Moved (By the Greatest Show on Earth)

NEW YORK — Ovations are on pause in the theaters and concert halls and stadiums of this city. But they haven’t ceased. They’ve just moved into the streets. Like clockwork, they happen, every evening at 7.  Up and down Manhattan — and probably the Bronx and Staten Island, too — cheers ring out from apartment towers and brownstones, along with the sounds of rhythmic chants, applause and whistles. The denizens of this city of ordinarily high-decibel levels kick them up an ample notch at this hour for the doctors and nurses and technicians and administrators and custodians of the beleaguered ICUs and ERs. The new urban ritual, which is catching on in other cities, coincides with the shift break of hospital staffs, when medical workers emerge from the covid-19 war zone into the open air, to go home for a spell or smoke or eat or otherwise decompress…The tumultuous reception accorded the hospital workers, though, is no cry of despair. It is an impromptu curtain call, of multitudinous thank-yous, from a vast audience rooting for everyday heroes. It’s New Yorkers joining in a chorus, singing out in solidarity: “We are here.”

~ Peter Marks, from “The nightly ovation for hospital workers may be New York’s greatest performance” (Washington Post, April 6, 2020)

Simple care and simple caring

cold weather and homeless

“I (Dr. Bob Flaherty) was involved with starting the medical clinic about 15 years ago to provide health care for Bozeman’s low-income individuals and families. It keeps a lot of people out of the ER and the hospital. Angels work there…

It is already below zero outside the converted machinery-rental shop that serves as Bozeman’s Warming Center for the homeless. A local nonprofit…opened the center a few years ago after a homeless man froze to death in a U-Haul truck…

I come to the center Wednesday evenings after seeing my last office patient. It is the practice of medicine at a basic level: I’m here to clean ears, trim toenails, drain abscesses, listen to worries and give advice; to fix small but important problems that will allow the people here to survive on the edge of society for another day or week. I bring a large toolbox with basic medical instruments and several over-the-counter medications…

Jerry thinks he’s going deaf; my otoscope reveals both ears packed with wax. Tiffany and I irrigate his ears with my portable kit. Success and gratitude…

…I don’t ask, but with familiarity and trust bits of their history bubble up. Divorce, lost jobs, disappearing husbands or wives, alcohol, drugs, mental illness. These homeless are often different from the homeless you read about in the New Yorker or hear about on NPR. Certainly, many have hit hard times, but just as many prefer to live off the grid. They want most of all to be left alone. They are not poster children for political assumptions.

My assistant, Tiffany, will soon enter the world of 21st-century medicine: electronic health records, quality metrics, diagnostic and treatment codes, performance-based reimbursement, insurance exchanges. Medicine as process where the patient can easily get lost. But on this cold evening she has seen a doctor helping one patient at a time, doing small things that can make a big difference. In perhaps one of the few places left in America to practice simple care and simple caring.’

Read the entire opinion piece by Dr. Flaherty here: Diagnosing the Many Routes to Homelessness


Image Credit: Oakridgenow.com

White T-Shirts

photography

We wait for the phone to ring.
Every Sunday.
For the obligatory college briefing call.
(As long as you feed from the trough, you’ll call home on Sunday. Non-negotiable.)
Rachel jabbering. Eric tight lipped…leaking information on a need-to-know basis.
Not last night.
Big day for me on Tuesday Dad.
I forgot it’s his 20th birthday.
You forgot right?
Of course not.
Of course you did.
You know that I’m leaving for El Salvador on Saturday.
I’ll be taking vitals…blood pressure, temperature…and recording it.
Dad, I’ve been told there will be thousands, all waiting for medical care.
We’ll be readying patients for the doctors and dentists.
And then feeding homeless at night.

I’m dressing for work this morning.
I check the weather app. -5° F with wind chill.
How many children are huddled and shivering in the cold? Hungry. A soda can and not much else in the fridge for breakfast. Not in El Salvador. Here. Right here.
I shudder.
I reach for a t-shirt. Folded. Stacked. Clean. White.
I’m drawn to the label. I squint to read the small print.

XL 100% Pima Cotton. Machine wash warm with like colors. Only non-chlorine bleach if needed. Tumble Dry Low. Warm Iron if needed. Made in Bangladesh.

Made in Bangladesh.


Image Credit

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