Fears from a medical student part II: Prepping the patient ========================================================== * Arpan V Prabhu * Ahmed Kashkoush * Surgery * Care of the elderly * Gastroenterology > > Veins replete with burning medicine, his eyes > > > > shiver shut. Is it quite the same to call this sleep? > > > > He's surrounded by masks, whispering and weaving, > > > > cleansing his arms, piercing taut skin. A catheter > > > > slithers into the anatomical pouch as the soft roar > > > > of razor denudes his abdomen. The tape recruits > > > > every last hair. Paintbrush to belly button, spreading > > > > orange chlorhexidine across the impact line. > > > > The man we know is gone, and in his place— > > > > nine square inches of skin framed by tape and sheets. > > > > The overhead lights turn on. “Time out!” All look up > > > > for a moment and nod, > > > > to show no wrong. To acknowledge > > > > the tissue that was once our patient. > > > > My face turns to the side. > > > > We inhale the smell of seared flesh through our masks. ## Footnotes * Note This poem is part of a series of medical student perspectives in medical school, with the first poem entitled, “Fears from a medical student” (also published in *Medical Humanities*), which focused on the difficulty of end-of-life conversations. * Competing interests None declared. * Provenance and peer review Not commissioned; internally peer reviewed.