Neither Was Mine

There are parts of medicine that are horrendous. Moments too painful to recount. Events that will break even the most innocent participants.And then there is unspeakable magic.I live for the days when a patient comes to the office with a particularly vexing set of symptoms. Specialist after specialist bows their head in disagreement. Laboratory values whisper falsehoods with jeering tongues. Symptoms are transient, physical exam signs inconsistent, and in the midst of head scratching an answer mysteriously appears. Maybe a common presentation of a rare disease. Or a rare presentation of a common disease.Explaining with words so fast that sentences jumble. Ideas merge. The patient shakes their head enthusiastically less because of deep understanding, and more because they know that my excitement means that finally the answer will unfold like a blossoming flower selflessly bearing its pollen. I will eventually slow down enough to present a cogent explanation. And things will get better.It lifts me up when a patient sits down beside me after yet another round of chemo. When, at the end of the day, I have a sparing moment to settle in for intense conversation.  I bite my tongue, become quiet, and listen. I hear of hopes and dreams. I hear of pain and suffering, joy and fear. We talk like doctor and patient. Like friends. Family members.We get past the intangibles of life and death, and move ...
Source: In My Humble Opinion - Category: Primary Care Authors: Source Type: blogs