The Intern
It’s been around 10 weeks since the new intern started her job 69 days to be exact. Her first attachment was in the adult emergency OPD as a surgical intern. She walks into the room and waits for someone to notice her. They don’t. Pushed to the side, she is always the one taking too much space. The residents and nurses push past her, without even wondering where that new pair of eyes had come from. The Residents scamper in and out, prepping a patient to take to the OR and then someone wants something done, so they finally notice the unnerved new girl.
The Resident was a friendly and cheerful guy from South Sudan. He introduced himself with a warm smile and she sputters hers too. Completely butchering her name, he asks her if she could clerk the patient in the triage room then looks at her with concern, “The patient is presented with clot retention so please tell him to buy materials and start irrigation". She stares at him dumbly. It is her first day of internship but seems like he doesn’t care. And just like that, began the journey of the intern into the marvelous world of medicine.
Not.
Clinical year students came at night and they asked her if there are any surgical cases to be clerked. “We have one hernia case at the front so you can clerk that” she responded.
‘Can you comment on our history before we present it to the resident? በዛው ስለ Hernia ትነግሪናለሽ?’
She laughed and envies their enthusiasm and smiled at their question. Little did they know that she is still trying to understand the anatomy of the inguinal canal. Internal Oblique—was it part of the anterior wall medially or laterally? Meh, she left that decision to them. The intern has more important things to do now.
Internship comes with its perks. No exam in the coming weeks. So she thinks she can carry this off, her optimism dodging the facts, her interest blurring the doubts, her love for hospitals overcoming the dreadful smell of the hallways and she smiles.
She smiles at the sight of familiar faces, she smiles when she sutures wrong, she smiles when the work is too much, she smiles at the questions by the seniors, she smiles at the residents and the patients and the nurses (who don’t smile back, for some reason) and the ward helpers.
Because she believes in the beauty of smiling through tragedy. How grueling it must be to fight against all odds and how satisfying to know that they have survived and will be around for one more day and come morning, the cycle will probably start again but the body never tires. She marvels at the clues– at the induration, the edema, the pus, and blood like the body tells the story of what happens beneath the surface.
Until she realizes that there is no coming back from some tragedies, smiling or otherwise. She did not blink an eye when her favorite patient almost died and went home against medical advice or the time she heard the dead silence of a patient’s lungs as life left her eyes. The light from her torch fell on dilated irises, windows so wide, welcoming so much light, but nobody to receive its warmth.
The intern had thought that doctors could brandish their knowledge and sprinkle it with a little optimism and make everything okay. She doesn’t know which part of her used to believe that the wannabe writer half, or the doctor half both of which were dying slow deaths as she does more menial work than clinical and writes repeats more than a decent passage.
She gets the hang of it in a month though, or more like, the hand of it, the sutures and their loops made more sense now and so did the loopholes of life. And I think The trick is to smile and hold on to it. The journey will always be meaningful no matter the storms.