The Psych Ward
This was my patient. I sat with her, held her hand, coaxed her to share pieces of her life story from underneath the covers.
This was my patient. I sat with her, held her hand, coaxed her to share pieces of her life story from underneath the covers.
Oh God, what time is it? I stumbled over to my bedside table in pitch-black darkness, thanks to my new blackout curtains, which continue to be the best financial decision I have ever made, and checked my phone that was blasting my alarm.
As patients moved in and out of the modest office for their appointments, their duffel bags and luggage in tow containing all their personal belongings, the day unfolded in typical fashion. Yet, within the confines of this psychiatry office catering exclusively to the local unhoused population, “normal” took on a unique meaning.
At the start of clinical rotations, we are urged by preceptors to immerse ourselves in the experience, advocate for our patients and strive to understand them better than the rest of the team. I could not, however, shake an underlying thought: Why would any patient divulge their most intimate details to someone so inexperienced? After all, I was just a medical student.
“Could you water my plants?” I asked my roommate when I was out of town. They say it takes a village to raise a child, make it through medical school, to do anything worth knowing. When I started medical school, I had a village: parents, friends, family, a partner and my plants.
A light knock at your hospital room door and my introduction: “I am a first year MD-PhD student. Thank you.”
During my family medicine clerkship in medical school, I worked with a free mobile primary care clinic dedicated to serving uninsured patients. Parked outside a church in a large city, the clinic was a large blue bus standing in stark contrast to the gray asphalt parking lot around it.
Going into my third year of medical school, my goals were simple: survive and figure out what I wanted to do with my life. My first clerkship was surgery, and what a chaotic start it was. I often felt like a burden on my team. I knew nothing and asked the exhausted, busy residents a lot of questions. I was a walking ball of anxiety those first four weeks: How many questions was too many? How many questions was not enough?
When you begin clinical rotations in medical school, people encourage you to be as involved as possible in patient care. They tell you to take initiative, to challenge yourself.
As we got closer to the ED, the excitement evolved into a feeling of discomfort. It was uncomfortable to feel even briefly excited by another person’s misfortune. I felt a sense of disequilibrium as I realized I had strayed from the delicate balance medical students and physicians continually try to find.
I start the day like most of us do: stimulating the needy vessels we call bodies with caffeine. As I open up my coffee jar to dispense ground Turkish coffee beans, I am met with a hint of loving bitterness. It carries a comforting brown sugar warmth that often stirs a sense of weakness given my inherent dependency on this substance but also commands secure boldness through notes of molasses and dark chocolate.
The once-sterile hospital room had become a sacred space, where the raw emotions of love and loss hung in the air. The young daughter, vibrant in her essence but tethered to life support, teetered on the precipice between existence and the inevitable.