Death Certificate

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Adrian M. Schnall


How far back in the chain to go?

I’m penning in an entry

on the parchment of public record,

creating a statistic for the students of disease,

but writing too the final word

on the last page of the book

for the bereaved.


So robust, barrel of a woman,

layered in corsets from another century.

Her heart went dead December first,

but Staphylococci started

seeding her veins three days before,

breeding in the purple sore

that showed its color Labor Day.

An ulcer on her bottom,

branded there by months of sitting

staring at air, still as a Stonehenge rock.

We lost her when her mind burned out in May.


Should I say dementia killed her?

Not enough space

for a dissertation

on causation and its subtleties.

I can’t just call it stoppage

of the clock—
that’s one frame

out of thousands
in a documentary.

I settle for “Septicemia, Staph.”

The statisticians will be pleased,

two different categories.

And there’s her daughter’s face,

and her grandchildren at peace,

remembering her as maimed

by an invading legion,


her forgetting

of their names.


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Article Details

Author Biography

Adrian M. Schnall, Case Western Reserve School of Medicine

Clinical Professor

Division of Cinical and Molecular Endocrinology

Case Western Reserve School of Medicine