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

Everyone needs someone to be a safe harbor

Loice Swisher, MD
Physician
May 21, 2018
Share
Tweet
Share

I met David on the internet. It was to become on of the closest, most intense relationships of my life.  For you see, a few months before he crossed my path his daughter finished the same protocol for the same type of brain tumor that my daughter just had started.  They had successfully traversed the waters that to me were completely unknown — and frankly terrifying.  On the pediatric brain tumor listserv, he seemed to know the pitfalls, the warning signs, the hard stuff as well as ways to make the best of life no matter the circumstance.  David became my anchor keeping me from washing away while enduring the torture of watching my daughter deal with the harsh side effects of her treatment.  During that time I would often call or write every day.

A couple of cycles into chemotherapy, I was having a tough time.  The hits seemed to keep coming for my girl.  She had been neurologically devastated by surgery. Radiation had taken her hair — hopefully temporarily.  The tattoos though would be a reminder for life.  A wicked gastroparesis was a gift from vincristine.  Some weeks there was little in and nothing out.  The thief, cisplatinum, now was stealing her hearing. Clearly, I was overwhelmed drowning in sadness and angst.

My voice trembled as I tried to convey my fears, regrets, guilt and total lack of a vision for a long term.  Even through the airwaves, one could see that I was on the verge of tears — ready to fall apart at any moment.  Then my friend asked me, “Have you ever noticed how cruise ships are two-toned?  They are white at the top and red or blue at the bottom.”

Over the many weeks, I had gotten to know my friend.  I thought he was trying to distract me — to give my mind something else to think about.  He must be reaching to try to pull me out of the whirlpool of despair that was sucking me down.  Perhaps he had some interesting story to tell of the ships that pulled into the port near his home.  He went on to muse that it might be good if people were the same way.   David had succeeded in getting my attention.

The English citizen proudly talked about the seafaring history of his heritage island.  Unfortunately, in the mid-1800s the insurance business made it profitable when ships sank as well as when they reached their destination.  The practice of overloading boats with goods to the point of capsizing in less than ideal weather became so commonplace that cargo ships were called “coffin ships.”  A social-justice minded MP, Samuel Plimsoll, championed the safety for the sailors by advocating for a line to be placed on ships so that anyone who saw the vessel would know if it was at risk.

It was such a simple thing — a visible line to know overload.  And if one couldn’t see the line, it was time to either get rid of some stuff or get to a safe harbor.  Yes, wouldn’t it be fantastic if people were that way?  We could instantly see whether they were at risk, the reason for floundering or just be there to be the safe place to unload.

But people aren’t like boats.  Sometimes it is hard to see — and even more difficult to ask for help.

Over the years, this became our shorthand — an emergency flare — to clue the other that one or the other was in a precarious place.  When the answer to “How are you?” was returned with “Beyond my Plimsoll line,” each of us knew to be ready to be a safe harbor and be ready for a dump of stuff coming one’s way.  Everyone needs someone to be a safe harbor.  It can make all the difference in the way one sails through life.

Watch the full FIX17 talk below:

YouTube video

Loice Swisher is an emergency physician.  This article originally appeared in FemInEM.

Image credit: Shutterstock.com

Prev

Medical residents and academic due process: Know your rights

May 20, 2018 Kevin 5
…
Next

How Barbara Bush's legacy can help us rediscover the benefits of palliative care and hospice

May 21, 2018 Kevin 1
…

Tagged as: Oncology/Hematology, Pediatrics

Post navigation

< Previous Post
Medical residents and academic due process: Know your rights
Next Post >
How Barbara Bush's legacy can help us rediscover the benefits of palliative care and hospice

ADVERTISEMENT

Related Posts

  • Physician suicide: We need safe spaces to talk about it

    Ton La, Jr., MD, JD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • CBD oil: Natural does not mean it is safe

    Sarah Fraser, MD
  • Medical facilities: Please keep your immune-deficient patients safe

    Denise Reich
  • Unapproved CBD products may not be as safe as they seem

    Kenneth Finn, MD
  • Medical professionals are uniquely positioned to provide a safe space for discussion

    James G. Beckner

More in Physician

  • The elephant in the room: Why physician burnout is a relationship problem

    Tomi Mitchell, MD
  • Why the primary care system failure forces unnecessary referrals

    Jordan Cantor, DO
  • AI in medicine vs. aviation: Why the autopilot metaphor fails

    Arthur Lazarus, MD, MBA
  • Racial mistaken identity in medicine: a pervasive issue in health care

    Aba Black, MD, MHS
  • AI and moral development: How algorithms shape human character

    Timothy Lesaca, MD
  • A 6-step framework for new health care leaders

    All Levels Leadership
  • Most Popular

  • Past Week

    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Understanding the evolutionary mismatch in health and modern disease

      Max Goodman, MD | Conditions
    • How fNIRS and light therapy are shaping precision psychiatry

      Muhamad Aly Rifai, MD | Conditions
    • The emotional labor of volunteering in an aging society

      Gerald Kuo | Conditions
    • Difficult patients in medical history

      Joan Naidorf, DO | Physician
    • Silence is a survival mechanism that costs women their joy [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Medicare cuts are destroying independent rural medical practices [PODCAST]

      The Podcast by KevinMD | Podcast
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
    • Why the primary care system failure forces unnecessary referrals

      Jordan Cantor, DO | Physician
    • AI in medicine vs. aviation: Why the autopilot metaphor fails

      Arthur Lazarus, MD, MBA | Physician
    • How the mind-body split in medicine shaped modern clinical care

      Robert C. Smith, MD | Conditions
    • Racial mistaken identity in medicine: a pervasive issue in health care

      Aba Black, MD, MHS | Physician

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

  • Most Popular

  • Past Week

    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Understanding the evolutionary mismatch in health and modern disease

      Max Goodman, MD | Conditions
    • How fNIRS and light therapy are shaping precision psychiatry

      Muhamad Aly Rifai, MD | Conditions
    • The emotional labor of volunteering in an aging society

      Gerald Kuo | Conditions
    • Difficult patients in medical history

      Joan Naidorf, DO | Physician
    • Silence is a survival mechanism that costs women their joy [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Medicare cuts are destroying independent rural medical practices [PODCAST]

      The Podcast by KevinMD | Podcast
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
    • Why the primary care system failure forces unnecessary referrals

      Jordan Cantor, DO | Physician
    • AI in medicine vs. aviation: Why the autopilot metaphor fails

      Arthur Lazarus, MD, MBA | Physician
    • How the mind-body split in medicine shaped modern clinical care

      Robert C. Smith, MD | Conditions
    • Racial mistaken identity in medicine: a pervasive issue in health care

      Aba Black, MD, MHS | Physician

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...