Pneumothorax

One of the toughest rotations during my residency was the month of oncology rotation at another hospital. Albeit the long hours and exhaustion, I learned so much, not just the medical knowledge, but also about patients, the human aspect of things, of life, and death. Many of those stories – and people – stayed with me, even after all these years. But there was one that I remembered today, and wanted to share.

It was one of those busy days with a few pending admissions, sick patients in the ward requiring attention, family wanting updates, and me trying to finish my notes. I must’ve seemed like a battery about to die, blinking the ‘low power’ light, and going into power-saving mode, when someone called out to me. A middle-aged man in blue scrubs, sitting a few computers away, said, “Hey, come over here! Look at this- what do you think?”

I sighed inwardly, thinking to myself, I have no time for this, but didn’t want to appear rude, so I walked over. Took a peek at the screen, and there it was – a chest x-ray staring back at me. I took a closer look, and realized why he wanted to show me this. The right side of the lung was almost completely collapsed. I marveled at it for two seconds before asking him about the patient. He smiled, and told me that the young man did well after they did a needle decompression at bedside followed by chest tube placement. He then continued without missing a beat, “Amazing, isn’t it? Medicine is full of impressive stories and rescues like this. When you see one, don’t hesitate to share with others.” He then went on for a bit, most of which I don’t remember now, but just before he left, he left me with a sentence that went something like this: “It’s important to look for things that impress you, only then will you find ways to continue being inspired, and keep the fire burning for medicine.” And just like that, he walked away waving goodbye.

I never found out who he was, and I was pretty sure that patient with that x-ray wasn’t in our ward. I’ve often looked back and wondered what prompted him to share with me that x-ray and story, and why he said what he said to me. Perhaps I looked like I needed it. At that time, I was almost done with the rotation, and was feeling all kinds of exhaustion- physically and emotionally. I was starting to shut everything out to prevent anymore emotional pain; I was operating on auto-pilot to get through the day. That day I was feeling down, and perhaps he sensed it. Regardless, even though I’ll never know why it happened, his words stayed with me all these years, and I truly appreciate it. His advice came in a timely manner, for it did more than just inspired me; it gave me comfort, and it reminded me of why I went into medicine.

On that otherwise normal day, I am thankful for the few minutes of interaction with him. I could never thank him in person, but I hope he knows it meant the world to me. Since then, whenever I have a tough day at work, I remind myself of what he said. It is, after all, still a privilege to be in medicine.