02 June 2009

I wanna hold your hand...

I had an interesting encounter the other day.  Was assigned to tag along with a patient who was to undergo his first ect treatment....  things were delayed (shocking!), and it left me with a lot of time to, well, just chat with the patient.  He was in his 70's, admitted to the psych ward for a suicide attempt.  He was also a former physician.  So we chatted for a while (I love non-floors months), about his life, his family...  he, in turn, asking questions about my own.  I could feel his anxiety - it really was palpable -  which only increased as the minutes passed.  In the end - right before he was going to be wheeled to another room - he asked me to hold his hand.  For comfort, he said, to feel human.  

So I held his hand.  He in his gurney, me standing awkwardly aside of him.  30 year old resident doctor holding the hand of a 75 year old [retired] doctor.  An anxious resident holding the hand of a depressed doctor.

Interrupted by a nurse that walked in, I quickly dropped his hand, almost relieved to have an escape.  It was then I realized just how embarrassed I was.

It's interesting... I have grown to be the type of resident that is touchy in the frequent-pats-on-back way.  And I suppose I have given the occasional hug.  I realized, though, that they are always on my time; it is always me - as The Doctor - offering the compassionate touch.  It was surprisingly difficult to be on the other end of the spectrum, with the ball not in my court.

I thought a lot about the scenario later that day.  Glad to have been there for someone.  Humbled, really.  So why was crossing that boundary - that professional boundary - so hard for me?  

I think a lot of it has to do not just with boundaries, as there wasn't much that was crossed that day... but more so with identifying.  I could identify with this physician/patient - I know what it's like to be sad, depressed, anxious.  I get it.  But perhaps at that point, I didn't want to get it. I didn't want to empathize, I didn't want to be reminded of my own struggles in life?

Onward.  

No comments:

Post a Comment