By the time I finished my second year in college, I was weary of pain, suffering, and death. I had lost my first patient not in the hospital at UVa but during the summer following my first-year while working as a nursing assistant in a Shenandoah Valley nursing home. My patient was a bed-ridden, octogenarian who had no children and no wife; he had suffered a stroke several years before. Every need the man had, every function, every dignity needed to be provided by the nurses and nursing assistants charged with his care. His death was not considered a tragedy by even the extended family who came to see him punctually very Sunday.
My second year at the University, I experienced death in a completely different context. I lost a child – not a patient, but a tiny, beautiful dusky skinned almost two-year old who came to play with me every Monday during my volunteer shift on the medical center’s play terrace. He was a fixtuxe there, practically a mascot- a drug baby, no family, no visitors ever, but a child whose inner glow lit a room whenever he entered. He was always the highlight of my week.