“You will get better,” the physician told my brother. My brother was younger than I am now when he was diagnosed with multiple myeloma. I don’t think even he believed the doctor, or he wouldn’t have asked me to take care of everything.
My hospital’s Vice President for Nursing usually wore beautiful designer suits and stayed close to her office; but she was standing before me, in the ICU, dressed in a crisp, white uniform and nurse’s cap. I wondered why she was on my unit at 1:00 a.m. after the holiday. No surprise, there was a staffing crisis, and she was politely begging nurses on six floors of units to work a little extra.
Of all the hues of prejudice that the disparities in skin tone might paint upon the psyche, the one that strikes as the most glaring is often the one that gets smudged and then smeared over; a recent glaze upon a remnant stain, as seemingly seamless their strokes may merge.
Mr. B’s diabetes flouted conventional therapy with a flourish, or so it seemed until I crosschecked with his pharmacist. He had refilled not one of his medications since the day they were prescribed. In his defense was a reason, way more appalling than the familiar ones, or at least the ones I was accustomed to; often conjured with the intent to appeal.
I quickly skimmed through the rest of his chart. Mr. Lopes was an elderly Haitian man, a recent immigrant, who had visited the local emergency room for a bad headache, only to discover that his blood pressure was astronomical. Apparently, Mr. Lopes and his family considered him too sturdy a man to be retained at the hospital overnight, labeled as sick. So he fled.
And here he was, weeks later, to meet his new doctor. “BP: 190/100” read the nurse’s note in red.
I see the ones who say they are suicidal. That claim guarantees an overnight: a metal bed with a black foam pad, a clean sheet, turkey on white wrapped in cellophane and, if there’s any left, a precious six-pack of Oreos.
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