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 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

Post navigation

< 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

  • How tragedy shaped a medical career

    Ronald L. Lindsay, MD
  • A doctor’s guide to preparing for your death

    Joseph Pepe, MD
  • How policy and stigma block addiction treatment

    Mariana Ndrio, MD
  • Why don’t women in medicine support each other?

    Jessie Mahoney, MD
  • IMGs are the future of U.S. primary care

    Adam Brandon Bondoc, MD
  • The high cost of gender inequity in medicine

    Kolleen Dougherty, MD
  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • The ethical crossroads of medicine and legislation

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

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • The ethical crossroads of medicine and legislation

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

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [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

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...