Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • 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
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • 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
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Board certification: what physicians say about the boards and MOC, in their own words
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician careers: what physicians say about jobs, contracts, and leaving clinical practice, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

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

  • What clinical support staff notice that charts never show

    Maria Alemu
  • Learning empathy in medical school took my father’s cancer

    Sneha Dabadi
  • Monetize clinical expertise without becoming an influencer

    Justin Allan Montgomery, MSN-FNP
  • Medical infographics now look right without being right

    Shaan R. Mody
  • Clinical uncertainty is missing from medical training

    Lohithasree Bode
  • Why nearly every pre-med now takes a gap year

    Claudia Rodriguez
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Why the family medical history lives with women caregivers

      Dr. Malika Gupta | Physician
    • Patient communication ends when the patient understands

      Diane Bruno | Patient
    • Staying salaried may now be the riskier bet for doctors [PODCAST]

      The Podcast by KevinMD | Podcast
    • How CREST-2 changes asymptomatic carotid stenosis treatment

      John R. Laird, Jr., MD | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Staying salaried may now be the riskier bet for doctors [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why I wrote an emergency medicine novel about 1 night

      Matt Barmmer, MD | Physician
    • Health data privacy with AI starts before you press send

      Michael Neely | Health Technology
    • Oluyemisi Famuyiwa, MD, on fertility and PCOS: a KevinMD subscriber spotlight

      Oluyemisi Famuyiwa, MD, on fertility and PCOS: a KevinMD subscriber spotlight

      Kevin Pho, MD | KevinMD
    • Knowledge is not judgment: why patients still trust doctors

      AI and clinical judgment: why patients still trust doctors

      Jennifer Miles-Thomas, MD, MBA | Physician
    • Moral injury in medicine is an odyssey without Ithaca

      Farid Sabet-Sharghi, MD | 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

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Why the family medical history lives with women caregivers

      Dr. Malika Gupta | Physician
    • Patient communication ends when the patient understands

      Diane Bruno | Patient
    • Staying salaried may now be the riskier bet for doctors [PODCAST]

      The Podcast by KevinMD | Podcast
    • How CREST-2 changes asymptomatic carotid stenosis treatment

      John R. Laird, Jr., MD | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Staying salaried may now be the riskier bet for doctors [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why I wrote an emergency medicine novel about 1 night

      Matt Barmmer, MD | Physician
    • Health data privacy with AI starts before you press send

      Michael Neely | Health Technology
    • Oluyemisi Famuyiwa, MD, on fertility and PCOS: a KevinMD subscriber spotlight

      Oluyemisi Famuyiwa, MD, on fertility and PCOS: a KevinMD subscriber spotlight

      Kevin Pho, MD | KevinMD
    • Knowledge is not judgment: why patients still trust doctors

      AI and clinical judgment: why patients still trust doctors

      Jennifer Miles-Thomas, MD, MBA | Physician
    • Moral injury in medicine is an odyssey without Ithaca

      Farid Sabet-Sharghi, MD | Physician

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

  • Terms of Use Agreement
  • 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...