By Joe Corcoran, M1

Joe Corcoran, M1, photographed here at Denali National Park in Alaska prior to medical school

In the winter, North Philadelphia is slick with ice.

Black,

and overlooked.

It shortens your stride,

and limits your movement.

Students

shuffle quickly

on their way to class.

Headphones in.

iPhones out.

They don’t notice what goes underfoot.

Sometimes… they slip.

But even when they fall,

others help them up.

They continue as though nothing happened.

One more block means time for one more song.

Volume cranked up. Eyes straight ahead.

Heads tilted back ever so slightly.

Holding eye contact long enough to get by,

just not long enough to make any connection.

Ahead, our destination looms above

brightly lit and well-shoveled sidewalks.

Much of the ice is gone,

and salt litters the cement in its place.

Our pace quickens now with longer strides,

as we seek to leave the cold, the wet,

the icy and unforgiving behind.

We enter the golden door,

which spins

to keep our worlds separate.

We pass through:

security,

turnstiles,

11 gleaming floors of

windows that do not open.

Barriers to insulate us from the ice.

We strip off our hats and our mittens — our common-man layers,

and insulate ourselves in new wrappings:

white coats and latex gloves,

the sterile swaths of our profession.

We diagnose idiopathic cervical radiculopathy.

Because how could we say

something is wrong with your neck

and I don’t know what it is,

when that would reveal imperfection,

and self-doubt?

When that would strip away all the dressings

we so carefully applied?

When that would melt all the ice?

Michael Vitez, winner of the 1997 Pulitzer Prize for Explanatory Journalism at The Philadelphia Inquirer, is the director of narrative medicine at the Lewis Katz School of Medicine at Temple University. Michael.vitez@temple.edu

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Lewis Katz School of Medicine at Temple University
Stories from Temple’s Narrative Medicine Program

Lewis Katz School of Medicine at Temple University. Exceptional students, clinicians and researchers with zeal for education, research and patient care.