ethics – Awaken

March 28, 2023

Letters From an Angel

Teala Volkamer, Wake Forest University School of Law JD ’23

Julia Tutwiler Prison for Women

8966 US-231, Wetumpka, AL 36092

Mom,

I don’t even know why I’m writin’ you, I guess I don’t have anyone else to write to. I’ve been put in the hole and don’t have anythin’ better to do than write. The cage is so small if I stretch my arms out real wide, I can just touch both walls. Ain’t even got anythin’ but a mattress. The only reason I even have some paper is cause there’s a newjack workin’ the hole. I don’t think he’s figured out it’s just supposed to be me and my thoughts in here.

It’s funny, my first memory is visitin’ you in prison. Some karma. I remember Gran and I hopped a bus at 2:45am to make it to the prison. Gran didn’t want to risk her old clunker breakin’ down on the three-hour drive, so we took a community bus. I remember the bus makin’ tons of stops along the way to pick up other kids visitin’ their parents.

I remember the bus pullin’ up in front of the main entrance, you know the one, with Julia Tutwiler’s name hung low over the metal bars. I remember standin’ outside in the freezin’ air tryin’ to sound out the letters. I had just started learnin’ to read, though ‘prison’ hadn’t shown up on a spellin’ test yet. Gran wrapped her arms around me from behind spellin’ out Julia Tutwiler Prison for me.

I remember walkin’ through those front doors. However cold it was outside, it must have been ten degrees colder inside. Between the mean stares of C/Os lookin’ down on me mixed with the feelin’of sadness that sits thick in the air here, I was chilled through. I sat silently as someone read out the long list of rules: don’t touch the prisoners, don’t give the prisoners anythin’…the list went on for what felt like hours.

I remember you. You looked happy to see me, but you still seemed sad. Even at five years old, I could tell you were beaten down even though I didn’t understand why. I’m startin’ to understand, mom. I feel like I’m bein’ chatted out with no one to talk to. The only thing that brings me any peace is knowin’ my daughter is safe.

When we left the prison that day I cried. Gran said you couldn’t come home with us because you made a mistake, but I didn’t get what mistake could be so big that it kept you from me. I remember that night Gran prayed for you. Gran spent a lot of time prayin’ that God would forgive whatever mistake you made. And I know she prayed that I would live up to my name and not make the same ones.

I guess it’s too late for prayers now.

Jannah

January 30, 2023

Mary’s Battle

Jacqueline Kasemsri, Wake Forest University School of Law JD ’22

“Please, God. Please, forgive me for my sins.”

Mary kneeled on the cold tile of her bathroom floor with her elbows propped on the toilet lid. Her knuckles turned white from squeezing her hands tightly. She could taste salty tears running down her cheeks. She was praying harder than she ever had. The toilet was the altar and the little white stick sitting on the toilet lid was the cross. Her mind began to wander, and she thought about how angry her mother was going to be. Her mother was going to kill her. Then she would have to call Jackson. She would have to call Jackson and tell him that she had ruined both of their lives. The last time she had spoken to Jackson was when she had FaceTimed him to see his new dorm room.

January 20, 2023

Living (and Dying) on Your Terms: End-of-Life Decision-Making Before and During COVID-19

Hannah Norem, Wake Forest University, J.D./M.Div Dual Degree Candidate ’23

Preface: Chaplaincy and End-of-Life Decision-Making

As a hospital chaplain, you have the privilege of experiencing the best and worst parts of patients’ lives.^[1] You bear witness to the beginnings of life that take place in a hospital, like births and successful organ transplants.^[2]However, you also are in the room when people are experiencing the worst days of their lives. Unspeakable tragedies and accidents, patients coding, and other traumatic events dot a chaplain’s shifts. Hearing a pager go off in the middle of the night and having to rush down to the emergency department to comfort strangers is not uncommon. While this is a normal day in the life of a chaplain, it is not a normal day for the patients and families the chaplain encounters. The difficulty and the ritual found in a chaplain’s everyday life and work do not detract from the sadness of any particular patient encounter but rather attune you to the rhythms of beginning and ending that are integral to the human experience.

From my first days as a chaplain, I heard the same sorts of things again and again. Entering the patient rooms in the ICU, I often found an unresponsive patient teetering in the liminal space between life and death. However, the family that gathered around the bedside, as this was before COVID, painted a robust picture of who this patient was before they found themselves laying in a hospital room, hooked up to countless machines and monitors. So many times, the families that I spoke with said they would have never wanted to be this way. Speaking to families of veteran farmers, resilient teachers, and other pillars of their community, the spouses, siblings, and others portrayed how self-reliantly this person lived but how dependent the patient now was on machines and other people for every facet of their continued existence. How could someone who never needed anything in their life from others now be so helpless? Grieving families looked me in the eyes with their tear-soaked faces time and time again as they explored this painful juxtaposition taking place in front of them.

September 23, 2022October 19, 2022

Playing God: Making the Impossible Choices

Charlotte Robinson, Wake Forest University School of Law JD ’22

The room feels darker than most. It is cold and uninviting. For someone who works in a hospital, you’d think I would be used to this environment. I should have adapted to it. After all, no one has ever described a hospital as sunny and welcoming. I look around the waiting room of the psychology wing, taking in all the textbooks and self-help books, stewing. As I wait, I can hear every beat of my heart. My ears feel muffled, like when you swim underwater. I finally understand how patients must feel waiting for their doctor to show. Why make an appointment if you can’t commit to the time you offered? The door to her office creaks open, and I hear the small click-click of the doctor’s heels as she walks out to grab me. We walk the three feet back into her office. It’s even darker than the waiting room. Dr. Markin sits down at her desk and opens a folder. It’s thick. I know it’s my patient master file – a simple manilla folder than contains all my patients and their stories. For such a simple folder, it’s mere presence makes me nauseous.

August 18, 2022

The Tiger and the Lamb

Christian Schweitzer, Wake Forest University School of Law J.D. Candidate ’23

Tyger Tyger, burning bright,

In the forests of the night; What immortal hand or eye,

Could frame thy fearful symmetry?

***

*Rinnnngggggg*

“Alright, time’s up. Put your name on your exam and bring it to the front of the room please. Remember to read pages 288-304 for class on Monday. Have a great weekend everyone.”

Hansen walked out of the classroom to join the sea of students cascading toward the school’s main exit. He brushed past obstacles, human and inanimate alike, with the grace of someone used to being among large crowds but never belonging to the group.

Upon reaching the end of the hall, he took an abrupt right turn away from the exits and ventured into the silent corridor which contained the school’s computer lab. As he stepped into the lab in the direction of his usual seat, he gave a slight smile and a nod to the lab’s sole occupant, Mr. Jenkins. Mr. Jenkins was the high school’s computer science teacher. A kind, heavy-set man with a thin voice, Mr. Jenkins had become well acquainted with Hansen during the boy’s two-and-a-half years at the school. Hansen’s previous weekly visits to the lab informed Mr. Jenkins that Hansen would spend this Friday afternoon hard at work in front of the computer until their silent camaraderie was brought to a close by Jenkins’s familiar pronouncement,

“C’mon kid, I think we both better get home.”

July 18, 2022August 9, 2022

Strange Friend

Madison Boyer, Wake Forest University School of Law J.D. Candidate ’23

Department of Health and Human Services – Project Proposal & Request for Funding

Working Name: Project Talos

I. Proposal Summary

The Project Talos team has collaborated for six years to develop an artificially intelligent physician, or “AIP”. The AIP has the capacity to diagnose and treat all medical conditions complained of by adults. The AIP is a cost-conscious and effective way to ensure access to healthcare for all Americans, who otherwise may be unable to afford the services of a physician. Project Talos is requesting $15,000,000 to complete the necessary coding work, to install Project Talos “Dr. Touring”® AIP stations in pharmacies and primary care offices, and to offset the initial costs of providing healthcare.

II. Project Description

Project Talos will revolutionize the American healthcare system. Currently, approximately one in four Americans (22%) are not receiving necessary medical care due to cost. Over thirty-one million Americans under the age of 65 do not have health insurance. Project Talos will allow those Americans to access excellent medical care at little to no out-of-pocket cost, whether or not they are insured.

III. Goals and Objectives

The Project Talos AIP was built with three goals: (1) to promote health on an individual level (“individual health goal”); (2) to promote the overall health of the American population (“public health goal”); and (3) to promote health across generations (“future health goal”). All three goals are constantly monitored by the AIP. If the AIP detects health issues arising, it is independently capable of correcting for error. The AIP was trained on high-quality medical data that was graciously donated by Harvard Medical School. The data was stripped of all identifying information so that the AIP cannot reflect any possible bias concerning age, race, sex, or gender identification. The primary objective of Project Talos is to provide the highest possible quality of healthcare to all Americans at affordable prices. This will encourage patients to seek preventative healthcare services before their condition leads to a medical emergency. The AIP will help millions achieve better health outcomes and lead longer, happier lives.

IV. Conclusion

With the support of the Department of Health and Human Services, and with the eventual approval of the FDA, Project Talos is hopeful that millions of lives will be improved at an extremely reasonable cost to the United States taxpayer.

March 4, 2022

Mirrored

By Austin Coates, WFU JD Candidate ’22

About mid-day on a Tuesday, Mera sat on a bench, weary and tired, yet relieved. She’d been up late the night before, studying for her computer science final exam into the morning hours. A senior in college now, it was the last final exam she would take as a student. As she sat on the bench, she couldn’t help but be proud of herself. The first in her family to go to college, she’d worked tirelessly to get to this point. She held a 3.89 GPA, would graduate at the top of her class, and had a job lined up with a leading ancestry analysis company, Family Tree, as a biometrics analyst. She knew very little about her own family history and was fascinated by the opportunity to work at Family Tree while learning more about her ancestors. She would start the following Monday; her dreams realized and the world ahead of her. But for now, at least, it was time to celebrate.

August 17, 2020September 18, 2021

What Do You See?

What Do You See?

By: Emily Burke, JD ’18, Wake Forest University

The cold surface pricked my fingers as I stretched my palms flat against the motorized table beneath me. The coolness sent a chill up my spine, stretching up from the very tips of my toes. It was when the chill spread a dull numbness in my ears that I realized how naked, how vulnerable, and how exposed I was.

I was wearing a hospital gown, laying inside a tunnel beneath a thin, white bedsheet. Away from his gaze. And yet, just as I felt the narrow x-ray beams dance across the sheet, I felt his eyes on me. As the beams skipped across my skin, my heart began to race. I closed my eyes. My brow furrowed as my fingertips pushed into the table. I was trying to escape the whiteness, the brightness of the tunnel. Just as I lifted my fingers, the blood rushed and pulsed its way back into my fingertips. I swallowed and realized my jaw was clenched. I knew I couldn’t move my hands, or any part of my body, for that matter. I desperately wanted to massage my jaw, my furrowed brow, my pulsing fingers. Instead, all I could do was lay there. Silently.

April 18, 2018

What Blinds One Might Blind Another

By: Mary Kate Gladstone, JD Candidate at Wake Forest University School of Law

The Researcher

I still remember the very first day I walked through the doors here. It was much like the first time you do anything, really. There were nerves and excitement and the ever-sobering realization that I would never be able to do that very thing for the very first time ever again. The research center was situated on the outskirts of the city, lifted up on a small hill where it bounced the early morning sunbeams off of its metallic surface and into the eyes of passersby like myself. The first day I drove up to the center, I had to throw my hand up to my eyes to protect from the building’s blinding reflection. Continue reading “What Blinds One Might Blind Another”