Standing
in the Rain:
Humanism in Action
by Marc R. Matrana
Winner
The Arnold P. Gold Foundation
2003 Humanism in Medicine Essay Contest
The wind outside was
icy, and
sheets of wintry rain pounded against the window of the cramped little
waiting
room. Patients of all ages crowded in
and thumbed through old magazines, while a symphony of endless coughs
and
various snorts provided a morbid soundtrack. The
mood inside the room was
nearly as glum as the weather outside. I
tried diligently to concentrate on the open medical
book on my lap, but the barrage of information seemed endless and
somehow at
that moment totally unimportant. A
million tiny, glistening raindrops filled my visual field, splashing
against
the thin plate glass of the window.
The rain seemed infinite
and
enchanting, but in an instant my melancholic daze was shattered. My consciousness returned to the congested
little waiting room as two burly men walked in. They
approached the receptionist
and eagerly explained that their mother’s
wheelchair had broken. Apparently, the
elderly woman was waiting in the family van in the parking lot. She had an urgent appointment with the
doctor. Her sons saw no other option but
to carry the frail woman inside through the rain. They
felt that this task would be easier on
them—and more comfortable for their mother—if she was sitting in a
chair as
they carried her, and they respectfully asked if they might use one
from the
waiting room or office.
The receptionist glared
out the
window at the progressively worsening storm, and decided to check with
the
doctor. There certainly weren’t many
chairs to spare, and the thought of having one ruined in the rain did
not seem
very pleasing. She called the doctor and
recounted the situation to him over the telephone.
What happened next turned a rather
gloomy
situation into a warm, compassionate example of humanism in action.
Hearing of the patient’s
unfortunate predicament the physician barged into the waiting room, the
tail of
his white coat billowing behind him. The
bearded little doctor hurried past the two men and out the door. He knew the patient well, and did not want
her worrisome respiratory aliments exacerbated by exposure to the harsh
weather, especially while being haphazardly carried through such
conditions by
her two well-meaning sons.
The doctor approached
the van’s large
sliding door, and he proceeded with his exam and interview. His back shielded the old woman from the
stinging icicle raindrops, and provided her with a surprising amount of
privacy. Someone offered their small
umbrella, and one of the woman’s sons went outside and held it over the
doctor’s head. It was too little avail,
as the nearly horizontal sheets of rain were no match for the tiny
umbrella. The doctor was pounded, as water
gushed from
the sky.
The physician was
patient and thorough,
acting as if he wasn’t conscious of the downpour surrounding him. He carefully examined the fragile patient; he
listened intensely to her concerns; and he even wrote a prescription on
a
moist, cold pad.
When the doctor walked
back into
the office, all were stunned by his appearance. His
neatly pressed white coat had
become a sloppy, soaked garment, which
hung heavily around his saturated frame. Rainwater
ran off his rough
whiskers, and more poured from his
limbs. He smiled warmly, as he
acknowledged each of his patients. As he
walked back toward the exam rooms a small river of frigid water formed
in his
tracks.
Humanism in medicine can
take many
forms and encompass multiple ideas, but one of the simplest, yet most
profound
acts of humanism has to be the doctor who is willing to literally stand
in the
rain for his patients. Of course, it
wasn’t the physical act of getting soaked by rainwater or enduring
chilling
temperatures that made this action so meaningful. It
was this physician’s absolute devotion to
a patient and his deep understanding of her needs.
By
showing genuine compassion, not only were the medical needs of a
patient met,
but the emotional and psychological components of healthcare were also
addressed. It provided much comfort to the
patient, her
sons, and even the entire crowd in the waiting room, to know that they
were in
the hands of not only a capable healthcare provider, but a physician
who was
willing and ready to go the extra mile for his patients—to move beyond
the
normal bounds of work and into the benevolent realm of true humanism.
After witnessing this
remarkable
act of human kindness and compassion, the mood of those in the waiting
room
elevated from a depressed, under the weather dreariness to a warm,
vibrant
confidence. The sniffles and sneezes
were still going strong, but pride in this doctor flowed through the
room. The patients all cheerfully began
recounting
how pleased they were to be able to call such a man “their doctor.” Stories and examples began to be exchanged,
about how simple acts of empathy and respect by physicians had changed
worrisome
situations of the past into far more manageable events.
The rain still poured
outside, but with
a simple act by a caring physician, not only was an elderly patient
treated,
but an entire group of people had their spirits lifted.
As I stared down at the numerous
diagrams in
the book on my lap, it all started to make sense again.
I remembered why I was studying
these alien
drawings, and why I sought to learn about anatomy and disease. It was all so that I might one day be able to
follow in this doctor’s footsteps; that I might show the compassion,
empathy,
and thought that he had that day; and that I might provide warmth and
reassurance in the mists of turbulent storms of illness and cold, harsh
disease. Most of all, it was so that one
day I might have the privilege of standing in the rain for a patient.
copyright 2003 - Marc R. Matrana
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