Simon Longhi, M3, Class of 2025
Love your Patients.
Her voice shakes
Gaze averts down, slowly,
hiding welled-up eyes.
But she takes a deep breath,
and states
for me:
“I feel like I’m falling apart inside… but, no.
They’re my kids, they’ve got their own lives,
… I can’t put that burden on them.”
I glance down, quickly,
at my quadrant-folded, wrinkled sheet of paper.
Lurching for an anchor– the right thing to say next,
from my scrawled, inadequate
pre-charting mess:
Myra M., 59yo lady, hx MDD moderate in remission, GAD
HR rep, three adult children, married 33 yrs
Lives w/husband (restaurant mgr, stopped working)–
recent frontotemporal dementia dx.
Myra was losing her husband, quickly.
She was becoming alone, slowly.
Her wrenching words,
yet suppressing outright despair.
Self-aware weakness,
yet wearing strength for others.
Devastating dichotomy.
I know this. Feel this.
My lips quiver, my own space behind the eyes
wells up,
because…
I saw my mom, in Myra.
My mom sacrificed everything,
for my sisters–
Autistic. Aggressive. Screaming.
Incontinent. Inconsolable. Seizures.
Innocent. Utterly un-independent.
Too much.
Worry constant, peace extinct.
The whole story feels untellable.
As a kid, processing this,
Puts the proverbial tip of the iceberg
To shame.
But Dad worked, paid the bills,
And really, I got to live free
without that wrenching responsibility.
Because, my mom insisted on it.
… Well, not in words, mostly unspoken
But I promise you, she lived it,
for me.
She may as well have said:
“Simon, I love you, do all that you ever want
with your life – Don’t worry about your sisters, please.
Keep going, don’t hold back, this is not your burden,
I got it. The world is yours, and this burden is mine.”
All of that past
is here now
in this clinic room.
In the span of a second or so, I feel everything
for this patient I just met.
I fold and re-fold the edges of my paper
Grip my pen more tightly,
as if it can absorb my nerves,
and contain a shudder in my chair.
Myra… mom… meaning.
Beautifully blurred lines in my mind.
I know where my compassion comes from,
and I’m proud of that.
But, I’m the healer now.
I have to be strong
this time– for my patient
For Myra.
FOCUS, on taking deeper history,
FOCUS, on forming treatment plan.
Love your patient, sure,
but don’t fall off that cliff of transference.
Yes, take in the view
That harrowing expanse.
But teeter well
on that cliff’s edge
Stay standing.
It’s your solemn duty.
Okay, deep breath–
next questions,
but still, keep listening.
Watery eyes are fine,
but no tears,
not right now.
Guide Myra on.
It’s my calling, my honor–
what my mom
Selflessly
imagined for me
all along.
I love you.
“Oh. Okay. ‘Burden’. Tell me more about that.”
Med Intima 