1/
Grady Hospital Clinic

I could feel your grief the moment I stepped into the room. The resident had already told me of your loss.

So fresh.
So recent.

They said you cried on an off for the whole visit. BP controlled. Labs fine. And a depression screen was negative.

Yeah. Image
2/
So me? I was just tasked with closing the loop as the attending physician. And, with no concerns with your chronic conditions, there wasn’t much to add or teach.

Or say.

I mean, other than sorry. Because I was.

I so was.
3/
I’d never met you before this day. But when I walked in and saw your face cloaked in pain, I searched myself for something. . . anything . . . to help.

But what was there? You had funeralized your son. And yes, though he was “grown” as you said, still.

He was your son.
4/
Even worse was the how.

You: “So crazy. I always was scared he could get shot, you know? I got him through his young years. Into being a man, you know? I ain’t never even thought it would be something like this.”

I was sitting on the foot rest of the clinic table. Silent.
5/
You gave a tiny shrug.

You: “I hate #COVID. I know I’m preaching to the choir but I gotta say I do.”

And yeah. I wondered that thing that people wonder when they hear of a #COVID death.

Was he sick?
Was he vaccinated?
Was he, like, healthy before?

But I knew not to ask.
6/
It’s like you read my mind, though.

You: “He ain’t want nothing to do with that shot. He say, ‘Mama, even if I get it I’d rather just deal with it than get that shot.’”

After that, you smoothed out your skirt and sighed with a resolved shrug as if to say:

It is what it is.
7/
So we sat in this suspended silence. Which, really, was only a few seconds but felt like more.

I looked up at you and offered a smile. Except, under my mask, you probably couldn’t tell.

I parted my lips to speak.
8/
Me: “What is his name? Your son.”

Is. Not was.

I could tell that caught you off guard. But it is still his name. And you are still his mother.

Is. Not was.

You: “He was named for his daddy. But I had three girls before him. So we all called him ‘Brother.’”

Brother.
9/
Me: “Tell me about Brother’s personality. He sounds special.”

You paused for a beat.

You: “Real loving. And giving. And fun-ny.”
Me: “Yeah?”
You: “Oh yeah. So funny.”

*silence*

You: “And as a boy? Spoiled rotten.” *chuckles* “I mean just rotten, chile!”

*laughter*
10/
You: “One time? His oldest sister was going to a carnival with a boy. And oooh, how he carried on so for her to take him along!”
Me: “Did she take him?”
You: “Did she? Girl, Brother came home with cotton candy, a stuffed bear, AND one a’them big ol’ lollipops.”

*laughter*
11/
You: “And would you believe that’s the man his sister ended up marrying?”
Me: “Whaaat? Even with Brother crashing their date?”

*laughter*

You: “Girl yeah. Sholl did. Brother and him ended up being real close, too. Even when they got grown. Sholl did.”

Sholl did.
12/
Me: “I love it.”

*silence*

Me: “Do you have a picture of Brother that I can see?”

You sure did. In fact, you had many. And I leaned over your phone as your leathery finger swiped through image after image. You told me where y’all were and who else was in it.

Sholl did.
13/
By the time you finished, I felt like I knew him. And I understood just why so many people were sad to see him go.

I reached for the door and paused.

Me: “Thanks for introducing me to Brother.”
You: *nodding*
Me: “You’ll have to tell us more stories about him next time.”
14/
You: “I sholl have a lot of ‘em.”
Me: “Okay, then it’s a deal.”

I gave you a little wave and walked out.

Next, I paused in the hallway. I pictured Brother sticky-faced between his sister and her beau while crashing that date. It made me laugh out loud.

Sholl did.
15/
So here is the part where someone expects this to become a cautionary #COVIDVaccine tale.

But nope.

Mostly I’m just thinking about what a privilege it is to get to do this job and care for these human beings. It so very is.

Is. Not was.

Yeah.💛

#humanismalways Image

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More from @gradydoctor

Feb 5
1/
Grady Primary Care Clinic, last week

Me: “I know other people have mentioned this to you already, but just wanted to check in about the #COVIDVaccine. I’m told you’re still thinking about it.”
You: “Yeah.”

*silence*

Me: “Wait, so yeah, you thinking about it?”
You: “Yeah.”
2/
*laughter*

Me: “Would you be okay with me talking to you a little more about it? Like, to give you more things to consider as you deliberate about it?”
You: “Yeah.”

You gave one eyebrow a playful raise.

Me: “Yeah?”
You: “Yeah.”
3/
You: “Although I think I done heard everything you ‘bout to say.”

I gave a hard nod and thought for a moment.

Me: “Okay. Then I need your help.”
You: “Help how?”
Me: “I have your ear but I sort of don’t know what to say. So I’m hoping you can tell me what’s stopped you.”
Read 15 tweets
Jan 30
1/
You used such beautiful words. Words like “gingerly” to describe how you approached the physical therapy maneuvers you tried that morning. And “cacophony” in reference to the food tray someone accidentally knocked to the floor.

I loved them all.
2/
Me: “You have such beautiful words. Such lovely and unexpected ones. It’s becoming my favorite thing on rounds this week.”
You: “Oh, aren’t words just grand? And so many to choose.”

You released a gentle chuckle. Then you coughed.

But gingerly.
3/
And so. Because it was established that we were both lovers of words, I closed each visit the same.

Me: “So what’s the word?”

And each time you would smile, stare off for a beat, and then share one.

You: “The word is . . . milieu. Do you know it?”
Read 11 tweets
Jan 17
1/
Grady Hospital

Him: "I like the way you look at me."
Me: "Excuse me, sir?"
Him: "I mean. . . I like how your eyes look at me."

His words caught me off guard. I’d only been there a few moments. It seemed misplaced.

Me: "I want to receive that. Tell me what you mean, sir."
2/
Him: "It's like your eyes they look at me like . . . I don't know. Like I'm somebody worth you looking at.”
Me: *listening*
Him: “Like they happy to see me. Do that make sense?"
Me: "I think so."

*silence*
3/
Him: "It’s like, when you came in here, you put your eyes on me and right off they told me. Like you made up your mind even 'fore you came in here. Like, 'So what about what he look like or what stuff he got going on. He worth my time.’ I could tell.”

I kept listening.
Read 9 tweets
Jan 9
1/
The hospital is on diversion. And is at 106% capacity.

The jeopardy backup system has been exhausted. Because people keep testing positive.

Oh, and the kids' school will be remote this week.
For now.

And the 750 emails I missed on vacation? Everyone is "looping back."
2/
All of this is swirling through my head as I am walking through the hallway at Grady.

*ping*

A text.
A text reminding me to check my email.

Uggh.

I pause for a moment and close my eyes. I take in a drag of air. A simple reset that I do when I need a break.

Woosah.
3/
That pause must've given you an in.

You: "Scuse me, doc."

I slowly opened my eyes and turned to face you. Sitting on the padded seating near the information desk.

Me: "Hello there."
You: "Can I ask you a question?"

I waited before answering. And thought about my reply.
Read 19 tweets
Jan 5
1/
Grady Wards

Them: "Hey Dr. M. You busy?"
Me: "Not at the moment. What's up?"
Them: "Wondering if you could weigh in on rash on our new patient. It's on her backside. Kind of looks like yeast but I'm not sure."
Me: *listening*
Them: *pointing at door* "She's in bed 2."
2/
Me: "Okey dokey."
Them: "I need to run and see someone with chest pain. Can you let me know if I should call derm after you look?"
Me: "Yup."

I watched the resident disappear down the corridor as I stopped to open the chart in the EMR.

Ooooh. A Grady elder.

Yay.
3/
I approached bed 2 and noticed that the curtain was pulled all the way closed.

Me: *knocking on wall* "Hellooooo. . . "

When I came around the pink divider, this Grady elder was in the middle of being given a sponge bath by one of our nurse assistants.

And was not pleased.
Read 14 tweets
Jan 3
1/
Grady Wards

Him: "You know? My friend had a heart attack just like me. Just a year older than me. He died. My tight man, too."
Me: "Wow."

His brother was sitting in a bedside chair and chimed in.

Brother: "And don't forget the dude from the car wash.”
2/
Brother: “Wasn't even 50. Left a wife and 4 kids behind."
Him: "Ahh man. I forgot about that. He was good people, too.”
Brother: "Oh yeah."
Him: *snaps finger* “And remember ol' dude from The Sopranos? He died from a heart attack, too. Young."

He shook his head and sighed.
3/
The room fell awkwardly silent after that. I guess something about mentioning Tony Soprano seemed to make the possibility of death seem more real. His eyes started glistening and his face cloaked over with grief.

He turned his head away, hoping his brother wouldn't notice.
Read 10 tweets

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