She sends me messages all the time. Snarky. Accusatory. Judgmental. Always in the middle of my busy day. Sometimes the messages come all at once, sometimes spaced out just enough to make me think she’s gone for good. I’ve slowly developed a hatred for her. I’ve never met her, but I loathe her. She sits in a cubicle somewhere, drilling systematically into my charts, searching for my mistakes.
She points out my shortcomings.
My inadequacies.
Who are you to judge me, lady? You don’t know me! But she’s right. Damn her. Most of the time, she’s right. Except sometimes. And when she’s not, I let her know. Snarky. Accusatory. Judgmental. I’m not above that. Except, I really am and I feel a bit guilty. She’s just doing her job, that I pay her for. I need her to do this to make sure I am doing my job so I can get paid so that she can get paid so that the cleaning crew can get paid and the light bill gets paid and the vaccine vender gets paid and the nurses get paid and the front office gets paid and the rent gets paid and I keep this place going.
It all comes down to documentation these days. And I try my damnedest to get everything possible documented, but I just can’t always do it. Sometimes I fall short. I fall short in documentation of all things. Big deal. As long as I don’t fall short in taking care of my patients. That’s what really matters. Isn’t it?
I just want to tell her that. Listen, lady, I’m a good doctor, maybe I’m just not good at documenting. I’m taking care of people. I can’t possibly document all the nuances of that! The hugs, the tears, the jokes, the laughs, the relationships, the ‘thank you’s,’ the secrets, the hurts, the joys, the loss, the healing, the fears, the hope. All of these are worth so much more than a payout. I can’t document that or get paid for that. That‘s the good stuff. That‘s what keeps me going.
I did a little reconnaissance and looked her up on the company website. I wanted to know what that lady looked like so I could a put a face to those accusatory messages. That was a mistake. She looked nice. How can I hate her anymore? Now I just have to redirect that anger on myself. Great. As if being a doctor doesn’t give one enough reasons to feel imperfect. Powerless. You know, like untreatable diseases and death. And now I’m at the mercy of documentation. Something else I can do nothing about.

Great grandma was a spry old bird. She was tiny and sure-footed. She darted about her neat little home. We visited her quite often. Quite often for our family who rarely visited anyone. Almost every Saturday or Sunday we would be at her home or pick her up and bring her to ours. She wasn’t a particularly warm or personable type. She was quiet. She never offered up unsolicited stories of her past. NEVER. It was like pulling teeth.
My oncologist thinks I’m depressed.
I hate it. It’s true. I don’t hate anything quite like I hate my washing machine. It makes me angry. It’s pretentious. It’s dysfunctional. It made promises it couldn’t keep. I made a big mistake the day I brought it home.
This isn’t my first rodeo, people, I once had another blog. Sometimes I look back on those first attempts with a sense of nostalgia. I think all bloggers try and fail at blogging at least once, I’m sure there are statistics on it somewhere. My first blog was about my backyard chickens and I called it City Slicken Chicken. Can you imagine, no one had thought of that catchy title before? The website was still available as a .com! I felt like I hit the jackpot. The blog, however, was a failure. Mostly because I lost interest and also because I never told anyone I was doing it, so I had no readers, my interest further waning…
I can’t stand being late. It’s a character flaw or a control issue, I’m not sure which, but I hate being late. It causes me unbelievable angst. I have a reoccurring dream/nightmare to prove it. It takes the “being late” theme to the extreme:
I haven’t been running consistently in months. Maybe a 5K here and there. Which sounds kind of odd when you are a non-runner. Who can just go run a 5K? Isn’t there preparation, training, effort? Not when you’ve been doing it for as long as I have. I can just go run a 5K even if I haven’t run in weeks.
Pain. When I was in residency they called it the 5th vital sign. The quantification of pain was as necessary and as important as a patient’s blood pressure, heart rate, respiratory rate and temperature. Assess their pain. Relieve their pain. Make it go away.
What is your pain level? On a scale from 1-10, where are you today? Point at the series of faces that go from smiling to barfing in agony, which one most represents your level of pain?
It was just one of those days. You’ve been there before. I know you can relate.

