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Research ArticleReflections In Family Medicine

The Owl

Colleen T. Fogarty
The Journal of the American Board of Family Medicine March 2025, 38 (2) 399; DOI: https://doi.org/10.3122/jabfm.2024.240289R1
Colleen T. Fogarty
From the Department of Family Medicine, University of Rochester School of Medicine & Dentistry | University of Rochester Medical Center (CTF).
MD, MSc, FAAFP
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  • End of Life Care
  • Death
  • Family Health
  • Family Life Cycle
  • Family Medicine
  • Spirituality
  • Systems Thinking

He’s ill, dying really. Metastatic cancer has taken over.

He sits in his favorite chair; in the beautiful modern home he’d designed and built. The enormous windows face east over a wheat field. In the foreground stand tall evergreens, survivors of a previous Christmas tree planting. Visiting one crisp November day I notice an owl appear in those trees.

The owl vigils.

Many cultures associate owls with wisdom, warning, and death.

Too soon I return to my job in another state, leaving my husband behind with his dying father. In my jewelry chest, I spot a pewter owl pin—a gift from a colleague years before. To keep me connected to my dying father-in-law, I wear this owl.

The owl vigils.

Several weeks later, while examining a patient, my pin suddenly clatters to the floor. I exclaim, “My father-in-law is sick…” My patient nods, adding supportive words. We proceed with her examination. Moments later, the medical assistant knocks.

The owl vigils.

“Dr. Fogarty, sorry to interrupt you—it is urgent.” Recognizing the number, I return the call.

It is my husband.

“Dad’s gone.”

Acknowledgments

With gratitude to Rebecca Copek, PhD, URMC Department of Psychiatry, for her substantive comments on this piece.

Notes

  • This article was externally peer reviewed.

  • Funding: None.

  • Conflict of interest: I attest that there are no conflicts of interest in developing this work.

  • To see this article online, please go to: http://jabfm.org/content/38/2/399.full.

  • Received for publication August 2, 2024.
  • Revision received October 24, 2024.
  • Accepted for publication November 11, 2024.
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The Journal of the American Board of Family     Medicine: 38 (2)
The Journal of the American Board of Family Medicine
Vol. 38, Issue 2
March-April 2025
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The Owl
Colleen T. Fogarty
The Journal of the American Board of Family Medicine Mar 2025, 38 (2) 399; DOI: 10.3122/jabfm.2024.240289R1

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The Owl
Colleen T. Fogarty
The Journal of the American Board of Family Medicine Mar 2025, 38 (2) 399; DOI: 10.3122/jabfm.2024.240289R1
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  • End of Life Care
  • Death
  • Family Health
  • Family Life Cycle
  • Family Medicine
  • Spirituality
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