Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • 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
KevinMD
  • 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
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

A roller coaster of emotions at my community clinics

Avelina Sandoval, MD
Physician
February 27, 2018
Share
Tweet
Share

I can’t help but wonder …

Every day I find myself driving against traffic to get to work.  I am the kind of person that generally always worries about making it to work on time, so I tend to leave my home a few minutes early.  Even at these early hours, I can already see a line of cars trying to merge on to the highway going the opposite direction as me.  My lanes are mostly clear, with a few cars on the road going in the same direction as me, accompanying me away from the heart of the city.

Every day I drive to a new community clinic in San Diego County.  As a community medicine fellow, I have the privilege to work for several health care organizations.  The majority of my clinic sites are Federally Qualified Health Centers located in the most underserved areas of my county.  My 15 to 20-minute drive transforms the city.  I leave my neighborhood and pass a mall, a golf course and several shopping and restaurant venues before jumping onto a few highways and exiting onto worlds where the city bus or walking are the only transportation to work, where the homeless and otherwise hungry search for food in dumpsters and empty soda cans on the street they can sell for money, where a shopping cart is versatile in its use as a closet or a pantry.

Every day I wonder where the opposite side of traffic is going.  Do these individuals have stable jobs and work in a corner office on the 10th floor of an executive building with a view?  Or are they the custodian that we all appreciate but never seem to recognize because of our busy lives?  Do they have children that have everything they need except for maybe college funds (since that is the hope someday)?  Or do they have children that are hungry every day because the household income has to go directly to past due bills (because they electricity company has already turned off the lights)?  Who are they?  Why are they going in the opposite direction as me this morning?

Every day I hope I can bring something positive to the clinic I work at.  That “something positive” can be a breakthrough or improvement on a health condition with a patient, it can be getting someone approved for a program where they have access to something that helps their health, it can be helping the clinic with patient access or clinic flow…it can be anything!  There never is never too much good that can come to a community clinic.  Resources are usually scant, and patients are plentiful. You would think with the way traffic was each morning that all of the population in this area would be gone!  But no, they certainly always come to the clinic hoping someone can help them with something.

Every day I finish my clinic day exhausted.  I go through a rollercoaster of emotions at my community clinics.  Stress from how many things I cannot solve.  Happiness from so many things I can help with.  Sadness from the things some of my patients have endured in life.  Excitement from realizing all the good people there are in the world helping care for others that need it most.

Every day I go home happy to have spent my day at the other end of the city because of the people I meet and the stories I am privileged to hear.  Every day I go home proud to have done everything in my power to help those that otherwise might not have access to health care.  Every day I am hopeful that others will reach out to their community clinics, community organizations or community leaders to volunteer or give back so that we can all do our part to make our world a healthier place for everyone.

… Who is left at the other end of the city?

Avelina Sandoval is a family physician.

Image credit: Shutterstock.com

Prev

Consider the @KevinMD keynote experience for your event

February 27, 2018 Kevin 0
…
Next

Therapy and self-help strategies aren't the answer to solving physician burnout

February 27, 2018 Kevin 10
…

Tagged as: Primary Care, Public Health & Policy

< Previous Post
Consider the @KevinMD keynote experience for your event
Next Post >
Therapy and self-help strategies aren't the answer to solving physician burnout

ADVERTISEMENT

Related Posts

  • Mental health issues and the African American community

    Lashawnda Thornton, MSW
  • Freestanding ERs and retail clinics: Do they create a more efficient health care system?

    Richard Young, MD
  • What do white LGBTQIA+ people owe to the black community?

    Kristin Puhl, MD
  • Patients with severe autism: medical and dental care in the community

    Irene Tanzman
  • How health insurance affects patients: That means the transgender community too

    Gabriela Ramirez
  • A hospital invested tens of millions to preserve its community and won

    Peter F. Nichol, MD, PhD

More in Physician

  • Why listening is the core of patient-centered care

    Claudy Bonne Année, MD
  • Why relationship-centered care matters in medicine

    John Wei, MD
  • How one doctor navigated orthopedic residency while pregnant

    Christen Russo, MD
  • A humorous parody of medical specialties and the modern patient

    Sidney J. Winawer, MD
  • Surviving a hospital blizzard as a physician on call

    George F. Smith, MD
  • Pharmacy closures threaten our entire public health system

    Timothy Lesaca, MD
  • Most Popular

  • Past Week

    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • A humorous parody of medical specialties and the modern patient

      Sidney J. Winawer, MD | Physician
    • Administrative burden is driving severe physician burnout

      Kayvan Haddadan, MD | Physician
    • Pharmacy closures threaten our entire public health system

      Timothy Lesaca, MD | Physician
    • How an international medical graduate fought workplace retaliation

      Daniela Rizzo, MD | Physician
    • Artificial general intelligence and the future of surgery

      David Stonko, MD | Tech
  • Past 6 Months

    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • The cost of time constraints in primary care: Why doctors feel rushed

      Ann Lebeck, MD | Physician
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
  • Recent Posts

    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why listening is the core of patient-centered care

      Claudy Bonne Année, MD | Physician
    • What to expect at your first gynecologic visit

      Callia Georgoulis | Conditions
    • Why relationship-centered care matters in medicine

      John Wei, MD | Physician
    • The quiet hospital financial crisis threatening health care

      Ganesh Asaithambi, MD, MBA | Conditions
    • Why I would never compromise on withdrawing care until I saw it firsthand [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

View 1 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

  • Most Popular

  • Past Week

    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • A humorous parody of medical specialties and the modern patient

      Sidney J. Winawer, MD | Physician
    • Administrative burden is driving severe physician burnout

      Kayvan Haddadan, MD | Physician
    • Pharmacy closures threaten our entire public health system

      Timothy Lesaca, MD | Physician
    • How an international medical graduate fought workplace retaliation

      Daniela Rizzo, MD | Physician
    • Artificial general intelligence and the future of surgery

      David Stonko, MD | Tech
  • Past 6 Months

    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • The cost of time constraints in primary care: Why doctors feel rushed

      Ann Lebeck, MD | Physician
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
  • Recent Posts

    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why listening is the core of patient-centered care

      Claudy Bonne Année, MD | Physician
    • What to expect at your first gynecologic visit

      Callia Georgoulis | Conditions
    • Why relationship-centered care matters in medicine

      John Wei, MD | Physician
    • The quiet hospital financial crisis threatening health care

      Ganesh Asaithambi, MD, MBA | Conditions
    • Why I would never compromise on withdrawing care until I saw it firsthand [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

A roller coaster of emotions at my community clinics
1 comments

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

Loading Comments...