In the Presence of Shadows

Manal Imran is a medical student from Miami, FL. Her poem ‘In the Presence of Shadows’ l was inspired by an OB/GYN rotation, where the unexpected loss of a newborn contrasted with the floor’s usual joy

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In the Presence of Shadows

Hospitals are full of shadows, you see

Not the ones cast by light, but more subtly—

Shadows my eyes have learned to find,

In a lip’s small twitch or a posture resigned.

These observations don’t come from my medical education,

But from life’s encounters, shared in conversation—

A shadow of doubt, a shadow of fear,

A shadow of a smile, sometimes a hidden tear.

For every feeling we’ve ever known,

A shadow appears, sometimes alone.

And other times they crowd the air,

But the shadow of death is always there.

Still, the physician’s whispers softly fall,

A comforting shadow fills the hall.

Among these shadows, two odd friends stand—

They cross through rooms, hand in hand.

Yet on the 3rd floor, there’s a clear line drawn,

Where only one of these friends travels on.

Hope is the one I’ve seen move through,

While Sadness lingers, hidden from view.

But today, to my shock, I saw them trade,

As Sadness entered where Hope had stayed.

I heard a scream—so different, so deep—

From a woman who cradled her child in sleep.

A mother for three brief minutes of time,

Her grief like thunder, distant yet sublime.

I stood frozen as Sadness grew,

But soon rejoiced as Hope stepped through.

By Manal Imran

Manal Imran is a medical student from Miami, FL. Her poem ‘In the Presence of Shadows’ l was inspired by an OB/GYN rotation, where the unexpected loss of a newborn contrasted with the floor’s usual joy

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