The Last Patient


  • Diana J. Pi Lorain County Free Clinic


Last message and you're done.

Twenty years as a GP in a county hospital, this isn’t the career ending you’ve envisioned. But it is what it is. The night maintenance man has just arrived, salting the air with the smell of lemon antiseptic and longing music from a faraway land.  All these years you passed each other at the hallway, you’ve never bothered to find out his name.

The lone message reads, Urgent, Dr. Pi, please instruct.  And it's dated yesterday. You know what the ER wants from you, and you’ve waited and waited and it’s all too late now. They know you fuck up. 

Author Biography

Diana J. Pi, Lorain County Free Clinic

I am a general internist from Westlake, OH. I worked in a Cleveland county hospital for twenty years and retired five years ago. I currently volunteer at the Lorain County Free Clinic. I pen a biweekly health column for the Westlake/Bay Village Observer.






How to Cite

Pi, D. J. (2019). The Last Patient. Ars Medica, 14(1). Retrieved from



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