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Author Archives: slcantwell25
The Palimpsest
What he left behind was a stack of fifty-five steno notebooks, spiral-bound at the top, which are filled with barely legible script written in ballpoint pen or fading pencil—written on both sides of the pages, written from front-to-back and then from back-to-front. There’s no indication which notebook comes first or really any trace of chronology at all. The writing starts close on the left side of each page and goes as far as possible to the right edge. Many pages are erased, then written again. He cycles through a series of childhood traumas—many times described in exactly the same words, but also in dozens of variations. He surrounds these memories with diverse abstract ideas and facts about world religious history and doctrine, speculative theology, physics, astronomy, ancient philosophy, archeology, farming economics, and anthropology—to name just a few. It’s as if these random notes unconsciously shield him from the acute pain of his most closely held childhood memories. Continue reading
Posted in Essays
Tagged family, infant mortality, memoir, Rh factor disease, Spanish Influenza, writing
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The Broken-down Bus
Mexican poet Alberto Blanco wrote a singular poem called, “The Broken-down Bus,” which is set in the winter of 1965. The narrator is riding a bus from Mexico to Los Angeles—his first journey across the border into the United States. But on the second day of the journey, at midnight, the bus breaks down in the middle of nowhere. All the people—first the teenagers, then the children and grown-ups—get off the bus. They are exhausted from the long journey, anxious to escape the wailing of a baby, impatient with the delay, and angry with the bus driver—blaming him for the mechanical breakdown. Continue reading
Posted in Essays, From the Notebooks, Travel Sketches
Tagged adventure, Alberto Blanco, fatherhood, Mexico, travel
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Unprecedented collaboration brings hope in a harsh time
COVID-19 will have a profound and permanent impact on how we interact with other people and with the world at large. This really hit home to me a month ago. My son and I were walking our dog Emi—a docile, … Continue reading
Posted in Healthcare Pieces
Tagged #givethanks, collaboration, COVID-19, physical distancing, relationships
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Everything Under the Sun
In March 2018, my Uncle Clair had been visiting his son, Jim, in Phoenix and was ready to return to Utah. I offered to fly down to drive back with him so he wouldn’t have to travel alone. My aunt Linda (Clair’s sister) was concerned. He was, after all, in his late eighties. I jumped at the chance to spend time with him, though I knew he was fully capable of making the trip on his own. So, you see, there was a little self interest in my offer. My father, Lee, one of Clair’s younger brothers, had passed away just a few years before. What I had missed more than anything since my father’s death was the chance to talk freely about everything under the sun. Not small talk. But vast conversation with no limits. I knew with my cousin Jim and Uncle Clair that was exactly what would happen. I was desperately hungry for such talk. Continue reading
Posted in From the Notebooks, Travel Sketches
Tagged Arizona, James Clair Cantwell, Kierkegaard, Korean War, Marilyn Monroe, memories, road trip, Sept 11, travel
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On Being Down in the Weeds
In a photograph circa 1967 my cousin Jim and I endure an interminable family portrait session—I still remember itching in my Sunday clothes. While my sister and I sit passively smiling, my cousin Jim can’t hide his contempt for the … Continue reading
Posted in Uncategorized
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Annie Dillard’s Fierce Arithmetic
In 1999 Annie Dillard published For the Time Being, her most enigmatic book to date, where she layers statistics in a chilling attempt to pierce the mystery of who we are, as individuals, as humans, and about what matters and … Continue reading
The long shadow of mental illness and substance abuse comorbidities
My physician neighbor works in several urban emergency departments where mental illness and substance abuse cases run rampant. When I ask him about the impact on readmissions, he lights up: “Are you kidding? It’s off the charts!” He tells me … Continue reading
Why you can’t win without teamwork
You’ve probably noticed it’s been a bumpy regulatory ride for bundled payments of late. On November 30, 2017, CMS cancelled two “mandatory” bundled payment programs that targeted cardiac and joint replacement care episodes. Then, on January 9, 2018, they announced … Continue reading
When hospital-acquired infections hit close to home
Late one night in April 2018, my good friend and work associate finds it so difficult to breathe she wakes her husband to drive her to Emergency. One day she’s on her feet at work, the next she’s in the … Continue reading
Artificial Intelligence and Clinical Data: Finding Patterns Now to Shape Our Future
My oldest son is on the autism spectrum which brings him both challenges and unique skills, such as perfect pitch and encyclopedic memory. One of his gifts is an ability to see patterns that most of us miss. At least … Continue reading
Posted in Healthcare Pieces
Tagged "autism, AI algorithms, artificial intelligence, clinical data, data science, machine learning
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