation

< Previous Post
6 tips for getting your doctor to listen to you
Next Post >
AMA: Join physicians and medical students in advocating on key issues

ADVERTISEMENT

More by Michael Chen, MD

  • a desk with keyboard and ipad with the kevinmd logo

    Meaningful use stage 3 is an illusion. Here’s why.

    Michael Chen, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Money for nothing: The dire straits of EHRs

    Michael Chen, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Physicians must embrace EMRs on their terms

    Michael Chen, MD

More in Physician

  • Demedicalize dying: Why end-of-life care needs a spiritual reset

    Kevin Haselhorst, MD
  • Physician due process: Surviving the court of public opinion

    Muhamad Aly Rifai, MD
  • Spaced repetition in medicine: Why current apps fail clinicians

    Dr. Sunakshi Bhatia
  • When diagnosis becomes closure: the harm of stopping too soon

    Ann Lebeck, MD
  • From flight surgeon to investor: a doctor’s guide to financial freedom

    David B. Mandell, JD, MBA
  • The surgical safety checklist: Why silence is the real enemy

    Brooke Buckley, MD, MBA
  • Most Popular

  • Past Week

    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • Alex Pretti’s death: Why politics belongs in emergency medicine

      Marilyn McCullum, RN | Conditions
    • U.S. opioid policy history: How politics replaced science in pain care

      Richard A. Lawhern, PhD & Stephen E. Nadeau, MD | Meds
  • Past 6 Months

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
  • Recent Posts

    • A physician’s quiet reflection on January 1, 2026

      Dr. Damane Zehra | Conditions
    • AI censorship threatens the lifeline of caregiver support [PODCAST]

      The Podcast by KevinMD | Podcast
    • Demedicalize dying: Why end-of-life care needs a spiritual reset

      Kevin Haselhorst, MD | Physician
    • Physician due process: Surviving the court of public opinion

      Muhamad Aly Rifai, MD | Physician
    • Spaced repetition in medicine: Why current apps fail clinicians

      Dr. Sunakshi Bhatia | Physician
    • When the doctor becomes the patient: a breast cancer diagnosis

      Sue Hwang, MD | Conditions

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 92 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

    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • Alex Pretti’s death: Why politics belongs in emergency medicine

      Marilyn McCullum, RN | Conditions
    • U.S. opioid policy history: How politics replaced science in pain care

      Richard A. Lawhern, PhD & Stephen E. Nadeau, MD | Meds
  • Past 6 Months

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
  • Recent Posts

    • A physician’s quiet reflection on January 1, 2026

      Dr. Damane Zehra | Conditions
    • AI censorship threatens the lifeline of caregiver support [PODCAST]

      The Podcast by KevinMD | Podcast
    • Demedicalize dying: Why end-of-life care needs a spiritual reset

      Kevin Haselhorst, MD | Physician
    • Physician due process: Surviving the court of public opinion

      Muhamad Aly Rifai, MD | Physician
    • Spaced repetition in medicine: Why current apps fail clinicians

      Dr. Sunakshi Bhatia | Physician
    • When the doctor becomes the patient: a breast cancer diagnosis

      Sue Hwang, MD | Conditions

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

Mourning the death of my medical practice
92 comments

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

Loading Comments...