Was paid a visit today, by a great horned owl.

It perches on a low-lying branch, and watches me with eyes so golden they seem like twin suns.

Everything brings forth a memory now.

A connection.

The owl flies away, with slow leisurely flaps of large wings.

Effortless. 1/
The gold of its eyes.

The yellow of his eyes.

I’m an intern, it’s the early 2000s, and I’m on a gastroenterology rotation.

Seeing end-stage liver failure up close, learning the shades of yellow that skin can turn.

From a sickly tinge to something that looks radioactive. 2/
My attending sits across from me.

“That’s often the hardest part,” he says, “the realization of just how sick they are, and it’s already too late.”

It’s a painful lesson I will learn again and again as the years pass.

How bitter the truth can be.

How sweet the mirage. 3/
It’s December of 2020. The COVID-19 pandemic rages on with unabated fury.

To those who haven’t seen it up close, it remains a distant and unfamiliar specter. Perhaps a mirage.

To those who face it, the monster still draws breath, and takes thousands of lives daily. 4/
All of our COVID units are open now, and the San Antonio metrics show that we are reaching a particularly precarious phase.

I know the data. I know what’s happening to my census lists. I know what my partners are seeing in other hospitals.

We aren’t out of the woods. 5/
Some of my colleagues follow me here, on this app. I eat lunch with one of them.

“I notice you haven’t written a story in a while,” he says.

I nod.

It’s true. Between the long hours, the hard work, the numbing routine... it’s been difficult.

“I’ll write, eventually.” 6/
“You should keep writing about COVID. People think this vaccine is here and it’s all over.”

I want to tell him I’m sick of writing about COVID. I’ve written dozens of threads about it.

I’ve written my heart out.

And for what? For who?

For me?

For you?

To bear witness? 7/
Yes. I’m angry.

Disappointed, and heartsick.

I thought we would be better. Do better. We were let down, and we let each other down.

Every death seems to hit so much harder now that a vaccine is finally here.

Deus ex vaccina.

Here to save us all. 8/
What will we have learned from the COVID-19 pandemic as it eventually gets consigned to the pages of history?

Will we learn as a society? At all?

Or are we just eager to get back to the world we once knew.

The mirage.

Where we were all safe, because we were exceptional. 9/
Gore Vidal called us the United States of Amnesia, and he was right.

Only some of us won’t have the luxury of moving on so easily.

There are empty spaces between us now.

Hundreds of thousands of empty spaces, that never should have been.

Yes, I’m angry.

And heartbroken. 10/
“I like the way you write. It seems effortless.”

I’m drawn back into the conversation with my colleague, and smile.

“Thank you, but it really isn’t effortless. Sometimes it’s like surgery. Painful, and bloody.”

He laughs. “Well, if you ever need an anesthesiologist...” 11/
Later that evening I’m sitting outside my home.

This part of Texas can get awfully cold in the winter. It snowed a few years ago.

My breath fogs and hangs in the air.

I think about my day.

As I remember each of the day’s deaths, I notice a somber visitor watching me. 12/
Was paid a visit today, by a great horned owl.

It perched on a low-lying branch and watched me with eyes so golden they seemed like twin suns.

Everything brings forth a memory now.

A connection.

The owl flew away, with slow leisurely flaps of large wings.

Effortless.

• • •

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

3 Dec
Every day I see the same cook in the hospital cafeteria.

I say hello, and ask him the same question.

“How’s it going?”

He always smiles and shrugs, “Eh, not bad for a Monday.”

Except he says “not bad for a Monday” every day of the week.

Finally I ask him about it. 1/
“Look doc, any day you gotta wake up early and go work, heck, that’s a Monday in my book.”

“So, a work week is five Mondays?”

“Yeah!” He laughs.

Another cook stands beside him. She shakes her head, “Don’t listen to him, doc.”

I offer her a grin, as she continues. 2/
“I’ve been real sick in my life. I know how sick people are in this place. Every day isn’t a Monday, it’s a Friday, because every day is a blessing and you look forward to the next one. For me, every day is a day I wasn’t guaranteed. A second chance.”

I nod, and smile. 3/
Read 11 tweets
24 Nov
(Shared with permission.)

As we finish up the visit, I wonder again.

What’s in the backpack?

The patient sits before me. A large man of few words, head shaved, muscles rippling, tattoos.

I finally ask.

“So... what’s in the backpack?”

He smiles, and reveals his secret. 1/
But this story doesn’t begin here. And, to be honest, it’s not really about what’s in the backpack.

It’s about... well, you decide.

The day begins like any other. I’m rounding in the hospital. I print my patient list, and triage.

Rituals, structure, form, function. 2/
I’m noticing the words “COVID +” popping up more and more next to patient names.

Unbidden, a song pops into my mind.

“It’s the time, of the season...”

The Zombies. 1968.

What does it have to do with anything? Nothing. But now it’s stuck in my head.

All us zombies. 3/
Read 16 tweets
13 Nov
There is something strangely hypnotic about the dialyzer, the way the blood pump keeps turning in its infinite loop.

Then again, when you’re tired enough, anything can seem mesmerizing.

It’s 2008, and I’m in the midst of my nephrology fellowship.

It’s been a long road. 1/
Being on call as a fellow usually means staying late, especially when the hospital is busy (i.e. always).

It’s a cold November night.

I’m sitting at a workstation desk in the inpatient dialysis unit, my gaze glued to the dialyzer across from me, zoning out.

“Awake doc?” 2/
The charge nurse is from Jamaica. She is calm, with the quiet competence that only comes from experience.

Her accent is soft, but still enough to be distinct.

It makes me think of places far away from here.

A warmer, more forgiving sun.

I smile, “Yeah, I’m awake.” 3/
Read 20 tweets
31 Oct
The year is 2006.

I’m a medicine resident rotating through the ER. Together with a surgical resident and ER attending, I am responsible for working up patients and assigning admissions.

It’s the night shift.

I don’t know it yet, but my life is about to change, forever. 1/
The patient is a young man in his late twenties. The intake form says “severe fatigue.” Honestly, I could say the same for myself. Welcome to residency.

He sits on the edge of the stretcher in the exam room, and looks up as I enter.

I introduce myself.

He says nothing. 2/
He doesn’t look particularly fatigued. In fact he looks the opposite. Wide awake, sharply alert. His eyes are a hazel brown so golden they appear almost yellow. His frame is lean, wiry.

I start asking him questions, trying to figure out why he’s here.

He grunts yes/no. 3/
Read 23 tweets
27 Oct
I am a medical student, plagued with a thousand insecurities, unsure of my future, drowning in debt, and completely lost on my renal rotation.

The attending nephrologist sits across from me.

He has some advice.

“Learn just one meaningful thing, every day. That’s it. One.” 1/
I nod, sighing. In the depths of my impostor syndrome, I don’t yet realize the worth of what he is trying to teach me.

“So, Sayed, what did you learn today?”

My mind is blank.

“Uhm... where the dialysis unit is.”

He grins, “A valuable insight. You’re gonna be just fine.” 2/
The years pass.

Through trial and error, and the guidance of amazing mentors, I find my way.

The truth is I forget much of the minutiae I memorized for all the endless med school exams.

But I do hold on to some things.

At least one thing, every day.

Just one... 3/
Read 9 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

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

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!