Julian Ungar-Sargon

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Poems

Moving Poetry by Dr. Julian Ungar-Sargon

After The Gallbladder

jyungar March 12, 2026

In the small dark chamber

beneath the ribs

there once hung a modest organ,

pear-shaped, patient—

a vessel of bitterness.

The ancients knew it well.

They called its shadow melancholia,

the slow black tide of the body—

μέλαινα χολή,

מָרָה שְׁחוֹרָה—

the humor of sorrow,

the ink from which certain thoughts are written.

It worked quietly for decades,

distilling the sharp green river of bile,

a chemist of digestion,

but also—if the old physicians were right—

a steward of moods,

keeper of that dim corner

where resentment ferments.

Then came the stones.

Not smooth, obedient crystals

but rough little fossils,

armored like sea creatures

dredged from some interior ocean.

Crustaceans of memory.

Each one a sediment

of unsurrendered grievance—

small angers

calcified by time.

They had grown in the dark,

layer upon layer

like barnacles on a forgotten hull,

the slow architecture

of what I would not release.

The surgeons found them

and named them pathology.

But I recognized them.

I had carried those stones

long before they appeared on ultrasound.

Now the chamber is gone.

Excised.

The surgeons removed the vessel

that once stored my bitterness

and sent it away in a plastic jar

to the quiet bureaucracy of pathology.

What remains

is an empty geography beneath the liver,

a small unoccupied province

in the republic of my body.

And I wonder:

Where will the bile of the spirit go now?

Where do we store

our unfinished angers

when the body refuses

to house them?

If the gallbladder

was once the cupboard of bitterness,

have the surgeons performed

a reluctant moral surgery?

Or will resentment simply migrate—

as grief does—

to some other organ

that has not yet learned its name?

There was another moment

more terrible than the stones.

The invasion.

Cold lights above me,

voices speaking the grammar of procedure.

The anesthesiologist—

a calm emissary of oblivion—

standing at the border of consciousness

with a syringe.

I remember resisting

the way a child resists sleep

when night feels like a small death.

“Count backwards,” he said.

But numbers were already dissolving.

A slow chemical dusk

entered my bloodstream.

I protested—

not loudly,

but with the primitive panic

of a creature that knows

something sacred is being surrendered.

Consciousness itself.

The last thing I recall

is the strange intimacy of it all—

how medicine must sometimes conquer the patient

in order to heal him.

A quiet coup

in the republic of the body.

And then—

nothing.

A white interval

where time collapsed.

When I woke

the stones were gone,

the vessel gone,

the bitterness unmoored.

The body had been edited.

Now I walk again in daylight

with one less chamber of sorrow.

Bile still flows—

the liver finds its own paths—

but the ancient storehouse is absent.

Perhaps that is the final lesson

of this small surgery:

that bitterness was never meant

to be kept.

The body tolerated it

for a while—

even crystallized it

into beautiful little fossils—

but in the end

it expelled the archive.

And so I move forward

lighter by a handful of stones

and an organ of darkness,

wondering

whether forgiveness

is simply the physiology

of a body

that refuses

to store bile any longer.

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Julian Ungar-Sargon

This is Julian Ungar-Sargon's personal website. It contains poems, essays, and podcasts for the spiritual seeker and interdisciplinary aficionado.​