In “The Self on the Shield”, Levine discuses how an essay is a gateway into a person, that you should leave the essay “feeling as if you have met someone” and that “the worst thing an essayist can do is fail to make an impression” (159). It should feel as if you are confronting a person when reading an essay, that someone is standing before you and they have imprinted something within you. An essay is something personal, something that takes facts or abstracts and turns it into something only the author of the essay can share. They want to say something, even if they don’t know what that something quite is–and that’s what makes an essay and essay.
And in “The Empathy Exams”, that’s exactly what Jamison does. The essay combines fiction and fact, Jamison playing a medical actor. She plays a fictional role, and students see her as that fictional role, even though she’s a completely different person outside of all of that. She writes the essay a bit scattered, the format effective and interesting with using “Case Summary” and a section that has crossed out bits, “Patient is here for an abortion for a surgery to burn the bad parts of her heart for a medication to fix her heart because the surgery failed” (23). This writing style shows her inner thoughts throughout the official medical statement without even having to state her medical thoughts, the strikes showing what she would want omitted or what she can’t say.
Using both the case summaries and the medical listings of her actual medical history back to back show the contrast between fiction and reality, showing what she pretends to have and what she actually has, an interesting combo that really lets the reader get inside of Jamison’s head. When I read this essay, I feel like I met Jamison, like Jamison had left some kind of mark, like she had something to say based on everything she had been through.