01 Jun Catching a Communicable Ease
Have you ever noticed how the attitude with which you approach life influences your experience of your day and can impact the way others around you go about theirs? I recently had a sweet little reminder of this that had me quietly smiling to myself as I went about my day.
It was a frigid Tuesday morning in winter and my husband Shya and I had our routine appointment with our doctor, Dr. Reddy. His office is a small country affair, which looks like it belongs more in a rerun of Mayberry RFD (a television show about small town Middle America that aired from the late sixties to early seventies) with Opie and Aunt Bee than it does in modern day America. One would not guess at first glance that Dr. Reddy is one of the most caring, comprehensive and progressive doctors around. Not only is he an internist, practicing at the local hospital, but he also practices homeopathic and Ayurvedic medicines. We originally went to him in 2008 for chelation, an intravenous treatment for heavy metal poisoning. After getting superb care we eventually made Dr. Reddy our primary care physician even though his office is in a town a half an hour away.
One thing Doctor Reddy is famous for amongst his patients is being chronically late. We have encouraged many friends from as far away as New York City and Connecticut (an hour and a half or two hour drive) and a family from as far away as Costa Rica to see him. Every one of them have been exceedingly happy with his care but we always warn people to plan to be there for an extended period as his schedule is rarely, if ever, on time. We plan for it as well. It is part of the culture of his office. Often, when weather permits, we plan to take a walk before our appointment. Arriving on time, we sign in, give Nurse Nancy our cell number and she calls us when he arrives. We usually walk downtown and walk over the bridge spanning the Delaware River between New Jersey and Pennsylvania. We will watch carp and bass and at times, shad swim down below. Snow geese frequent the shores and it is a pleasure to watch the seasons as they change.
We also plan in advance to be the first patients of the day as we have come to recognize that the doctor’s schedule often gets further delayed; he does not rush to get his patients done with, is really there for each one and sometimes that takes more than the 15 minutes allotted. His staff has even started booking his office hours later in the morning in an attempt for on time start. The challenge is that sometimes he is delayed at the hospital due to an emergency or at the local retirement community where he is their physician on call. I have seen him on mornings when he is bright and chipper and have also seen him directly following the death of an elderly patient whom he had been treating for years.
Normally, I expect a doctor to be on time as, in my opinion, it is respectful. But with Dr. Reddy I have come to realize that if I wish to have him for my physician it comes with his rhythm and his lack of timeliness. I then have one of two choices – surrender or complain. I choose the former. This means that Shya and I not only plan for our appointments to generally start far later than the scheduled time but also that we treat it as if this is exactly what we want.
On this particular Tuesday morning, we were called in for our chelation infusion approximately an hour after our appointed time. I had been quite productive and had finished most of my emails as I had been sitting there. When Dr. Reddy touched my arm to find the vein for the infusion his fingers were inordinately chilly.
“Wow, Dr. Reddy, your hands are really cold this morning!” I said.
“I spent a long time in my car in the parking lot talking to the family of a patient,” he replied quietly.
While he said nothing further I imagined I heard pain in his voice. For certain the discussion he had had was a challenging one, one that truly mattered to whomever he was conversing with. I knew in an instant that he had been compassionately guiding a family through a difficult time.
Shortly thereafter I returned to the waiting room to collect my things and my coat and hat. The room, as usual had a host of patients, most of whom were obviously retired. As I removed my belongings from a chair next to a gentleman of advanced years I smiled and told him that Dr. Reddy was in now and he had just seen us so it shouldn’t be too much longer.
“How long did you have to wait, only about 8 hours?” the man asked only half in jest.
I leaned in as I retrieved my computer, which was sitting on the floor near his chair, “He was delayed in the parking lot while talking with a patient’s family. If it were my family he had been talking to I am sure I would have been happy that he took the time,” I said softly.
It was still cold outside and it took a few moments for Shya and I to don our vests, coats, scarves and hats. As we were doing so, Nurse Nancy called the gentleman with whom I had just had the exchange but he turned to the lady sitting next to him and said, “Why don’t you go first. I have the time.”
Pulling the door closed as I exited the office I smiled to myself. I realized that in a doctor’s office it is reasonable to expect that you may be exposed to a communicable disease, particularly during flu season. But on this particular chilly winter morning, at least one man had been exposed to a communicable ease and it was already spreading to those around him.