Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • 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
KevinMD
  • 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
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

The last: A short story

David Mann, MD
Physician
December 15, 2016
Share
Tweet
Share

He was the last. Old and wizened, he counted down his final days, his final hours on earth. He lay in his bed, the rain drumming monotonously on the window. Night came. He pressed the button to call the aide. The aide appeared at his bedside. Every night, the old man had the same request. The aide went to the window and briefly pulled aside the curtains. He peered outside. He turned to the old man and shook his head. The sky remained overcast, as it had since the day the old man had fallen ill. After briefly fiddling with the intravenous equipment, the aide left the room. The old man was alone again.

He stared at the window. He felt no pain. The medications worked well. But they made him weak. Or perhaps it was just his condition. He slipped in and out of a dreamlike state.

He recalled his colleagues, the others like him. Never a large group, their number had progressively decreased over the years. One by one they had fallen. The next-to-last one had died three years ago. Meanwhile, he hung on while the world moved past him. He reviewed his cherished memories. No one else on the planet shared those precious memories. Soon they would be gone.

He was the last. But he had not been the first. He, like all his colleagues, had wanted to be first, but that envy didn’t last long. He often wished there had been others, many others. He knew someday there would be, but, as long as he had lived, still it was not long enough for that to happen. This surprised him, even now.

He sensed that tonight was the night, the final night. Outside the rain had stopped. The old man looked to the window. There was light there.

He had been too weak to walk, too weak to move for days now. Nevertheless, he pulled himself up, grabbing onto the bed-rails. He knew he had enough strength to get over the rails, onto the floor.

The light in the window increased. He pulled out his intravenous line. The entry point in his arm started bleeding. He ignored it. The pump whirled along automatically, spilling drops of medicated water onto the floor.

He got a leg over the rail, then his shoulders. The distance to the floor wasn’t great, but from his vantage point, it looked like he was perched on top of a giant cliff. He took a deep breath and hurled himself over the railing.

Some time later the aide, making his rounds, entered the room. He was surprised that the old man in his weakened condition had been able to escape the confines of his bed. His body lay a few feet away, next to the wall, beneath the window. The curtains had been torn down from their rods. The rain had stopped. The clouds had retreated. The night was clear.

The old man lay on his back. The light of the full moon lit his face, for the last time.

David Mann is a retired cardiac electrophysiologist and blogs at EP Studios.

Image credit: Shutterstock.com

Prev

Be prepared mentally, physically, and socially for residency

December 15, 2016 Kevin 1
…
Next

Letting go of holiday-mom and doctor-mom guilt

December 15, 2016 Kevin 1
…

ADVERTISEMENT

Tagged as: Palliative Care

< Previous Post
Be prepared mentally, physically, and socially for residency
Next Post >
Letting go of holiday-mom and doctor-mom guilt

ADVERTISEMENT

More by David Mann, MD

  • It’s OK if doctors can’t memorize everything

    David Mann, MD
  • Watch what you say to patients

    David Mann, MD
  • What’s better: Narrative medical histories or checkboxes?

    David Mann, MD

Related Posts

  • The story of how this physician started her blog

    Sasha K. Shillcutt, MD
  • Every patient has a story

    Michele Luckenbaugh
  • Why everyone needs a six-word story

    Alexie Puran, MD
  • A medical student as storyteller and story-listener

    Yoo Jung Kim, MD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • My Klonopin withdrawal story

    Bethany Silverman

More in Physician

  • What the folinic acid retraction means for autism treatment

    Timothy Lesaca, MD
  • The pause medicine never taught us to take

    Mary Wilde, MD
  • How naming grief can restore meaning in medical practice

    Patrick Hudson, MD
  • The honest broker in pediatrics: Building the medical home

    Ronald L. Lindsay, MD
  • MOC patient outcomes: Why recertification doesn’t guarantee quality

    Brian Hudes, MD
  • Why a chief wellness officer hid her medication use for 13 years

    Michael F. Myers, MD
  • Most Popular

  • Past Week

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Filipino nurses faced higher COVID-19 mortality rates

      Joaquim Diego Santos | Policy
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • 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
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

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

      Dan Ouellet | Tech
  • Recent Posts

    • Deprescribing in health care: Why less medication can be more

      American Medical Association & John Whyte, MD, MPH | Meds
    • What the folinic acid retraction means for autism treatment

      Timothy Lesaca, MD | Physician
    • Value-based care data gap: Why metrics fail to reach the bedside

      Ido Zamberg, MD | Policy
    • The pause medicine never taught us to take

      Mary Wilde, MD | Physician
    • The healing power of physician presence in modern medicine

      Farid Sabet-Sharghi, MD | Conditions
    • How naming grief can restore meaning in medical practice

      Patrick Hudson, MD | Physician

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 1 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

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Filipino nurses faced higher COVID-19 mortality rates

      Joaquim Diego Santos | Policy
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • 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
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

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

      Dan Ouellet | Tech
  • Recent Posts

    • Deprescribing in health care: Why less medication can be more

      American Medical Association & John Whyte, MD, MPH | Meds
    • What the folinic acid retraction means for autism treatment

      Timothy Lesaca, MD | Physician
    • Value-based care data gap: Why metrics fail to reach the bedside

      Ido Zamberg, MD | Policy
    • The pause medicine never taught us to take

      Mary Wilde, MD | Physician
    • The healing power of physician presence in modern medicine

      Farid Sabet-Sharghi, MD | Conditions
    • How naming grief can restore meaning in medical practice

      Patrick Hudson, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The last: A short story
1 comments

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

Loading Comments...