Shortcomings of a Sanctuary
In the hospital lobby, three police officers / surrounded a woman in an oversized, white T-shirt, / sitting in a corner chair that nearly swallowed her whole, / enveloping her in its dull, floral pattern.
In the hospital lobby, three police officers / surrounded a woman in an oversized, white T-shirt, / sitting in a corner chair that nearly swallowed her whole, / enveloping her in its dull, floral pattern.
Nineteen. Oh the joy of being 19 years old. Can you remember back that far? Reminisce on the butterflies you felt as you waited for your date to pick you up for your very first college party.
Like many medical students, I am familiar with the antiparasitic medication ivermectin, a common drug taught in medical school. Ivermectin became an unexpected subject in the COVID-19 pandemic. However, after seeing a patient in the clinic taking ivermectin as an alternative to vaccination, the news hit differently.
There is a fine line between medicine and mortality: give too much and it can kill someone; give too little and even that could kill someone. We show up to the hospital with the intent to save lives, and anything that deviates from that goal is seen as a failure of the system, or, at times, of ourselves. However, over time, we come to learn that there is an in-between where we are at once trying to preserve life, all the while embracing the idea of human mortality.
“This one is a handful. She brought a long list, too, so good luck with that,” the nurse said as she handed me the patient prep sheet. This was a new patient to the family medicine practice. I was seeing her near the end of a long day, so I took a deep breath to reset my mind as I entered the exam room, prepared to listen.
“I have good news for you,” my resident exclaimed as she walked into the exam room. She was holding the patient’s most recent vitals handed to her by a nurse practitioner.
My first patient with Alzheimer’s, Sheryll, led me on a journey of questions and self-growth which I had never expected. Until meeting her, I hadn’t thought extensively about how our biology may dictate cognition and free will. While my thoughts on the matter continue to develop as I broaden my clinical experience, these considerations continue to frame my understanding of my patients, myself and the world around me.
It was obvious that something was off. His mood was not what I would expect from a patient who had received a transplant, which for many patients represents a second chance at normalcy and freedom from the restrictions of dialysis. As we started our trek out of the SICU, my attending continued to tell me Mr. W’s story.
There are fewer flowers in the hospital rooms now. / The ones sent to room 22 / have been taken out.
On Monday morning, a medical assistant finds me with a nasal swab in hand. I scribble my signature and temperature on the form he hands me. “Ready, Maria?” he asks, and then laughs when I groan in response. I tilt my head, close my eyes and wait for the worst part to be over. After 15 minutes of waiting in the student workroom, he tells me I am COVID-19 negative and set for the week.
We often find inspiration in our ability as humans to create anew. I too fall prey to the promises of New Year resolutions and birthday candles, beckoning to us with the allure that our future rests in our hands.
I was the student on the pediatric surgery service consulted to monitor her during her hospital stay — making sure we were ready to intervene if her esophagus ruptured and all that. After admitting her to the floor, we attempted to contact her parents. Mom was somewhere in Illinois, Dad doing I-still-don’t-know-what in Canada, both completely unaware that the life they each helped create was potentially in jeopardy at a Southeast Michigan hospital.