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“Self-Portrait as Exit Wounds”A Graphic Story

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

The coronavirus pandemic is again burning through our hospitals, disrupting our living and dying. Patients depart in austere circumstances without hugs from their loved ones, isolated and stripped of the basic dignity of touch. The virus ricochets in congregate living facilities; the horror spirals, devastating families; and frontline health care workers bear witness to accumulating loss.

Self-Portrait as Exit Wounds,” a poem by Ocean Vuong from his acclaimed 2016 collection Night Sky With Exit Wounds, is a tribute to the legacy of war, a torrent of images that “traces the path of a bullet, depicting the ruptures it creates not as endings, but as points of remembering.”1 Health care is not war, but the excess mortality count in the US attributable to the pandemic now exceeds that of our most lethal armed conflicts.2,3 As a hospitalist I’ve witnessed the deaths and created this “self-portrait” in tribute to Vuong’s poem and my patients and their families. The sharpened silence in these images speaks of my hospital’s experience, our palpable grief and collective despair. To find our way out of this crisis, vaccines will not be enough. We need reason, kindness, empathy, and compassion as our guide. And throughout, a reckoning, a feral howl.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Ankit Mehta, MD, HealthPartners, Hospital Medicine, 640 Jackson St, St Paul, MN 55101 (drmehtaankit@gmail.com).

Additional Information: A link to the poem “Self-Portrait as Exit Wounds” appears as an embedded hyperlink in the online version of this article. Thank you to Noah Aitoumeziane, BA, Christine Tran, MD, and Mehria Sayad-Shah, MD, for their thoughtful feedback. None of these individuals were compensated in association with their contributions to this article.

Conflict of Interest Disclosures: None reported.

References
1.
Vuong  O .  Night Sky With Exit Wounds. Copper Canyon Press; 2016.
2.
Bauchner  H , Fontanarosa  PB .  Excess deaths and the great pandemic of 2020.   JAMA. 2020;324(15):1504-1505. doi:10.1001/jama.2020.20016PubMedGoogle ScholarCrossref
3.
Centers for Disease Control and Prevention; National Center for Health Statistics.  Excess Deaths Associated with COVID-19. Accessed January 25, 2021. https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm
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