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

We stand at the brink. Together on the dance floor. We are Pulse.

James C. Salwitz, MD
Physician
June 14, 2016
Share
Tweet
Share

Recently, a patient of mine died of cancer, whom I loved very much.  She had a special way of enjoying life; a half, wise smile that after our many years together did not take me too seriously and reflected her deep inner strength.  She taught me about joy; I will miss her always.  Her husband, understanding my loss, said that it was alright, that I had done my best, that he would pray for me.  He empathized more with my pain, my loss, than with his own.

This same morning, I learned of the slaughter at the Pulse.  I was mourning the death of one person of a terrible, but natural disease, while at a night club, a place to celebrate life, friends and lovers in the middle of dance, were cut down. No illness, no fault, no natural process, just slaughter. My grief is barren, tiny, pathetic, in the dark light of that terror and loss.

I am devastated.  With my hands, my mind and soul, I have dedicated my life to fighting the rotting, disgusting malady we call cancer.  One patient, one battle.  Win some.  Lose an awful lot.  But, always the purest fight, reaching for one more day or month or year of happiness and life.  Build hope. Build families. Build a community.  Small steps forward.

Then, the massacre.  A greater rot. Killing in Florida. Connecticut.  California.  Israel.  Afghanistan. Iran. France. Africa. Asia.  We are so good at killing.  We are much better at taking life than saving it.  We could cure cancer, AIDS, hunger, poverty, but instead, we kill. It comes to us so easily. We are gifted at torture, rape, genocide, murder.  Nature’s killers.

On mornings like this, while I am filling out one death certificate, but thinking of the inch-thick pile of morbid declarations on a bloody desk in Orlando, I do not know how to grieve.  I spend years cherishing one life, scraping by slowly, scratching out special small moments, and in minutes, 50 are bodies on a floor.  How can this possibly make sense?  My deepest feeling is not sadness for those souls, but I wonder whether mankind, humanity itself, will survive.  Are we a failed species?

A flower does not strangle its sister in jealously of another’s blossom.  No animal drowns its young at the watering hole.  Even viruses and bacteria do not consume their own.  But, homo sapiens, who have the ability to build, heal and love, excel at species suicide.  Man can remember the past, dream of the future, as demi-gods mold tomorrow, but they cannot tolerate the pain of memories, the fear of the future, the terror of mortality and are consumed by their own awesome power.  So, they kill. Our great gift this earth is our ability to destroy it and ourselves.

As a physician, a healer, I desperately want to believe in the dream, the possibility of who we could be. So, I will mourn my patient because I loved her, as I love man.  I will also mourn her because, in a small way, my pain, my loss, my prayers, might honor and hold close those who die on dance floors all over this world.  Perhaps by remembering one small life and a single tiny death, the importance and beauty of each person, the possibility in peace, hope and love, we can find the path to save all of man.

We stand at the brink, a moment in time, when man will decide whether his time on this earth will end or if we will continue. Together on the dance floor.  Will the sound be music or gunfire?  We are Pulse.

James C. Salwitz is an oncologist who blogs at Sunrise Rounds.

Image credit: Shutterstock.com

Prev

Cancer's toll on romance and sensuality

June 14, 2016 Kevin 1
…
Next

What is the recipe for a great cancer doctor?

June 14, 2016 Kevin 1
…

Tagged as: Emergency Medicine

Post navigation

< Previous Post
Cancer's toll on romance and sensuality
Next Post >
What is the recipe for a great cancer doctor?

ADVERTISEMENT

More by James C. Salwitz, MD

  • Each line on the radiology list is a patient’s line in the sand

    James C. Salwitz, MD
  • The broader mission for hospice care

    James C. Salwitz, MD
  • Is the medical profession at its end?

    James C. Salwitz, MD

Related Posts

  • A medical student finds a reason to dance

    Nikita Mittal
  • We are on the brink of a crisis-level physician shortage in the United States

    Jamie Katuna
  • I will not stand here and mourn a world that could have been

    Marie DeLuca, MD
  • Doctors must take a stand and force the government to cancel MACRA

    Matthew Hahn, MD
  • Stand and deliver: Health care systems need to serve up health equity missions

    Terry Gallagher, DNP, APRN, Christina Manheimer, DNP, APRN, and Angela Moss, PhD, APRN
  • Can the Maternal CARE Act fail moms? 

    Sonal Patel, MD

More in Physician

  • Why more doctors are choosing direct care over traditional health care

    Grace Torres-Hodges, DPM, MBA
  • How to handle chronically late patients in your medical practice

    Neil Baum, MD
  • How early meetings and after-hours events penalize physician-mothers

    Samira Jeimy, MD, PhD and Menaka Pai, MD
  • Why medicine must evolve to support modern physicians

    Ryan Nadelson, MD
  • Why listening to parents’ intuition can save lives in pediatric care

    Tokunbo Akande, MD, MPH
  • Finding balance and meaning in medical practice: a holistic approach to professional fulfillment

    Dr. Saad S. Alshohaib
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

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

Leave a Comment

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

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

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

Leave a Comment

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

Loading Comments...