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• W78877350 abstract "Tom Gilbert Prior to my stroke, I was a family physician for 25 years. During the 2 years preceding my stroke, I worked with Larry Culpepper, MD, MPH, in the new Department of Family Medicine at Boston Medical Center. The department was well underway with 18 residents, three fellows, a large undergraduate program, and a growing faculty. In August 1999 I had a week-long vacation in Maine. That Monday evening, our daughter, Carrie, and a nephew joined us on North Haven. The weather was perfect so it was easy to have houseguests. However, when I awoke on Tuesday morning, I did not feel well. I had a severe headache unlike any I had had before. After the rest of the group went out for a sail, I tried to lay down upstairs. Right away I found I could not raise my right arm or leg into the bed. I could not speak appropriately either. When Peggy, Carrie, and Jake got back 2 hours later, I was conscious but slipping fast. I was having a stroke. I had a massive brain hemorrhage. A cavernous malformation of vessels deep in my brain had burst. The stroke affected the left side of my brain and the right side of my body. As I left the island, I lost consciousness. I was flown to the local hospital in Maine and then taken by helicopter to the Massachusetts General Hospital. Larry Culpepper Peggy called. Tom was comatose and being MedFlighted to MGH. I joined the neuro-radiologists that evening as they explored his brain virtually, identifying the bleed, but uncertain as to its cause—vascular malformation? Cancer? I could interject a sense of Tom and his humanity onto the screen images and take away information to translate for Peggy and his children, Carrie and Dan, who I had known for many years—since my own daughter babysat for them. Possibly most important, I could bring to Peggy, driving down from Maine, the sense that someone who knew him was with him and that the MGH team was both highly professional and highly caring. Tom’s and my life had woven together over the years, since we first met at the University of Rochester residency in 1975, both exploring new life roles as family physicians. Later at Brown we were colleagues who shared much—I led Tom in developing his research skills, and he led me in clinical and educational realms. In 1998 Tom delighted me when he agreed to join our fledgling department at Boston University. He brought the outlook of a midcareer family physician who approached patient care with the depth of understanding of the human condition that only years of rural practice—delivering babies, serving as the local coroner, and all in between—could instill. Over the next 6 weeks the severity of Tom’s expressive and possibly cognitive damage became clear. He had a dense left hemiplegia, and I thought it impossible that he would ever walk again. I weakly encouraged Peggy that it was too early to predict the long term. I had no idea what the outcome would be or if Tom would even want it. I echoed the conventional teaching, that it would be 6–12 months before we’d know Tom’s new “steady state.” And as those time marks passed, I thought there would be little further progress beyond Tom’s marginal ability to communicate and relate, his inability to read or write." @default.
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• W78877350 date "2013-03-01" @default.
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• W78877350 title "Voices of recovery: a family physician's experience of aphasia." @default.
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