Him: "Is that a tattoo on your wrist?"
Me: "Yes, sir."
Him: *scowls with disapproval* "You a doctor with a tattoo on your wrist?"
Me: *chuckle* "Yup."
Him: *squinting* "Is it real? Like. . . permanent?"
He leaned a little closer.
2/ Him: "What do it even say?"
Me: "It says 'sister.'"
Him: "'What you go and do that for? Was ya scared you was gon' forget you somebody sister or what?"
*laughter*
Me: "No, sir. I actually had a sister pass away in 2012."
Him: *eyes widening* "Really? Aww, sugar. I'm sorry."
3/ Me: "Yeah. Definitely not a club I wanted to be in."
Him: "I hear you. Lord knows I know 'bout that. But I'm older than you. You seem kinda young for that."
Me: *shrugs* "I guess. But from what I hear, it's no good no matter how old you are."
Him: "That sholl is the truth."
4/ Him: "Y'all got along good? You and your sister?"
Me: "Oh yeah. We were real close."
Him: "That's good. And y'all talked a lot?"
Me: "Yep. I used to see her almost every day 'cause she helped with my kids."
Him: "She ain't have no kids?"
Me: "I was her kid."
*laughter*
5/ Him: "It's good y'all wasn't at no odds. My sister wasn't in a good place with my baby brother when he died out the blue."
Me: *listening*
Him: "He got in some trouble and she was so mad with him she wouldn't even look at him or speak to him."
He shook his head and sighed.
6/ Him: "He tried and tried to get back on her good side. We tried to help, too. But she wasn't having it. See, she had damn near raised him. So they was a different kind of close."
*silence*
Him: "It was so sad."
Me: "Mmm. So. . .like what happened. . . to make her so mad?"
7/ I squeezed my eyes closed and covered my mouth.
Me: "Uggh. I'm sorry. You don't have to answer that."
Him: *waves hand* "Naw. It's okay. He got locked up for something dumb. But he had a stronghold, so yeah, really he was sick."
Stronghold.
I knew that word well.
8/ I remember my great aunt using that word years ago to describe a family member who was managing a crack addiction.
"Yeah. He got a stronghold," she said.
And that was it. It said plenty.
So I just nodded in acknowledgment of the complexity of strongholds.
Me: "Damn."
9/ Him: "Yeah. 'Damn' is right."
Me: *listening*
Him: "I mean, I ain't gon' lie. It was bad. But 'ventually he got some help. He broke out that stronghold and got off that stuff. She just ain't never find it in her spirit to forgive him. Nope."
He closed his eyes and sighed.
10/ Him: "Ain't nobody seen it coming when he up and died. Just outta nowhere he was gone." *snaps fingers*
Me: *listening*
Him: "My sister was beside herself when he died. And you know? She ain't been right since."
*silence*
Him: "What was your last words to her?"
11/ Me: "To who? My sister?"
Him: "Yeah. The one who got you inking up your body."
*laughter*
Me: *holding his gaze* "I love you, sissy. I'll see you tomorrow."
Him: *eyes softening* "That's a good memory to hold."
His mouth turned upward on one side in a half smile."
12/ Him: "I used to tell my kids that holdin' grudges don't do nothing but hold you hostage. Somebody tell you sorry, you better find it in your heart to 'cept they apology. You ain't got to loan 'em no money, but find you some peace so you ain't left with no regrets."
*silence*
13/ Me: "But. . . .what if the awful is just too awful to move past?"
Him: "Some awful is. You right about that. But a whole lot ain't, you know? It's just wrapped up in pride is all."
Me: "Hmm. A pride stronghold, huh?"
Him: *chuckles* "Yeah. I reckon so."
14/ Me: "She would have been 50 this year."
Him: "Well, I hope that don't mean you 'bout to get 50 more tattoos!"
*laughter*
Him: "I ain't no fan of tattoos. Not at all. But I think I like yours since I know what's behind it."
Me: *smiling* "I'm glad."
*standing up to leave*
15/ Me: "Alright then, sir. I'm gonna go see a few more people."
Him: "Okay then. Thanks for checking on me, hear?"
Me: "Light on or off?"
Him: "You can shut it off."
I nodded and flipped the switch downward.
16/ Him: "Hey, and listen--I'm sorry to hear 'bout your sister, hear?"
Me: "Thank you. And sir. . . I'm sorry to hear about yours, too."
Him: *sighs* "You know what, boo? I am, too."
And that was it.
Yup.
17/ I learned so much from him during his hospital stay. But his words on striving to live free of pride strongholds never left me.
Nope.
If you want to learn medicine? Go to the bedside. And if you want to learn life? Go back again.
1/ There are things that happened that led to things that happened that led to things that are happening. If you don't want to call it by a name, just describe it.
And instead of it feeling like some pressured mandate, look at it the way we look at all things.
As history.
2/ History.
Not something designed to make someone else feel ashamed. Not a wagging finger or even a quest for moral distress. Just the things we do when we care for patients. We ask questions.
About the things that happened.
3/ That led to things that happened.
That led to the things that are happening.
You know?
And this is necessary to know. Not just "the in thing." But just a thing that we need in our arsenal to do a good job caring for human beings.
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.”