Last
week in Poptun I took the history of a patient that seemed like many others,
but as we moved through the questions she got more guarded. We relocated to a more private location as I
broached more sensitive subjects and her horrifying story unfolded – incest,
rape, preteen pregnancy, and the tragic murder of her son all before she turned
15 years old. Things couldn’t get much
worse, but they also didn’t get much better in the years since then. I did my best to listen, reassure, and offer
support. Eventually I found Orfe, who
says the most moving and sincere prayers I’ve ever heard. When I’m at a loss for what to do, I often
turn to her for support for me and the patient – the patients get such comfort
from praying together and it’s something I just can’t offer well in English,
much less in Spanish. We cried together
and I offered the woman a hug before submitting to the long line of patients behind
her.
Later
that day she returned for her result, and handed me a warm black bag. She said, “I left and knew I had to do
something to let you know how much you helped me this morning. It isn’t much, but I made these tamales and
hope you enjoy them.” I was so moved,
and tried to say something appropriate in Spanish (it is at times like this
that my Spanish fails me most) to express my gratitude. Again, the waves of patients cut the moment
short, but she seemed content and I was relieved to give her a normal pap smear
result. At the end of the day we all
enjoyed the tamales as a reminder of the non-medical impact we can make in
these patients’ lives. (And yes, they
were delicious, especially since lunch often comes and goes without us pausing
for a break. Some of you will be very
lucky if I learn how to make them before returning to the US – they’re on my list!)
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