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 heartfelt plea: the power of emotions in health care

Victoria Goodheart, DO
Physician
January 19, 2024
Share
Tweet
Share

I leaned over the bed’s railing, straining to hear the morphine-slurred words spilling out of his chapped lips. “Make them stop laughing,” he said, referring to the cohort of young nurses giggling around the code cart in the hallway. “I’m in here suffering, in pain, and I shouldn’t have to hear laughter. Tell them to stop. Tell their boss. It’s so unprofessional.” After spitting out the last spiteful words of his diatribe, his pupils constricted, shoulders relaxed, and he sank back into the opiate bliss that swept away his minor post-operative pain. My mind raced in the space between his sonorous respirations as I rehearsed a reply I would never say.

“Sir, let them laugh. Let them be human. Let them cry and rejoice. Let them ache and remember. You see youthful skin, unlined faces. I see innocence washed away with the blood on their hands. Sir, let them laugh.”

I struggled to auscultate breath sounds in the young boy’s chest over the eerie, keening wails of a woman in the hallway. A respiratory therapist stepped quietly through the doorway, one hand fumbling with oxygen tubing, the other hastily wiping tears off his face. My patient’s mother stared at him in abject horror and began to shout, “You have GOT to be kidding me. What is WRONG with you people? Make that woman stop screaming! I don’t want to hear crying. I don’t want to SEE tears. This is all so upsetting to ME. You have to make her stop!” I can only hope the nebulized cloud of albuterol now permeating the room blurred the look of utter revulsion on my face.

“Ma’am, let them cry. Let them moan and roar. Let them shriek to a calloused God, beseech an apathetic Fate. For a mother’s heart lies shattered on our trauma bay floor, mixed with the blood of her baby girl. Her arms ache for the finger-paint-covered ball of fire that used to wriggle against her chest, but now lies cold and still among the resuscitative debris. You see a respiratory therapist with offensively injected sclera. I see a young man with steel resolve, unblinded by tears, who terminally extubated a preschooler. You see a staff with shaking hands and defeat in their eyes. I see an army of healers, beleaguered and abraded, who grappled with Death in the darkest hours of the night. Ma’am, let them cry.”

Nauseated with fatigue, my back tight with stress, I shuffled into the elevator and nodded at the man leaning against the opposite wall. His persistent attempts to engage me in an upbeat conversation barely registered in my sleep-deprived haze. Then his tone changed. “You know, you women would actually be a lot happier if you smiled when we told you to. So stuck up, you can’t even crack some jokes with me in an elevator. Just standing there with that ugly look on your face. Why don’t you go take a Prozac, or meditate or whatever?” Bare knuckles turned white as they wrung fury out of thin air; it was all I could do to restrain the daggers that threatened to launch themselves from my gaze.

“Sir, let me frown. Let me grieve and detach. Let me mourn and withdraw. Will your Prozac erase the feeling of warm blood gushing down my arms, dripping onto my shoes, as a thoracotomy revealed a teen’s shredded aorta? Will smiling drown out the ghostly orchestral tone of gurgling last breaths that pervades my dreams? Will meditation make me forget the acrid smell of charred human flesh: an amaroidal scent that has haunted me long after I watched a mother burn her children alive. Will laughing at your jokes distract me from the morbid cinematic reel replaying in my head? From those gritty images of my gloved hands delivering a stillborn baby, a decaying angel, into the hands of his sobbing mother? No? Then sir, let me frown.

We are the front line. And the second. And the last. We can be saviors in wrinkled scrubs. We can be hope in human form. But we are also human. Let us be human. Let us cry, let us laugh. Let us frown. Let us scream. Let us tremble with exhaustion. Let us stumble and fall. Let us hold you. Let us hope with you. Let us swaddle your newborns. Let us comfort your elderly. Let us grin with you. Let us rejoice with you. Let us help you ring that survivor’s bell. Let us be human together, embracing every emotion in that motley living spectrum. Let us build a more compassionate future.

Let us feel. Let us heal. Together.

Victoria Goodheart is an emergency physician.

Prev

How value-based care can address health inequities

January 19, 2024 Kevin 1
…
Next

Confusing correlation with causation: the most common error in science

January 19, 2024 Kevin 3
…

Tagged as: Emergency Medicine

Post navigation

< Previous Post
How value-based care can address health inequities
Next Post >
Confusing correlation with causation: the most common error in science

ADVERTISEMENT

More by Victoria Goodheart, DO

  • After Hurricane Helene: How Asheville rose from the floodwaters stronger than ever

    Victoria Goodheart, DO

Related Posts

  • How social media can help or hurt your health care career

    Health eCareers
  • Power at the top of health care in America

    Wendy Hind, PhD, JD
  • Why the health care industry must prioritize health equity

    George T. Mathew, MD, MBA
  • Improve mental health by improving how we finance health care

    Steven Siegel, MD, PhD
  • Proactive care is the linchpin for saving America’s health care system

    Ronald A. Paulus, MD, MBA
  • Health care workers should not be targets

    Lori E. Johnson

More in Physician

  • Civil discourse as a leadership competency: the case for curiosity in medicine

    All Levels Leadership
  • When a medical office sublease turns into a legal nightmare

    Ralph Messo, DO
  • Why the heart of medicine is more than science

    Ryan Nadelson, MD
  • How Ukrainian doctors kept diabetes care alive during the war

    Dr. Daryna Bahriy
  • How women physicians can go from burnout to thriving

    Diane W. Shannon, MD, MPH
  • Why more doctors are choosing direct care over traditional health care

    Grace Torres-Hodges, DPM, MBA
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Dear July intern: It’s normal to feel clueless—here’s what matters

      Tomi Mitchell, MD | Education
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | 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

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

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Dear July intern: It’s normal to feel clueless—here’s what matters

      Tomi Mitchell, MD | Education
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | 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

A heartfelt plea: the power of emotions in health care
1 comments

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

Loading Comments...