trying to leave the hospital

by: poppyseed

Sat Oct 17, 2009 at 13:07:02 PM PDT


so i was going to write about my patients but i can't because i'm trying to leave the hospital. last time i was on call was the day before yesterday into yesterday and i found out at the end of the shift that i have a golden weekend this weekend, which means i don't have to see the hospital, be in the hospital, or think about the hospital for two whole days. so i'm not going to. except i keep doing it anyway.
poppyseed :: trying to leave the hospital
i'll be lying in bed dozing off with my big, smelly dog at my feet and all of a sudden i know why the calcium went up so fast-- it's so obvious... and then i remember that i'm supposed to be sleeping, that i get very stupid when i haven't slept, and that i'm not still in the hospital at the bedside laughing with her family, telling them that their regular doctor is my boss and reminding them to tell her how smart and helpful and talented i am. and i'm not smiling into her face and remembering how sick she was twelve hours ago and i'm not checking the IV bags hanging over her bed and realizing that one was missing and hating myself for not figuring that out six hours ago and i'm not chasing the IV nurses away from her telling them we don't need that second line after all because even despite the missing bag she's turned from a very frightening lump of dying into a good natured woman who laughs with me out of kindness while i laugh at her with relief because last night she really looked like she was trying to die.

because i'm at home with my smelly dog and the tv playing my favorite shows in a loop in the background so it sounds like my friends are chatting in another room which always helps me forget that i'm not in the ER trying to examine that guy in the five minutes i have before attending rounds, before i have to unleash my intern on the hospital, flinging requests at the radiologists and the specialists, before i run down to pathology to check if there are blasts on the peripheral smear so i can page hematology from surgical admitting because this hospital just does not have enough phones, enough computers, enough.

and it's the middle of the night and i'm tucked into the bullpen with a dvd playing softly in the background and my coat hanging on the back of the door and the light on in the other room and i'm trying not to think about the guy we admitted who was discharged from surgery the day before too weak to walk and how the @#$*&^ was he supposed to take care of himself alone by himself in his apartment with his brand new cancer and his gigantic staple line like a zipper down the middle and we picked him up unclaimed like a bag at the airport from the ER because we're supposed to take one unclaimed from the ER every day even though the clinic is full and has been full for as long as i've worked there and my own patients can't even get in to see me and the clerks make fun of me because i keep asking to see my patients and they keep telling me i have no appointments until some unbelievable time in the far distant future but i want to see this guy because he has nobody, really, and i don't know how we're supposed to find him a place to go to die when he has no money and wasn't surgery supposed to do that before throwing him out on the street two days ago?

but i'm at home with my smelly dog and it's 11 o'clock at night and i've been up and working since six o'clock yesterday morning and the clock keeps wandering forward toward the doors of the hospital that i keep trying to shut behind me.

and the noise coming from behind the door is like the noise coming from the crowd at a football game. and in my mind, the patients press up against the glass of the door, calling out to me and pointing at things they need me to get for them.

and it's hard even in my mind to turn my back and walk away from those doors.

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this is so true for many who work in hospitals.

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"Health is Dignity and Dignity is Resistance"

What is health justice? How are health & human rights fiercely connected to the wellness of our neighborhoods? How do we reframe policy debates? How do we continue dreaming and building instead of just reacting & surviving? And how do we support each other in our healing?

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