Saturday, April 18, 2009

Winding Down

I can tell that the end of my official medicine training road is drawing near.

Nostalgia has always been my go-to emotion...never very far from the surface. Lately, though, it comes in more noticeable and frequent waves.

Last night, for example: I was the back-up call resident. In the last few months of residency, that is usually a blessed thing where you review ER patient's with the 2nd year resident on the phone but stay home unless someone is sick, sick, sick. It almost feels (oh happy day) like not being on call at all. Still, I had never made plans to do anything on a call night. You know how the cosmos can be.

This week I couldn't resist an invitation to join some of our friends for dinner at their home. I joked to Chris, "surely this will mean that things won't go as planned."

We walked into their lovely home, and immediately my cell phone went off. It was the 2nd year resident. She had two patient's to admit at one hospital and another waiting at the other hospital. The pager was exploding. She was freaking out. "I have never asked for help, but I am drowning...could you answer the phones for me?" Ha! Told you so. After thirty minutes spent trying to figure out why the pager system was malfunctioning, I was able to log in and start covering the messages for her.

My gracious host never batted an eye as I darted in and out of the dining room, and turned their lovely dinner party into a harried scene. The food, by the way, was divine.

As we were leaving their house, I checked in with the 2nd year again and discovered that 2 or 3 more admissions had come in to the hospital she was at. Panic was evident in her voice and her mind was showing signs of being lost entirely. I've had nights like that. I felt for her. "Just breathe, we'll get through this. I've got the phones covered. After I put the baby down, I'll head to the other hospital and take care of that admission." Palpable relief rushed through my earpiece as she sighed, "Thank you. so. much."

I got to the hospital late, during that hour when the ER is still crazy, but the rest of the halls are quiet. I actually love the hospital during that time. It is quiet, sacred and feels strangely like home. I should've known I'd end up as a doctor when hospitals ranked up with bookstores, libraries and The Disney Store as enjoyable places during my childhood.

I don't spend as much time at this particular hospital anymore. I'm there on occasion, but spend more time at another local hospital. It felt good to be back. Walking down a deserted hallway with only the clack of my shoes to fill the space, scenes from my time here popped up like TV episodes in my mind: surgeries assisted on, residents worked with, patients cared for. Emotions came rushing back: grumpy over-tiredeness, satisfaction, desperation, relief.

I should not feel nostalgic over thirty hour shifts, 80+ hour work weeks, and days that make you feel like your emotional, intellectual and physical reserves are being taxed completely. But somehow I do.

I walked down a corridor between the main hospital and the heart center. My white coat hung on my shoulders in the comfortable way that it has ever since it stopped feeling like a costume a few years ago. I smiled at the few families who were still in waiting rooms. They smiled back with that smile imbued with subtle gratitude. 'Thank you for being here and taking care of patients', it seems to say.

I found my patient. "Hi, I'm Dr. H," I began. Like so many times before. I finished up my work and then retraced my steps back to my car.

Why the nostalgia? I feel nostalgic over things that I know I'll never get back or experience in quite the same way again. I feel nostalgic over things that have meaning, over things that I'm grateful for and over things that have shaped my person. And becoming a doctor has done nothing if not shaped me into something new, and hopefully, better.

I feel nostalgic because my training reminds me how much joy is found in unexpected places, including at the end of any given rope. I feel nostalgic because the hard was worth the good, and I would never have guessed that. I feel nostalgic because I've built relationships that can only be built in the trenches. And I'll miss that bonding but not the fire. The fruits but not the labor. I'm grateful that it's done--that I did it--yet sad to see it go. Make sense? Still sorting through it, as you can probably tell.

All I really know is that I'm nearing a very big milestone, and it will be interesting to see where the road goes next.

Thanks for coming along for the ride. :)

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Post-Script: My negligence in blogging was due in part to a baby-free vacation that Chris and I took last week. Though I felt physical pains every time I thought about being away from E, we left her in the more-than-capable hands of her grandparents (where I'm not sure she missed us at all) and spent a few days on the sunny beaches of Miami. Turns out that it is lovely to lay on the beach all day with a book. And sleep in. And talk to your husband constantly. And eat gelato everyday. But after four days, oh, how lovely it felt to hug that little girl again!

8 comments:

Sisters at the Well, said...

Hi Dr. H. Great post.

Camie said...

Kate, I love seeing your updates in my Reader and going along for the ride with you in your doctor life. This was beautifully written, and I am always so happy when I think of you in a "white coat" b/c I am sure you are an exceptional doctor. Congratulations on nearing the end. Can't imagine how you have pulled it all off with everything else you have accomplished in your life.

Lots of love.

Amberlyn said...

Can't get over the "Dr. H" bit. Do you really go by that? I love reading your posts!

dunnthat said...

Hey Dr. H! I still can't believe you're a doctor. You have no idea how much I brag about you to people you don't know. But I feel cool by reciprocity because I know a girl who got so high on her MCATs she won't tell her score, and went to Georgetown for Medical School :)

I'm changing the link from my blog to you to starrymedgirl to help with your new anonymity :) Really, we aren't fooling anyone, but those who know us know our names and so that's cool enough :)

I love your doctor stories. I've missed your blog. Glad you got to get away.

susie said...

Hey Kate,
This is Susie Gustafson, a secret blog lurker, and I'm coming out of the closet because I like your blog so much! It's so insightful and interesting. Plus, I've always, always wanted to be a doctor, but now it's not exactly feasible because I'll be too old by the time my kids are grown up, so I'm trying to persuade myself that being a Physician's Assistant when I'm 50 will make me happy too. My point in telling you that is that I think it's SO cool that you're doing what you're doing, I love hearing absolutely everything about it, and I'm glad some Mormon girl can have it "all," even though I know "all" can be overrated. Plus, one of my favorite places has always been the hospital and I love going in for my c-sections, I think it's so exciting and this next time I want the doctor to tell me everything she's doing while she's doing it (slicing through skin, clamping stomach muscles to the side, or however it works) but I'm thinking it might ruin her concentration and/or come across as very weird. To sum up these random thoughts, thank you for sharing all these experiences with the public blogging world and allowing me to lurk! And congratulations on being almost done! Very cool!

scrapperjen said...

Wonderful post! I wish I could stay as calm as you - I guess that's why I am NOT in your profession! :)

Your vacation sounds wonderful - glad you enjoyed.

Starrymedgirl said...

hey susie! I'm glad you de-lurked. Ha ha ha...I think it's awesome that you would want to hear the play by play during your c-section. It's true that 'all' can be overrated. We're all just taking it a day at a time. :) I'd love to hear more about how everything's going for you! Thanks for your comment. :)

laurel said...

Hi Katie...just catching up on your blog and wanted to say hello. I think your Eva is so adorable and I also love your anniversary post about your sweet and supportive hubby! I am just so happy for you and all you've done and wish we could get together sometime. Maybe someday!