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

Have doctors become desensitized to gruesome realities?

Zahir Basrai, MD
Physician
April 7, 2017
Share
Tweet
Share

So it’s a Wednesday night, and I just got home after completing a shift. I’m beat. My beautiful sofa beckons to me, and my TV seduces me with brainless images and sound. I succumb to the temptation. I turn on Netflix. Too many movies, too many decisions. Screw this; I didn’t just finish up a shift to have to sit and make more decisions. I go to the suggested for me section of Netflix and up pops “End of Watch.” I shrug my shoulders. What the hell. Isn’t Donnie Darko in this movie? So I click play on my Apple TV remote, and the movie starts.

The movie is what I expected. I am not doing much thinking just letting images enter my brain-dead mind. Then all of a sudden, I take notice: a group of gangsters start mounting up. They are clicking guns, cocking them and loading up in a van. The feel of the scene is nauseatingly dark. The next scene shows them rolling up on a backyard party, shoot up the place in a drive by and drive off. A guy is shot in the leg. I sit and stare at the TV. It doesn’t really register.

I see gunshot wounds (“GSW”) all the time. But being so removed from the action in the ED and not in the field has in a way desensitized me. This scene brings me back to reality. That depiction of the drive by was messed up and terrifying. The fact that people in real life are out there shooting people in a similar fashion is nuts.

I begin reflecting on my shift earlier that day. It was a busy shift. I was running around seeing a bunch of patients when I heard that a trauma was activated. It was a GSW to the distal right leg.

From the start, we are taught to take all GSWs seriously. The act of someone getting shot is crazy … right? The protocol is clear. Roll the patient and look all over. Don’t miss anything. Check the armpits, the gluteal crease, and any possible crevice. Be diligent, make sure you don’t miss a puncture wound anywhere.

Working at a county trauma center, this intensive process eventually becomes routine. “Oh, another gunshot wound. Where is it? Extremity … weak. Send the junior resident. I’ll stand by.”

How could something like a GSW become so routine? What kind of place do I work at that GSWs happen so often that it is “no biggy.”

The ED norm in which we live is so extreme and vastly different from most everyone else. The question, “Hi, honey! How was your day?” Gets a different answer in everyone else’s houses. I guess it’s a good thing that most people would not respond with, “It was a pretty chill day, just had a couple of extremity GSWs to deal with.”

I am back at the hospital for my next shift, and I talked with a nurse named Allison. She’s a seasoned veteran and has seen it all. We often throw down traumas together, and at this point, it seems like nothing really phases her. I tell her how I saw the movie and how fucked up that scene was. She shrugs her shoulders and smiles. She gives me a pat on the back and tells me to pick up three more charts.

Zahir Basrai is an emergency physician who blogs at the Physician Grind.

Image credit: Shutterstock.com

Prev

We’re not just doctors, we're ambassadors of science

April 7, 2017 Kevin 2
…
Next

What do you do when you know someone is going to die?

April 7, 2017 Kevin 6
…

Tagged as: Emergency Medicine

Post navigation

< Previous Post
We’re not just doctors, we're ambassadors of science
Next Post >
What do you do when you know someone is going to die?

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Zahir Basrai, MD

  • This emergency physician is the drunk whisperer

    Zahir Basrai, MD
  • A resident’s dream turns into cold reality

    Zahir Basrai, MD
  • The first day of my ER rotation is one that this doctor will never forget

    Zahir Basrai, MD

Related Posts

  • Why do doctors who hate being doctors still practice?

    Kristin Puhl, MD
  • Doctors die. But the good ones leave a legacy.

    Jaime B. Gerber, MD
  • Doctors: It’s time to unionize

    Thomas D. Guastavino, MD
  • When doctors are right

    Sophia Zilber
  • We’re doctors. We signed the book.

    Jonathan Peters, MD
  • Why doctors-in-training need better nutritional education

    Abeer Arain, MD, MPH

More in Physician

  • Love on life support: a powerful reminder from the ICU

    Syed Ahmad Moosa, MD
  • Why we fear being forgotten more than death itself

    Patrick Hudson, MD
  • From basketball to bedside: Finding connection through March Madness

    Caitlin J. McCarthy, MD
  • The invisible weight carried by Black female physicians

    Trisza Leann Ray, DO
  • A female doctor’s day: exhaustion, sacrifice, and a single moment of joy

    Dr. Damane Zehra
  • The hidden cost of malpractice: Why doctors are losing control

    Howard Smith, MD
  • Most Popular

  • Past Week

    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • “Think twice, heal once”: Why medical decision-making needs a second opinion from your slower brain (and AI)

      Harvey Castro, MD, MBA | Tech
    • My journey from misdiagnosis to living fully with APBD

      Jeff Cooper | Conditions
    • Do Jewish students face rising bias in holistic admissions?

      Anonymous | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

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

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • Why true listening is crucial for future health care professionals [PODCAST]

      The Podcast by KevinMD | Podcast
    • Love on life support: a powerful reminder from the ICU

      Syed Ahmad Moosa, MD | Physician
    • Surviving kidney disease and reforming patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why we fear being forgotten more than death itself

      Patrick Hudson, MD | Physician
    • My journey from misdiagnosis to living fully with APBD

      Jeff Cooper | Conditions
    • Antimicrobial resistance: a public health crisis that needs your voice [PODCAST]

      The Podcast by KevinMD | Podcast

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

Leave a Comment

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

    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • “Think twice, heal once”: Why medical decision-making needs a second opinion from your slower brain (and AI)

      Harvey Castro, MD, MBA | Tech
    • My journey from misdiagnosis to living fully with APBD

      Jeff Cooper | Conditions
    • Do Jewish students face rising bias in holistic admissions?

      Anonymous | Education
    • Why shared decision-making in medicine often fails

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

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

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • Why true listening is crucial for future health care professionals [PODCAST]

      The Podcast by KevinMD | Podcast
    • Love on life support: a powerful reminder from the ICU

      Syed Ahmad Moosa, MD | Physician
    • Surviving kidney disease and reforming patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why we fear being forgotten more than death itself

      Patrick Hudson, MD | Physician
    • My journey from misdiagnosis to living fully with APBD

      Jeff Cooper | Conditions
    • Antimicrobial resistance: a public health crisis that needs your voice [PODCAST]

      The Podcast by KevinMD | Podcast

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

Leave a Comment

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

Loading Comments...