Patient X lies in pain on a once clean stretcher now coated in left over dirt and grim from their fall. The doctors casually joke around about their weekend adventures until they receive the x-rays. The computer lights up indicating the photos are ready for analysis. There is an obvious disconnect of the stylus process in the right ulna. The doctor calls orthopedics and passes on the patient. A cold silence strikes X as the stretcher rolls into the procedure room. Orthopedics speak under their breath about what method is best to reset the bone. The doctors calmly tell X they will need a cast and a small injection is necessary to ease the pain. Everyone in the room but the patient speaks the language of sugar coating. It is time to put on the happy face and pretend that what is about to happen will not hurt.
Their wrist is numbed and they think the worst is over. As the doctors give false comforts to aid in the element of surprise, the patient exhales in relief. With no wavering one doctor firmly holds the patients forearm and without a word communicates he is ready to begin. In one swift motion the other doctor grasps X’s fingers and jumps all of her body weight into pulling the chipped bone back into place. You can hear a slight click over the patient’s screams; the bone is set. As tears of disbelief roll down the patients face their wrist is casted. Now it is over.
Surprise is a key factor that all doctors have working on their side. Everyday patients seek help to cure their aliments. The patient not knowing what the immediate future holds serves as a haven for comfort. These lies all doctors tell are not really lies, just omitted facts from the truth.
When patient XX came in with a cough, they left with 2 months. Before I entered the room to give the diagnosis I forced my mind to go numb. It was at this point I understood how this self-preservation coping mechanism easily slips into sociopathic mannerisms. Feeling the raw emotional vulnerability of a patient is not a comfortable place doctors want to travel. Empathizing with every patient can bridge the gap between the conscious and unconscious mind. Knowing that XX has lung cancer and wanting to cry with them as I reveal the deadly secret is not possible. Becoming emotionally detached seems to be the only refuge from the daily pain inflicted by the truth.



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