Sayed Tabatabai, MD Profile picture
Sep 30, 2020 11 tweets 3 min read Read on X
Wake up with a strange feeling in the pit of my stomach.

Not quite anxiety, not quite fear.

Shower and it doesn’t go away.

Drive to work, construction on the roads, take the detour. Park and exhale, overcome inertia and get out of the car.

The air is unexpectedly cool. 1/
A man sits on a bench outside the ER. Torn jeans, hollow gaze.

He nods hello to me. I nod back.

Masks hide facial expressions.

I walk past, into the hospital.

COVID screening. Point the infrared thermometer gun at my forehead and pull the trigger.

Beep. Good. 2/
Get on the elevator to the ICU. It’s no longer a “COVID unit,” but I remember when it was.

This used to be the Monster’s lair.

We didn’t kill the Monster. It killed us.

200,000 of us.

And it’s waiting, biding its time, prowling, invisible.

Seething in silent fury. 3/
I sit down at the workstation, click open my patient list, and start going through lab work and triaging.

Giving my day a skeletal structure.

An intensivist sits beside me. Normally a talkative man, he is subdued. We barely speak to each other.

Perhaps he feels it too. 4/
As I make my rounds through the hospital and see non-COVID patients, I try and rejoice at the small things.

The ability to perform a physical exam unencumbered by the layers of armor needed in a COVID room.

The ability to listen to clear breath sounds, deep breaths.

Peace. 5/
Later that afternoon I’m eating lunch.

In the cafeteria is one of my colleagues who survived COVID after being intubated, and on ECMO.

He has lost a third of his body weight, and looks nothing like the man I remember.

He shows me a photograph of himself in the ICU. 6/
In the photograph, he is without any context.

He is a human body, with tubes connecting to machines, the venous blood a rich, dark, crimson as it runs into the ECMO circuit, bright red as it returns with its precious oxygen.

I don’t know why, but suddenly I want to cry. 7/
He offers me a faint smile. I am deeply grateful he is alive. It means a lot to me in this moment. Everything.

As he walks away slowly I remember a year ago, when he came up and slapped me on the back gregariously, saying hello.

Survival doesn’t mean nothing died. 8/
Leaving the hospital to head to my office, the bench outside the ER is empty, no man in torn jeans.

Just my memory that he was once there.

Driving, I notice people walking during their lunch break, along the sidewalks.

No masks. Used to make me angry.

I feel nothing now. 9/
In the office my colleague goes over the latest COVID data with me. He tells me to exercise. To steel my mind and body for the rising tide.

I gaze at the numbers, the data, and don’t see any of it.

Instead I see two glowing eyes, staring back at me.

Something stalking. 10/
Get home later that night.

Get ready to go to bed.

Have a strange feeling in the pit of my stomach.

Not quite anxiety, not quite fear.

It’s been with me for days now.

Sleep comes fitfully.

I dream that I’m laughing.

And laughing.

Wild as a wolf, howling at the moon.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Sayed Tabatabai, MD

Sayed Tabatabai, MD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @TheRealDoctorT

Oct 31
Sometimes I like to look at the people on the other side of the glass.

I watch them as they live their lives.

Trusting in the world around them, trusting that the sun will rise.

I used to trust too. But trust can take you places.

Places you never wanted to go. 1/
It’s 2004. I’m an intern, fresh out of med school.

So far the experience of being an actual honest-to-goodness bonafide doctor has been a mixed bag.

Some days are encouraging. But I’m struggling with imposter syndrome.

I didn’t know the M.D. stood for “Mostly Depressed.” 2/
I don’t know that I really believed in imposter syndrome before. The idea seemed silly. After all the work I’ve put in, how can I doubt myself?

Turns out it’s not that hard.

Every nurse seems to see right through my incompetence. Patients want to see the “older doctor.” 3/
Read 25 tweets
Sep 23
I glance down at the paperwork my patient has filled out before his visit.

Occupation: Retired harbour master.

Two things: I’ve never met a harbor master before. And “harbour” with a “u.”

Interesting.

It’s the little everyday mysteries that I love most. That reveal us. 1/
He’s almost 100 years old, and yet he springs up from his seat when I enter the room. He shakes my hand so firmly I can feel the sting in my knuckles.

His smile is ear to ear, and his eyes are bright.

“Doctor, how are ya? Good to see you!”

I can’t help but smile, “Hello!” 2/
As I take a seat, I instinctively pull my seat closer to his.

With my patient population, I’ve learned to sit closer, to speak slower, and louder. Be direct.

Sometimes I forget to switch this off. Sometimes younger patients wince and tell me to stop yelling at them.

Sorry. 3/
Read 17 tweets
Nov 14, 2023
To all those students who’ve had a question, but worried that it’s too obvious, or unnecessary, or worst of all, stupid…

Ask.

As someone who answers questions for a living, let me tell you something about questions.

They’re more than just questions. 1/
Every question asked is a spark. A sign. That wheels are turning. That thoughts are following a thread.

Even if it’s the wrong thread, you won’t know until you ask.

Questions give us pause.

Questions give us chances.

Chances to review. To reframe. To re-evaluate. 2/
Wrapped up within every question is an opportunity.

An opportunity to see things through different eyes.

An opportunity to do better, to be better.

It’s the ones who don’t ask questions that I worry about.

It’s the ones who don’t ask questions who make me nervous. 3/
Read 6 tweets
Oct 31, 2023
I went into medicine to help people.

No, really, I did. I know it sounds corny now, or fake, I suppose. But there was a reason for this.

At least once.

I have to keep telling myself that. Keep remembering that.

Because I’m running out of time.

And I want you to know. 1/
Anyways, backtrack. I’m a radiologist. I spent years training to be able to look at imaging and see a vast variety of problems.

I’m not one to boast, but I’m pretty good at what I do.

You might even say I’m gifted.

But some gifts… well, they come back to bite you. 2/
Be systematic. That’s my mantra. Be systematic, always. It’s the discipline of the thing.

I will never meet most of the patients whose studies I review, but I still feel a certain… attachment.

A responsibility to do my best.

Being systematic means I don’t miss anything. 3/
Read 22 tweets
Apr 24, 2023
On the morning of his 95th birthday, Joe woke up at exactly 6AM.

This small irony never failed to irritate him: he had never been a morning person, but the more the years passed, the earlier he woke.

“Well, this is it!” He said, to no one, as he swung his legs out of bed. 1/
He brushed his teeth methodically, a small timer telling him when it had been exactly three minutes.

Rinsing out his mouth, he couldn’t help but smile as he thought of the day ahead.

The last day.

Joe had made up his mind years ago that his 95th birthday would be his last. 2/
He wasn’t suicidal, mind you, he enjoyed life and had no intention of killing himself.

He was just tired. He had no friends left, no family. And he had always been a sociable man.

Life just didn’t excite him anymore. He’d seen it all, done it all.

He missed his wife. 3/
Read 24 tweets
Feb 20, 2023
I have only ever known you within the confines of this exam room in my office.

Years ago, you were sent to me for a consultation.

Understandably nervous, you had all your questions written out on a notepad in your spidery handwriting.

You believe in being organized. 1/
As we go through each question, one by one, you cross it off your list.

I have questions for you too. For one, I want to know where you got your glasses. I need new frames.

It makes you smile for the first time in the visit.

As if perhaps things might be okay.

Maybe. 2/
The years pass. I only ever see you when you come to my office for a followup.

You still write your questions down, but with the passing of time, there are fewer and fewer.

I know you exist outside this exam room, as a whole person. And that’s who I try to get to know. 3/
Read 10 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(