NARRATIVE ESSAYS

Marked, Outside and In: A Trilogy of 55 Word Stories

Colleen T. Fogarty, MD, MSc

Fam Med.

Published: 11/8/2024 | DOI: 10.22454/FamMed.2024.213529

MARKED

Dear Diary,
Today I got my first tattoo!
No, I’m not a 19-year-old sorority sister with Tinkerbell on my sacrum.
I’m a 43-year-old physician-mother, newly diagnosed with breast cancer.
Surgery took the cancer out, but even “clean margins” carry a risk.
These tattoos mark my breast for radiation, and with luck, me as a survivor.

RADIATION

Elderly man with suspenders, a farmer perhaps?
Anther older man, who likes the sports section.
Often, those with walkers, canes, the occasional wheelchair.
But also, a bald child, a girl, I think. Maybe five.
Her parents, my age, possibly younger.
She cries.
Me too.
I’d come here every day to spare my child her pain.

FATIGUE

Medical student: new terminology, endless studying. Fatigue. Severe tiredness. Got it.
Resident: 36-hour on-call shifts, sleepless. Fatigue. Got it.
First trimester pregnancy: needing naps. Fatigue. Got it!
Midlife infectious mono: can’t sit up to knit in bed. Fatigue. Got it!
Screening mammogram: cancer. Surgery, radiation. Fatigue. Really, I understand!
Can I be done now?

Lead Author

Colleen T. Fogarty, MD, MSc

Affiliations: Department of Family Medicine, School of Medicine & Dentistry, University of Rochester, University of Rochester Medical Center, Rochester, NY

Corresponding Author

Colleen T. Fogarty, MD, MSc

Correspondence: Department of Family Medicine, School of Medicine & Dentistry, University of Rochester, University of Rochester Medical Center, Rochester, NY

Email: colleen_fogarty@urmc.rochester.edu

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