Out of Patients
with Matthew Zachary
Welcome to 2026: The Year of the Patient where the sick shall inherit the ballot.
Thirty Years Later, I’m Going Home
In 1996, I graduated from Binghamton University at 21 while going through brain cancer treatment, with no idea what came next. 30 years later, I’m going home. A reflection on cancer, music, survival, and the extraordinary amount of ordinary life that happened in between.
An Ode to My Bald Brother: Remembering Bryan Bishop
Bryan Bishop and I bonded over brain cancer, bald heads, microphones, dark humor, and being two Jews who refused to let cancer become our personalities. Fourteen years after one unforgettable conversation, I went back to hear his voice again. This is for my bald brother.
My Father Wrote Everything Down: Behind We the Patients | Story 5 of 5
During my cancer treatment, my father documented everything: doctors, appointments, weather, parking and even where I threw up. Thirty years later, I understood those notes differently. They were a record of what a terrified parent does when love cannot fix the problem.
I Could Play: Behind We the Patients | Story 4 of 5
When I came home from brain surgery at 21, I went to the piano. I needed to know whether my left hand still worked. Medicine could measure whether the surgery succeeded. I had a different question: did the life being saved still feel like mine?
The Answering Machine Was Blinking: Behind We the Patients | Story 3 of 5
In December 1995, I came home from an MRI and saw the answering machine blinking. The doctor had “found something.” That tiny cassette tape became the dividing line between the life I knew and the bewildering new world of being a patient.
My Uncle Told Me I Might Be Better Off Dying Younger: Behind We the Patients | Story 2 of 5
At 21, chemotherapy might have improved my five-year survival odds by five points while risking my hearing, fingers and cognition. My Uncle Jay asked the question medicine hadn't: what exactly were we saving if treatment took away the things that made my life mine?
My Dad Drove on the Sidewalk: Behind We the Patients | Story 1 of 5
At 21, I watched my father drive onto a Manhattan sidewalk to get me home from brain cancer treatment. Thirty years later, I realized that absurd New York moment was a perfect metaphor for American healthcare: when the road is blocked, patients are expected to find the sidewalk.
Simplicity: The First Song I Wrote After Brain Cancer Tried to Take Everything From Me
In January 1996, I lay in a hospital bed with a brain tumor, no piano, and no idea if I would survive. A simple melody came to me. When I got home, my left hand had forgotten how to play. So I wrote Simplicity with just my right hand. 30 years later, I'm performing it live for the first time.
Out of Patients?
Join the recurring Out of Patients dispatch from Matthew Zachary covering the latest American healthcare shenanigans. Essays, podcast episodes, media appearances, book updates, and live events delivered with a sardonic Gen X perspective from a patient who simply refuses to shut up.
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