By Vivikta Iyer
I have often wondered: How do you remember me?
Do you remember me as the daughter who ran away, leaving home to chase a crazy dream across the ocean? Do you remember me as the student silently scribbling notes in a lecture hall for five years? Do you remember me as the frantic intern, running through hospital corridors searching for a room, or as the exhausted girl crying in the on-call room because the weight of it all was suddenly too heavy?
Do you remember me as the doctor you trusted with your life? Or do you remember me as the doctor who finally had to tell you there was nothing more we could do?
I remember you.
I remember you as the frail 80-year-old man who walked into my clinic with a soft voice and eyes that held a lifetime of stories. You reminded me of my grandfather — a familiarity that hit me with a pang of homesickness. I remember your hands resting on your knees, trembling with a rhythmic shake. It seemed a cruel irony; you told me you had been a war photographer. For decades, your hands had been steady enough to capture history in a split second. Now, the shutter of your mind was beginning to blur.
I remember admitting you the first time because you were falling and forgetting too often, and the medications just weren’t doing their job. It seemed that we were in a similar place — both of us away from the comfort of the familiar even though we were in different walks of life. I remember adjusting your dosages, hopeful as I watched you walk out of the hospital, steady once more.
I remember you returning for our research study. We tested your cognitive function, asking you to navigate the geography of your own mind. I remember your wife sitting beside you. She spoke of the life you had built together over sixty years, and how rapidly it unspooled in the last six months. She clung to the small details that brought her joy, while you struggled to remember what you had eaten for dinner. I watched the fear in her eyes as she realized she was losing the only witness to her life’s history. I remember your wife telling me that the children drove back and forth, anxious to find the supportive father they had always relied on who encouraged them to chase their crazy dreams.
I remember you thanking me for helping you participate. In a moment of clarity, you encouraged me to keep going, to have courage in my own uncertain times. You saw the young doctor in me, even as I was studying the fading patient in you.
But then, I remember you coming back.
This time, you were not the gentle photographer. You were lost in confusion, thrashing against the bed, trying to pull out your restraints and IV lines. I remember the terror in your wife’s eyes. I remember the nurses paging me, asking what to do. I remember trying to talk you down. But you were fighting invisible enemies, shouting abuses, trying to run.
I remember administering the medication that finally stole your consciousness to buy you peace. I remember returning hours later to the silence of your room, checking to see if you were still agitated.
When you woke, you didn’t know where you were. You didn’t believe your wife was who she said she was. I remember trying to ground you, telling you that you were safe. And in the midst of that fog, you looked at me and said, yet again, that I felt familiar.
I remember going back to the on-call room and weeping. I cried for the fact that this is the work: that sometimes, no matter how hard I try, no matter what medications I tune up or how many cognitive tests I run, I cannot stop the erasure happening inside your head.
I remember the end. I remember your children asking a multitude of questions I did not have the answers to. I remember consulting psychiatry, only to receive a poor prognosis. I remember the “Goals of Care” meeting, the heavy decision to shift to comfort measures only.
I remember the day they wheeled you away to palliative care. I remember your wife thanking me with a sincere gratitude I didn’t feel I deserved. She told me that I had tried so hard, and that sometimes, it’s okay that it wasn’t enough.
I also remember getting so busy with the living that, for a moment, I forgot about you.
Until six months later, when I opened the newspaper and found your obituary. I remember reading through the summary of your life — the wars you photographed, the history you witnessed — and tearing up.
I looked at your photo and wondered: How did you remember me?
Did you remember me as the familiar face in the fog? Did you remember me as the doctor who tried? Or, in the end, did the disease take that too? Perhaps you didn’t remember me at all.
But I remember you.