4/ As I rode the elevator down to the cafeteria, I felt my phone buzz in my pocket.
"Dr. M, do you have a minute?"
It was you. Instead of responding, I pushed the button to return to our team room instead of getting off. As suspected, you were still there holding your phone.
5/ You startled when I walked back in.
Me: "I decided to just come on back. What's up?"
You paused for a beat and then spoke.
You: "Um. . .I was just wondering. Is it possible for us to maybe round at 2 instead of 1? Or even like 1:30 or so?"
Me: "Uhhh... I guess."
6/ I remembered how much I hated when my attending usurped my plans as a resident.
Me: "If it's okay with our resident it's okay with me."
*silence*
Me: "Did you need more time to prepare? Because it doesn't have to be perfect. We can tackle everything together."
*silence*
7/ You: "You know what? That's okay. 1 is fine."
You offered a bright smile to reassure me. Then held a thumbs up.
Me: "I'm not against rounding at 2, you know." *furrowing brow* "Do you mind telling me what's up?"
You drew in drag of air and began to speak.
8/ You: "Umm. . .yeah. So, a group of Muslim residents meet up on Fridays at one for prayer. So, I was trying to go but it's cool."
I froze.
Me: "Dude. Of course we can push back to 2."
I took out my phone to text the team but paused to look back at you.
9/ Me: "Wait. Is this, like, a new thing?"
You: "What?"
Me: "The Friday prayer thing."
You: *laughing* "I mean it's pretty ancient for Islam. But as for us residents, it's been going for a while."
I sifted my brain to wonder who else on my team missed this.
Dang.
10/ Me: "Shoot. Now I'm kicking myself for never knowing this. I appreciate you speaking up."
You: "I mean, everybody has different levels of observance, you know? So not every Muslim resident would feel the same about this."
I nodded. And that was it.
Yup.
11/ From then on, I created a space for that option. Which opened my eyes to the other observances that I'd never considered.
You weren't the last resident who wanted that time preserved. But you were the first one to tell me without me asking.
Yup.
12/ There is so much that others people and forces them to say "never mind" because they're in the minority.
But that really shouldn't be, you know?
I'm grateful for your honesty.
I'm grateful for your example.
I reconciled your name on my note card. You looked up at me with an inexplicable expression.
You: “Yes?”
Your eyes narrowed in suspicion. And I bristled.
2/
I stood up taller and cleared my throat in an effort to increase my psychological size. You placed your crossword puzzle face down on the tray table and raised your eyebrows.
Me: “Um, yes. My name is Dr. Draper and I’m one of the doctors that’ll be caring for you.”
3/ You: “You my doctor?”
Me: “I am.”
Just then, I noticed you release the tiniest, almost imperceptible inward sigh. Which was admittedly surprising to me.
Here’s why:
Your pecan complexion and greying temples mirrored those of my own family. This wasn’t what I expected.
Pt: “Hey Doc Manning, you got any crumbsnatchers?”
Me: “Yup. Two wild ones.”
Pt: *squints* “Ooooh! They ain’t wild, is they?”
Me: “Chile. One of ‘em fell out last night in the toy aisle at Target.”
Pt: “Whaat? Lawd!”
*laughter*
2/ My team looked puzzled.
Me: “Hold up. Do y’all know what a crumbsnatcher is?”
*silence*
One of the interns spoke first.
Her: “I mean, from context clues, my guess is . . is it . . . kids?”
Pt: *points* “Ding-Ding!”
*laughter*
3/
Me: “Yeah. Kids. Usually little ones. ”
Pt: “Yeah and the type that cut the fool out in public.”
*laughter*
Student: “Cut the fool?”
The patient and I exchanged glances. Then we exploded in laughter. So did the nurse who was flushing his IV.
I considered myself one of the ones who knew. Knew what to say and what things weren’t cool.
Yup.
I spoke your pronouns with my whole chest. Bent over backwards to prove that I was one of the good ones. And, for the most part, you seemed appreciative.
2/ I felt like I was affirming you. And modeling all the the things that should be modeled.
Then one day we were talking about a transgender patient on rounds. And, while gender had nothing to do with why she was hospitalized, that aspect kept taking center stage.
Yup.
3/ I could feel things getting weird. You shifted on your feet and stared at a spot on the floor. That’s how I knew.
Then someone said something that made you look up.
Them: “Well, this patient is still, you know, transitioning. Like from male to female.”
1/ I was rounding with my team recently and you were our new patient. A student had presented your case at the bedside. You listened intently and offered corrections where needed. After examining you, I paused and twisted my mouth under my mask.
I narrowed my eyes.
2/ This didn’t make sense to me. And to be clear— it may very well have made sense to someone else.
Just not me.
You: “You alright over there, doc? Look like your wheels turning hard.”
*laughter*
Me: “You got me. Yeah, I’m just trying to put this all together.”
Hmmm.
3/
Like, your physical exam fit the story. And part of your lab tests and imaging aligned with the leading diagnosis. But then there was this other part of your blood work that threw a curveball.
The ICU fell silent. A heavy cloak of sorrow pressed down on the room.
*whoosh*
The familiar rush of heat came to my face. Next came the prickling in my eyes. Once the tears started I knew they wouldn’t stop.
Shit.
I needed to get out of there.
2/ She was my patient. And out of deference I knew I should still myself and stand in the awful with the team.
But I needed to get out of there. Before I started to cry.
Because we don’t do that. Not here. Not in front of people.
At least, that’s what I’d been taught.
3/ See, when I was a med student on my OB rotation, I was assisting on an emergency delivery. When the baby was born, there was no pulse or spontaneous breaths.
All hell broke loose.
Thumbs compressing a tiny chest. Meds. Intubation and O2.