Vicious Care – sketch by Monica Kostas
This week’s piece comes to us from fellow editor Scott Nappalos, a healthcare worker in Miami. He writes about the challenges of salvaging human interactions and compassion while working in a profiteering healthcare system that renders impotent patients and healthcare workers alike.
We Carry Our Failures:
Working With People in a Dehumanizing System
My patient would come back to the hospital just as soon as he left. We’ll call him Mr. Jones. His arm was mangled by a rare cancer that took his digit and much of his sensation and movement. He wore a hat over his thinning hair that read ‘Vietnam Veteran’. Rare cancer, God only knows what he was exposed to there. He took to me and would greet me and discuss his condition even when I wasn’t assigned to him, “it’s miserable” looking to his hand “living like this”.
Everyone took him to be a problem. They accused him of being a drug addict and using the hospital like a hotel for room and board, as he would sneak off the unit to smoke, talk to vets, buy junk food, and tool around outside in his wheelchair. Doctors would discharge him and he’d come right back. No one believed the stories he gave that were enough to get him readmitted, essentially living in the hospital for months despite discharges.