We found the old barn on the lot 

A project-

Something on our bucket list

Like that train trip through the Rockies

Sweat and sawdust

And the sunlight through the dusty windows

Fractals splattered erratically

Across intentional smiles

Its movements unpredictable

My choreiform movements unwind

Independently 

Like a toy soldier 

A train left the station

Like the degradation of this house before we found it

The disease process is the sand flowing through an hour glass

Grain by grain passing us by

We sweep, level and refinish the old floors of time

Technology. The conductor now tweaking and adjusting the battery in my brain 

Can a clock be set back?

Rewiring each panel so the conductivity is intact?

Commands sent efficiently 

Like the fluid motion of my right hook

They said we’ve found the optimal stimulation now

Single pointed focus

Or 

The courage to fight not flee

Acceptance

Like when we had to leave the old barn 

For something more accessible

But the train ride through the Canadian Rockies is still waiting

Medical Clearance for Boxing Lessons

This piece was inspired by a patient I saw while on my first rotation in family medicine. The patient had Parkinsons and had spent the past few months undergoing painful and exhausting DBS adjustments; her movements were uncontrollable in the session until she focused and calmed, telling me the reason for her visit- medical clearance for returning to boxing lessons. Her courage to undergo experimental treatments and embrace her ability to move and fight despite the severity of her disease were inspiring to me, she told me more details of her story which are woven into this work.

Bio:  

Rivka Manzura is a second year medical student at the University of Michigan. A lover of rhythm and the written word, Rivka has turned to poetry as a means of expression and catharsis since her youth. While she is passionate about the science of medicine, the opportunity to see, be inspired and play a role the unique stories of the humans she encounters in clinic is what keeps her poet's soul alive.

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When No One was Watching