Still Open for Business

Astonishing material and revelation appear in our lives all the time. Let it be.
Unto us, so much is given.
We just have to be open for business.
~Anne Lamott from Help Thanks Wow: Three Essential Prayers

It was my privilege to work in a profession where astonishment and revelation awaited me behind each exam room door.

During an average clinic day, I opened those doors 36 times, then close them behind me and settle in for the ten or fifteen minutes allocated per patient. I needed to peel through the layers of a problem quickly to find the core of truth about why a patient was seeking help.

Sometimes what I was looking for was right on the surface: a bad cough, a swollen ankle, a bad laceration, but also easily were their tears, their pain, their fear. Most of the time, the reason was buried deep and I needed to wade through the rashes and sore throats and headaches to find it.

Once in a while, I could actually do something tangible to help right then and there — sew up the cut, lance the boil, splint the fracture, restore hearing by removing a plug of wax from an ear canal.

Often I simply gave permission to a patient to be sick — to allow themselves time to renew, rest and trust their bodies to know what is needed to heal well.

Sometimes, I was the coach pushing them to stop living “sick” — to stop self-medicating when life is challenging, to stretch even when it hurts, to strive to overcome the overwhelm.

Always I was looking for an opening to say something a patient may consider later — how they might make different choices, how they could be bolder and braver in their self care and care for others, how every day is a thread in the larger tapestry of their one precious life.

At night I took calls and each morning woke early to get online work done, trying to avoid feeling unprepared and inadequate to the volume of tasks heaped upon the day. I know I was frequently stretched beyond my capacity, stressed by administrative pressures and obstacles I faced in providing the best care.

I understood trials my patients were facing because I had faced them too. I shared their worry, their fears and vulnerabilities because I had lived through it too.

Even now, I try to simply let it be, especially through troubled times, when I have been gifted so much over the years. So my own experience is a gift I can still share here, even in retirement.

I’ll never forget: no matter who waited behind the exam room door, they never failed to be astonishing and revelatory to me, professionally and personally.

I’m so grateful I was open for business for 42 years.
I don’t see patients in an exam room any longer.
This Doctor is In, writing every day, with friendly advice.
Let it be so.

Peanuts comic by Charles Schulz

What is it You see
What do I possess
Oh how could it be
I should be so blessed

I am nothing much
Neither saint nor queen
I am just a girl
And You are everything

But if You ask
Let it be so
Let it be so
and if You will
Let it be so

I am so afraid
Of this great unknown
They may turn away
I may be all alone

My life is so small
so small a price to pay
to see my savior come
and take my sin away

I will bear their scorn
I will wear the shame
All things for the good
All things in Your name

Father be my strength
Shepherd hold my hand
Open wide my heart
to welcome who is there
~Sarah Hart

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