- Joined
- Dec 19, 2020
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I was all about the academics. Succeeded all the way through. Often still caught up in being the best or right.
Then I got hooked on the money. Working as an EP seasons you quick. My mantra became making a dollar easier and more often.
Sometimes though, I feel. And I like that. 20s year old girl with a different ethnicity, gender and from the opposite side of the tracks than me presented by ambulance following two syncopal episodes at work with a head injury and headache. I don’t even know what she did for work. She worked, which meant something. She didn’t come voluntarily, or complain, but there she was. Her minor head injury and lac needing attention. Before I even saw her though I glanced at her PMH. Chronic pelvic pain. Chlamydia. PID. Drug abuse. I made a quick biased misjudgment and prepared for a difficult or annoying patient. She didn’t complain or over-dramatize pain though like I had expected. She didn’t really make any fuss at all.
I felt something. I didn’t want anything to happen to her. I knew a CT probably wasn’t necessary. Nor did she ask for one. I knew she wasn’t going to pay for it. Society will. Done caring. I just didn’t want to miss a bleed in someone I liked a little after a bunch of patients I didn’t because they were whiny and demanded whatever. The radiation is and was 99% irrelevant. CT negative. She probably didn’t think twice about that whole process. I knew it would be negative (experience), but it felt right. Medicine isn’t always justified clinical decision rules.
Next her lac. She grimaced when I said it needed stitches. She then bucked up and didn’t complain. Just asked politely, “Can I put my earbuds in first.” Seemed very reasonable. Why can’t most older adults cope with adverse situations as well? Never mind, I’ll never know. I sewed up her lac with 5 stitches in silence. She then softly thanked me. Didn’t expect that from a gen Z’er or always get that.
Left the room to get discharge parperwork. (I had given her a liter of IV fluids as I suspected orthostatic hypotension and dehydration as the cause of her syncope.) Day nurse who I don’t usually work with comes up to me as I’m typing/dictating and starts talking to me about how the patient confided in her that she can’t afford food and often goes a few days without eating. I initially was jaded and thought, how is this social situation going to mess up this discharge. Then she just told me she gave her a sack lunch, thought I was right regarding dehydration, and that we made the patient’s week. I felt a little guilty, privileged, weird, mad and sad about it all at once.
Then I moved on to the next patient who probably yelled at me about their wait because I spent time trying to line her lac up just right. She was my favorite patient of that night. I helped her. Not much, but enough to move me on to my next shift.
Reminds me that the medicine was coolest at first. I think I only care about the critical care. It only seems that the money is the only priority. A small part inside of me likes though when I can help someone. In the back of my mind I know why I ended up in this field instead of on Wall Street, in the CIA or on the beach of some tropical island where I feel I belong. Not saves. Little things. A well approximated, small lac repair on the face of someone who cares about scars, and a sack lunch for someone who works, doesn’t complain, and needs it a heck of a lot more than me.
My calloused self almost always forgets what it’s like to care amidst the onslaught of this brutal, thankless job, but sometimes it’s the weirdest patient encounters that grab me.
Any other meaningful stories out there?
Then I got hooked on the money. Working as an EP seasons you quick. My mantra became making a dollar easier and more often.
Sometimes though, I feel. And I like that. 20s year old girl with a different ethnicity, gender and from the opposite side of the tracks than me presented by ambulance following two syncopal episodes at work with a head injury and headache. I don’t even know what she did for work. She worked, which meant something. She didn’t come voluntarily, or complain, but there she was. Her minor head injury and lac needing attention. Before I even saw her though I glanced at her PMH. Chronic pelvic pain. Chlamydia. PID. Drug abuse. I made a quick biased misjudgment and prepared for a difficult or annoying patient. She didn’t complain or over-dramatize pain though like I had expected. She didn’t really make any fuss at all.
I felt something. I didn’t want anything to happen to her. I knew a CT probably wasn’t necessary. Nor did she ask for one. I knew she wasn’t going to pay for it. Society will. Done caring. I just didn’t want to miss a bleed in someone I liked a little after a bunch of patients I didn’t because they were whiny and demanded whatever. The radiation is and was 99% irrelevant. CT negative. She probably didn’t think twice about that whole process. I knew it would be negative (experience), but it felt right. Medicine isn’t always justified clinical decision rules.
Next her lac. She grimaced when I said it needed stitches. She then bucked up and didn’t complain. Just asked politely, “Can I put my earbuds in first.” Seemed very reasonable. Why can’t most older adults cope with adverse situations as well? Never mind, I’ll never know. I sewed up her lac with 5 stitches in silence. She then softly thanked me. Didn’t expect that from a gen Z’er or always get that.
Left the room to get discharge parperwork. (I had given her a liter of IV fluids as I suspected orthostatic hypotension and dehydration as the cause of her syncope.) Day nurse who I don’t usually work with comes up to me as I’m typing/dictating and starts talking to me about how the patient confided in her that she can’t afford food and often goes a few days without eating. I initially was jaded and thought, how is this social situation going to mess up this discharge. Then she just told me she gave her a sack lunch, thought I was right regarding dehydration, and that we made the patient’s week. I felt a little guilty, privileged, weird, mad and sad about it all at once.
Then I moved on to the next patient who probably yelled at me about their wait because I spent time trying to line her lac up just right. She was my favorite patient of that night. I helped her. Not much, but enough to move me on to my next shift.
Reminds me that the medicine was coolest at first. I think I only care about the critical care. It only seems that the money is the only priority. A small part inside of me likes though when I can help someone. In the back of my mind I know why I ended up in this field instead of on Wall Street, in the CIA or on the beach of some tropical island where I feel I belong. Not saves. Little things. A well approximated, small lac repair on the face of someone who cares about scars, and a sack lunch for someone who works, doesn’t complain, and needs it a heck of a lot more than me.
My calloused self almost always forgets what it’s like to care amidst the onslaught of this brutal, thankless job, but sometimes it’s the weirdest patient encounters that grab me.
Any other meaningful stories out there?
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