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 | Kevin Pho, MD
  • 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

A man halfway between worlds

Edwin Leap, MD
Physician
February 4, 2017
Share
Tweet
Share

Alfred is 95 years old, and sits quietly in his wheelchair, rocking back and forth.  His strength is gone, and his veins and tendons bulge through fair, translucent skin, stretched over muscles of long lost size and use.  His greatest foe is gravity, which holds his lithe, bird-like form in the chair enough to cause sores on his hips, but only barely.  It looks as if he might float away.

He remembers little, but smiles often.  And his simple joys are coffee and sweets, pecan pie, banana pudding, chocolate cake  These things, these beautiful, delicious gifts anchor pull him into in reality, and out of the reverie which possesses him for hours at a time as he stares out the window at passing seasons, and passing lives on the highway.

He is not bitter.  Sometimes he sings, and sometimes he laughs.  And she knows the name of his roommate, Jake, but forgets it weekly.  He kisses the hand of his nurse, Kendra, who loves him like a grandfather and sometimes reads the Bible to him, drawing from the well-worn and underlined pages in his copy, which his children brought years ago.  When the verses are read, he closes his bright, tired, grey eyes and leans back in repose, ready for the journey.  But he cannot recall a word that was said; there is no need, for the are well carved into the stone walls of his mind, whether he remembers or not.

Alfred dwells, it seems, betwixt worlds.  His muscles and bones, his frayed and frazzled nerves and short-circuited brain, his assorted plumbing and weary organs all remain in part, but not in youthful whole.  His thoughts so scattered, his memories like abstract art, known only to the painter.

Perhaps, Alfred has already begun the journey.  Maybe across the bar, there is a house where he lies asleep; or the beginnings of him, what will be fully Alfred.  His memories are traveling there like files being stored.  His wisdom and laughter, his busy hands, by which he farmed and worked, making and fixing, and with which he cared for his dear Ruby before she went ahead.  All of these pieces slowly and surely precede him and are being assembled by God’s angels, guided by the King Himself.

A shape is there, a form, a place prepared for him.  All that is strong and good and well is becoming more and more real as he, every day, becomes less and less real in his room, in his chair, in his world where he sweetly greets the strangers that are his own children and grandchildren, and hugs them and kisses them with tears he could not explain, his love deeper than breath even if he does not understand it.

Do not fear for Alfred.  He is, slowly and patiently, becoming more and more than we can possibly believe.  He only appears to be less.  He is, unseen by any of us, transforming before our eyes.

One day, Alfred will depart.  He will leave the broken, failing bits of form behind, an empty shell on a beach, a shed snake-skin, old antlers.  One day Alfred, finally and fully himself, will draw breath from air in a place he prayed to go, and open his new eyes on landscapes and visions and joys he could never in his best imagination hope to have.  He will touch his own arms, firm and strong, and new blood flow through vessels that will never narrow.  He will hear waves crash, or wind in trees, and the music of being truly alive at last.

And if all goes as he dreams (and it is likely his dreams are now visions), he will see God first, and his Ruby second and all the others who make the same trip and longed to see him again.  And then all the journey and trouble, all the wait for finality, all the pain and loss will not only make sense, but be irrelevant to his new, redeemed, perfect life.

Forever.

Edwin Leap is an emergency physician who blogs at edwinleap.com and is the author of the Practice Test and Life in Emergistan.  This article originally appeared in Emergency Medicine News.

Image credit: Shutterstock.com

Prev

The secret way to eating fewer brownies

February 4, 2017 Kevin 0
…
Next

A pediatrician, silently screaming for the Syrian children

February 5, 2017 Kevin 0
…

Tagged as: Palliative Care

< Previous Post
The secret way to eating fewer brownies
Next Post >
A pediatrician, silently screaming for the Syrian children

ADVERTISEMENT

More by Edwin Leap, MD

  • The emergency department crisis: Why patient boarding is dangerous

    Edwin Leap, MD
  • Hospitals at a breaking point: Lack of staff and resources leave ERs in chaos

    Edwin Leap, MD
  • Trapped in a cauldron of suffering, medical staff are weary

    Edwin Leap, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • A prayer from an emergency physician

    Edwin Leap, MD
  • A patient’s family bridges two worlds

    Ton La, Jr., MD, JD
  • A physician gun owner’s suggestion

    Edwin Leap, MD
  • How a physician keynote can highlight your conference

    Kevin Pho, MD
  • Chasing numbers contributes to physician burnout

    DrizzleMD

More in Physician

  • A touching story of patient gratitude and a dozen eggs

    Dr. Damane Zehra
  • The medical case for teaching kindness in early childhood development

    Paul Dranichnikov, MD, PhD
  • How medical malpractice cases reveal health care system flaws

    Howard Smith, MD
  • Why we must fix our fragmented health care system architecture

    Vance Alm, MD
  • Prior authorization during surgery is not oversight

    Steven E. Warren, MD, DPA
  • Patient autonomy in psychiatry and the ethics of care

    Wonyun Lee, MD
  • Most Popular

  • Past Week

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Opt-out states and physician-led anesthesia care explained

      Michael Beck, MD | Physician
    • Why artificial intelligence displacement threatens medical specialties

      H. Michael Boulton, MD | Physician
    • National Hospital Week reveals what care really takes

      Brian Sutter | Conditions
    • Bridging the health equity gap with artificial intelligence

      Judith Eguzoikpe, MD, MPH | Policy
    • Why artificial intelligence in medicine cannot replace clinical intuition

      Garrett Terracciano, MD | Physician
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Administrative burden is driving severe physician burnout

      Kayvan Haddadan, MD | Physician
    • Pharmacy closures threaten our entire public health system

      Timothy Lesaca, MD | Physician
  • Recent Posts

    • Bridging the health equity gap with artificial intelligence

      Judith Eguzoikpe, MD, MPH | Policy
    • No nurse is better than a bad nurse in your child’s home [PODCAST]

      The Podcast by KevinMD | Podcast
    • A touching story of patient gratitude and a dozen eggs

      Dr. Damane Zehra | Physician
    • The medical case for teaching kindness in early childhood development

      Paul Dranichnikov, MD, PhD | Physician
    • A new approach to treating recurrent urinary tract infections

      Jitesh Patel, MD | Conditions
    • 3 things AI in health care investing cannot evaluate

      Harsha Moole, MD | Tech

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

  • Most Popular

  • Past Week

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Opt-out states and physician-led anesthesia care explained

      Michael Beck, MD | Physician
    • Why artificial intelligence displacement threatens medical specialties

      H. Michael Boulton, MD | Physician
    • National Hospital Week reveals what care really takes

      Brian Sutter | Conditions
    • Bridging the health equity gap with artificial intelligence

      Judith Eguzoikpe, MD, MPH | Policy
    • Why artificial intelligence in medicine cannot replace clinical intuition

      Garrett Terracciano, MD | Physician
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Administrative burden is driving severe physician burnout

      Kayvan Haddadan, MD | Physician
    • Pharmacy closures threaten our entire public health system

      Timothy Lesaca, MD | Physician
  • Recent Posts

    • Bridging the health equity gap with artificial intelligence

      Judith Eguzoikpe, MD, MPH | Policy
    • No nurse is better than a bad nurse in your child’s home [PODCAST]

      The Podcast by KevinMD | Podcast
    • A touching story of patient gratitude and a dozen eggs

      Dr. Damane Zehra | Physician
    • The medical case for teaching kindness in early childhood development

      Paul Dranichnikov, MD, PhD | Physician
    • A new approach to treating recurrent urinary tract infections

      Jitesh Patel, MD | Conditions
    • 3 things AI in health care investing cannot evaluate

      Harsha Moole, MD | Tech

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

A man halfway between worlds
1 comments

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

Loading Comments...