Skip to content
  • About
  • Contact
  • Contribute
  • My Book
  • Careers
  • Podcast
  • Transcripts
  • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Custom enhanced author page pricing
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • 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
  • Subscribe to the newsletter
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • Upgrade to the KevinMD enhanced author page

More than three hours late, but somehow still on time

Tasia Isbell, MD, MPH
Medical Education
August 28, 2019
Share
Tweet
Share

The sound of a clock, hung haphazardly on a colorless cold wall, ticks repetitively — tick, tick, tick. Time continues to pass as my appointment scheduled for three hours ago seems like it will never come. I scheduled this appointment three months ago, and here I sit three hours later. The irony bounces around the room to the sound of the clock ticking. Tick. Tick. Tick.

A door squeaks open.

Just my luck, it’s not the doctor. She introduces herself to me as a medical student, but I want to see the doctor. Here she goes asking me why I am here in the clinic today. Did you not read my chart before you came into the room? Time swirls around the clinic room as I wait for the real doctor to speak to me. Tick. Tick. Tick. I am here today because I had a stroke last week and I need to get that situation taken care of. Here she goes again asking questions.

Muscle weakness. Check.

Vision changes. None.

Numbness. Tingling. Yes, and yes.

When will she stop asking me questions? When will she let me see the doctor, the real doctor? Time continues to laugh as fifteen more minutes go by with no answers. She continues asking me questions and tells me she wants to do a “neuro exam.” I don’t know what a cranial nerve is, but I oblige — maybe the doctor will see me soon. Time continues to slow. Tick. She asks another question. Tick. Tick.

Headaches. Yes, duh.

She continues like this for another five minutes. She asks one last question.

How is your mood?

I can feel myself unraveling at the thought of responding to her question. I had no trouble answering her questions about my muscle strength and speech, but my mood. Can I trust her and we have only been talking for twenty minutes. She slides a box of Kleenex toward me in anticipation of a waterfall of emotions. Hesitantly, I respond. I cannot sleep. I have no appetite. I think the last time I ate was a few days ago — I think, maybe, I’m not sure. I feel guilty about not being able to take care of my children; my relationship with my fiancée is suffering. I feel my self withdrawing. I’m not social anymore. I want to be left alone. All of the time. I’ve been smoking more — two packs a day. I used to only smoke half a pack. I can’t tell if I am freaking her out. She looks calm; I continue. I was diagnosed with depression in 2014 and have been uninsured until a month ago. I haven’t had my antidepressants in over five years. I am desperately trying to be happy. Is it bad I can’t remember the last time I was happy? I have no reason to not be happy, right? I continue. I have thought about killing myself. I tried before when I was younger — cutting and pills. What would keep you from trying again she asks. Of course, she asks.

My children. My grandchildren. I start to laugh thinking about my three grandchildren, I think about the years that passed without a glimmer of happiness. Oh, how I forgot what it felt like to genuinely laugh, to enjoy someone’s company. She’s not the doctor yet, but she’s a listener, now. The sound of the clock continues to tick, tick, tick. I have lost track of time. The doctor enters the room. More than three hours late, but somehow still on time.

Tasia Isbell is a medical student.

Image credit: Shutterstock.com

Prev

No, phones don't cause horns to grow on skulls

August 27, 2019 Kevin 3
…
Next

Why physicians should have golden parachutes

August 28, 2019 Kevin 0
…

Tagged as: Primary Care

< Previous Post
No, phones don't cause horns to grow on skulls
Next Post >
Why physicians should have golden parachutes

ADVERTISEMENT

More by Tasia Isbell, MD, MPH

  • Pediatricians grapple with guns in America, from Band-Aids to bullets

    Tasia Isbell, MD, MPH
  • Physicians cry too: 6 tips for coping with death and grief as a health care worker

    Tasia Isbell, MD, MPH
  • Be the Simone Biles of health care

    Tasia Isbell, MD, MPH

Related Posts

  • Finding happiness in the time of COVID

    Anonymous
  • It’s time to focus medical education on training the whole person

    Tracy Asamoah, MD
  • Doctors: It’s time to unionize

    Thomas D. Guastavino, MD
  • It’s time to abolish the MCAT

    Inginia Genao, MD
  • The next time you see a medical student, give support

    Gurbaksh Esch, MD
  • It’s time to end the USMLE Step 3 exam

    Madeline Wozniak

More in Medical Education

  • Why medical simulation training belongs in every rotation

    Chuka Onuh
  • Merit in medical school admissions is more than scores

    Tony L. Weaver, DO
  • Character is not reputation: a medical school reflection

    Reed Popp
  • Has higher education in India kept its promise?

    Rao M. Uppu, PhD
  • Why diversity in medicine is a clinical intervention

    Arthur Lazarus, MD, MBA
  • The MCAT requirement persists as a norm, not as a tool

    Aniruth Ananthanarayanan
  • Most Popular

  • Past Week

    • Why most methylene blue cases came from anesthesia, not pills [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “failed cycle” and “poor responder” wound infertility patients [PODCAST]

      The Podcast by KevinMD | Podcast
    • Character is not reputation: a medical school reflection

      Reed Popp | Medical Education
    • When the AI diagnosis arrives before the patient does

      Ganesh Asaithambi | Health Technology
    • Guidelines are not evidence: the research to practice gap

      Alissa Goodwin, MD | Physician
    • The hidden tax driving up U.S. health care costs

      Kayvan Haddadan, MD | Health Policy
  • Past 6 Months

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Metrics got you into medicine and are making you unhappy in it [PODCAST]

      The Podcast by KevinMD | Podcast
    • 3 fixes for primary care access in the ChatGPT era

      Payam Zamani, MD | Health Technology
    • Why does post-discharge care keep breaking down?

      Katherine Owen, RN | Conditions and Diseases
  • Recent Posts

    • Why “failed cycle” and “poor responder” wound infertility patients [PODCAST]

      The Podcast by KevinMD | Podcast
    • America on life support: A hospital social worker reflects

      Kathleen Fitzgerald, LMSW | Health Policy
    • How physician burnout reaches into marriage

      Ronke Dosunmu, MD | Physician
    • Clinical AI liability lands on you, not the vendor

      Erin J. Silvertooth, MD | Health Technology
    • Denial rate segmentation finds your real revenue leak

      GetPracticeHelp | Physician Finance
    • 3 pharma conflicts of interest hiding in plain sight

      Martha Rosenberg | Medications

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
  • Most Popular

  • Past Week

    • Why most methylene blue cases came from anesthesia, not pills [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “failed cycle” and “poor responder” wound infertility patients [PODCAST]

      The Podcast by KevinMD | Podcast
    • Character is not reputation: a medical school reflection

      Reed Popp | Medical Education
    • When the AI diagnosis arrives before the patient does

      Ganesh Asaithambi | Health Technology
    • Guidelines are not evidence: the research to practice gap

      Alissa Goodwin, MD | Physician
    • The hidden tax driving up U.S. health care costs

      Kayvan Haddadan, MD | Health Policy
  • Past 6 Months

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Metrics got you into medicine and are making you unhappy in it [PODCAST]

      The Podcast by KevinMD | Podcast
    • 3 fixes for primary care access in the ChatGPT era

      Payam Zamani, MD | Health Technology
    • Why does post-discharge care keep breaking down?

      Katherine Owen, RN | Conditions and Diseases
  • Recent Posts

    • Why “failed cycle” and “poor responder” wound infertility patients [PODCAST]

      The Podcast by KevinMD | Podcast
    • America on life support: A hospital social worker reflects

      Kathleen Fitzgerald, LMSW | Health Policy
    • How physician burnout reaches into marriage

      Ronke Dosunmu, MD | Physician
    • Clinical AI liability lands on you, not the vendor

      Erin J. Silvertooth, MD | Health Technology
    • Denial rate segmentation finds your real revenue leak

      GetPracticeHelp | Physician Finance
    • 3 pharma conflicts of interest hiding in plain sight

      Martha Rosenberg | Medications

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

Leave a Comment

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

Loading Comments...