Burned Out

The reality is that the lives of the smallest patients are in our hands, and their clinical condition can change in an instant. No matter how many times you are involved in situations such as this, the physical stress and anxiety as well as the emotional and psychological effects of being immersed in that environment are dramatic and lasting on the human body, mind, and central nervous system. These effects are severe, and I firmly believe that they are cumulative over your lifetime.

The entire belief was insulting to many of us, but nonetheless, the term “top trained,” which would come to be regurgitated with great regularity by hospital administration and by Dr. Kowatch, would eventually evolve to become what I would describe as an unhealthy infatuation, one that I now understand represented the developing disconnect between the majority of the Heart Center team and hospital administration, which would ultimately have detrimental effects on the program, which would become visible to all in the near future.

I reached and grabbed ahold of the garden rake that was leaned up against the tree, when suddenly I felt my heart begin to race and I began to feel dizzy as my visual field became black. That is the last thing I recall before awakening to find myself lying on the ground in the front yard, with the handle of the rake resting on my chest.

I was able to shake off the near-death experience, and whether it was true or not, I was able to use it as some sort of moral validation as to the importance of my existence, or at least the importance of me completing this job, because clearly God, the universe or whoever understood that there was no other human being alive on this earth stupid enough to take this job.

They remained imprisoned in the CICU, kept alive in physicality by mechanical devices and medicinal support, inexorably suffering. I revered their resiliency, though I struggled to understand whether they were truly resilient or if this was a descriptive term I used to assure myself that what we were doing was just. Could they merely represent physical beings at this point, molecular derivatives of carbon and water, void of souls that had moved on months prior once the universe had delivered their inevitable fate, simply kept alive by us physicians, who ourselves clutched desperately to the most favored of our prehistoric binary measures of success: life?

One of the greatest realizations that I clumsily stumbled upon during this process, was that these people didn’t need someone like me to tell them what to do; they needed someone like me to show them what can be done, together.

The disturbing part is that no one teaches us how to deal with death at any point during our medical training, or even during our lifetime for that matter, particularly in a field such as mine where death was an inevitable certainty for some patients.

It was awful and so surreal to see it unfold before my eyes. I will never forget that sight. The only thing I could think of is that one day you are king of your domain, and the next day you are being escorted to your car by security.

When I arrived, I did the job of six people and worked over one hundred hours per week for more than a year until I collapsed in my yard and nearly died!

The hypocrisy was too much to bear, the institution was paying over a million dollars for Mr. Hyde to perform “values training” to “protect our culture,” while they simultaneously paid $2 million a year for Dr. Porter to destroy it. It was a laughable facade, but instead I wanted to cry.

You understand that you are being manipulated by others and you become overwhelmed by hospital bureaucracy. It feels as though you have been violated by administrators who have robbed you of your passion for helping children. That passion that drove you to become a healthcare provider is replaced with mistrust, negativity, and hopeless skepticism.