In the River You May Find Yourself

Origin Story

"What I've been thinking a lot about lately is hard to put into words," said this palliative care physician. At first she said this had to do with boundaries between herself as a physician and the patients and families she cared for–but she noted that this was perhaps not a precise enough word. She said that during training, physicians learn to have a separation between themselves and their patients. "We're taught to enter a room with a specific goal... with assumptions... with a hypothesis about what may be going on with the patient." The subsequent interaction with the patient, then, is meant to confirm or reject the initial assumptions and hypotheses. She explained that often patients and family members will want to tell stories that are meaningful to them. In the way that physicians are traditionally taught, much of what is told in these stories is not thought to be relevant to their care. In palliative care, however, the stories can be crucially important to the delivery of high-quality care.

She shared that in her work she sometimes experienced a "blurring of the lines" as well as experiencing the "full bouquet of emotions" from patients and families. Reflecting on this experience, she said she saw it as a gift. "I get to learn about myself and experience the sharing of humanity." This was a gift she was focused on helping other healthcare providers learn to appreciate and make appropriate use of.

Yvette Perry, Listener Poet
Children’s Hospital Los Angeles
July 2022
Presented at the
National Council on Family Relations Annual Conference 2025


In the River You May Find Yourself

By Yvette Perry, Listener Poet

Within the caring-for

There is a gap

Emotions of every kind

Live together there

Grief and joy

Anguish and delight

And love--always love

You may plant yourself

Far from that deep gorge

Stable roots secured,

Prepared to proclaim from there

Your expert knowledge

But in that gap

There is a story

Even at life’s closing, a tale of

I remember that time when…

Revealing through its telling

The meaning of

Mother

Father

Grandparent

You may see yourself only

As ears for this story,

Tuned to hear

Important cues for your

Decisions and diagnoses

The story, though,

Is a river

Flowing for eons and eons,

It empties to a

Sea of memories of the

Whole of humanity

You may find yourself

Unmoored from your soil

Suddenly on the shore, then

Slipping into water and

Carried on currents of

Emotions of others

The river

Defines the caring-for

An often-improvised balance of

Listening and feeling, of

Being-present-in and

Bearing-witness-to

In the river

(In the caring)

You may find yourself

Sometimes swimming

Sometimes rowing

Sometimes drifting

But human--always human