Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

A hypocrite in a coffee shop

Nina Gaby, PMHCNS-BC
Patient
January 22, 2016
Share
Tweet
Share

The woman in ill fitting snow pants and parka, as if there is such a thing as well-fitting snow pants and parka, clumps of blonde stuck-together hair poking out of her non-hipster cap, you know exactly what she looks like, stares at me from the sagging mid-century couch across the alcove in the café where I have set up my laptop, a scone, a huge cup of expensive coffee described as “an approachable blend with toffee undertones” and have nothing to be responsible for for the next two and one half hours except a new writing project.

These are rare moments of fallow field that we creative types crave like a low level crack addiction. I have abandoned my sleeping family. I am shutting it all out: the office (where for thirty-seven-point-five hours a week I am a highly productive and revenue generating psychiatric nurse practitioner wavering between self-congratulatory sanctimony and mind-numbing compassion fatigue,) shutting out the elderly relatives I should be visiting and the holiday cards that never made it out of their boxes.

The woman with the stuck-together hair, the woman I assume is homeless because she’s so over dressed for the mild day, takes a long pull from her to-go cup and blinks at me over the rim. I am percolating, please don’t look at me, I beg. When she first walked in I felt a flicker of recognition, as I often do when I’m back in my old hometown. This is twenty five years after I worked on the psychiatric crisis team at the big hospital here, many people look familiar. They could not all still be alive. Don’t make me feel guilty. I already loved you once.

I fasten a translucent bubble around myself. My husband jokes about the imaginary neon “do not engage” sign flashing above my head. It usually works, most people with normal social and emotional boundaries understand it, but those have not been my people. Please leave me alone, I’m not working today, I’m so tired. In a box of youthful memorabilia at home I have kept a bright pink pin from some 80s head shop, pre-meme, pre-me-as-clinician. It says “I Get Paid to Talk to People Like You.” I feel absolutely horrible that I think of it this minute. My eyes look up from the computer screen to rest themselves, and catch hers.

She picks up a snow globe and turns it upside down. She had been broadcasting her holiday wishes to a general public, although I was the only one outside of the sleepy barista in the place. I convinced myself she wasn’t talking to me. Please don’t talk to me.

I like the downtown coffee shops when I’m in my hometown, I’m in the middle of reading Patti Smith’s ode to coffee shops, M Train, and I still fancy myself someone who appreciates grittiness. (It’s hard to find grittiness where I live now.) But then I don’t. When the homeless people come in, I worry about the bathrooms. I won’t sit on the mid-century couches. Sometimes in my psychiatric office, in my very non-gritty work environs, I have to isolate the chairs after my patients talk about bed bugs, real or imagined. I owe due diligence to the next patient, call someone official and have the chairs cleaned. Diligence to myself is my due today, I think. I now have one and three quarters hours to sit here and not be responsible to anything.

She sits. I sit. She mutters. The jazzy overhead holiday music drowns her out. You are making me miserable. She’s homeless and I’m miserable? Stop making me confront myself. I just don’t want to talk to anyone this morning. I talk for a living. The irony of this conversation in my head is that now I’m not writing or percolating. My project seems just so much far away drivel.

I smile warmly in her direction without making eye contact. It’s a skill perfected over these years of being a psychiatric practitioner. She eventually gets up and ambles out, down the street, restless. I think I can hear the keys on the lanyard around her neck jingle despite the closed door and too loud music. Come back, let me buy you a latte, let me hug you. I don’t do that, she has keys, after all. To someplace. Something.

I return to my screen. The place has filled up by now.

She comes back. A woman with a festive set of bright red hair extensions seems to be waiting for her. Gives her an aluminum foil wrapped bundle, too big for drugs. Christmas cookies, I figure. They chat for a moment. Her case manager? Good. She has people.

Off she goes again. She’d be offended if I tried to buy her a latte. She has people. I see her round the corner and bum a cigarette from a ponytailed older man who seems to be partnered with another ponytailed older man. They come into the cafe to meet up with an even older ponytailed woman, all three appear related by poor dentition, questionable hair choices and fringed leatherette jackets. I have begun to hate myself even more for judging these people who have now sat down right next to me and are having a much better time of it than I.

My homeless woman comes back inside without the aluminum foil bundle. She nods at the ponytailed group. She has forgotten about me. I do not buy her a latte. Instead I drain what’s left of my approachable blend, start texting my brunch plans and worry about the parking meter.

I’m relieved when there is no parking ticket on my windshield. I turn when I hear the restless jingle. Do I have two dollars? I break my rule to not ever take my wallet out on the street. Why two dollars? I don’t ask, I open my wallet, there are a bunch of fifties intended for my graduate student daughter. I consider giving my homeless woman one of them. Instead I dig around and find a dollar and forty cents.  “Have a good one,” I say, smiling too hard.

ADVERTISEMENT

“You already have,” she says back, shifting from one foot to the next, not quite making eye contact.

Nina Gaby is a psychiatric nurse practitioner and the author of Dumped: Stories of Women Unfriending Women.

Prev

An Uber for health care is closer than you think

January 21, 2016 Kevin 34
…
Next

Childhood aspiration on food is a public health issue

January 22, 2016 Kevin 2
…

Tagged as: Psychiatry

Post navigation

< Previous Post
An Uber for health care is closer than you think
Next Post >
Childhood aspiration on food is a public health issue

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

Related Posts

  • A universal patient medical record

    Michael R. McGuire
  • A patient waits. And waits.

    Michele Luckenbaugh
  • Treating the patient’s body is not synonymous with treating the patient

    Steven Zhang, MD
  • Physicians are trapped between patient satisfaction and unnecessary prescribing

    Richard Young, MD
  • Every patient has a story

    Michele Luckenbaugh
  • Bilateral empathy lowers patient expectations

    Kevin R.R. Williams

More in Patient

  • AI’s role in streamlining colorectal cancer screening [PODCAST]

    The Podcast by KevinMD
  • There’s no one to drive your patient home

    Denise Reich
  • Dying is a selfish business

    Nancie Wiseman Attwater
  • A story of a good death

    Carol Ewig
  • We are warriors: doctors and patients

    Michele Luckenbaugh
  • Patient care is not a spectator sport

    Jim Sholler
  • Most Popular

  • Past Week

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden cost of delaying back surgery

      Gbolahan Okubadejo, MD | Conditions
    • The dreaded question: Do you have boys or girls?

      Pamela Adelstein, MD | Physician
    • Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • The silent crisis hurting pain patients and their doctors

      Kayvan Haddadan, MD | Physician
    • What happened to real care in health care?

      Christopher H. Foster, PhD, MPA | Policy
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
  • Recent Posts

    • Why personal responsibility is not enough in the fight against nicotine addiction

      Travis Douglass, MD | Conditions
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Alzheimer’s and the family: Opening the conversation with children [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI in mental health: a new frontier for therapy and support

      Tim Rubin, PsyD | Conditions
    • What prostate cancer taught this physician about being a patient

      Francisco M. Torres, MD | Conditions
    • Why fearing AI is really about fearing ourselves

      Bhargav Raman, MD, MBA | Tech

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 2 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden cost of delaying back surgery

      Gbolahan Okubadejo, MD | Conditions
    • The dreaded question: Do you have boys or girls?

      Pamela Adelstein, MD | Physician
    • Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • The silent crisis hurting pain patients and their doctors

      Kayvan Haddadan, MD | Physician
    • What happened to real care in health care?

      Christopher H. Foster, PhD, MPA | Policy
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
  • Recent Posts

    • Why personal responsibility is not enough in the fight against nicotine addiction

      Travis Douglass, MD | Conditions
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Alzheimer’s and the family: Opening the conversation with children [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI in mental health: a new frontier for therapy and support

      Tim Rubin, PsyD | Conditions
    • What prostate cancer taught this physician about being a patient

      Francisco M. Torres, MD | Conditions
    • Why fearing AI is really about fearing ourselves

      Bhargav Raman, MD, MBA | Tech

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

A hypocrite in a coffee shop
2 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...