Today, for the very first time, I received flowers from a thankful patient. Reflecting on how challenging this week has been, with all the seemingly unmanageable obstacles, I am moved by this act. The patient, who is now entering hospice with a terminal brain tumor, felt that my presence made a substantial difference, and this display of appreciation nearly brought me to tears.

Throughout the week, I have grappled with my inability to alter his prognosis. My comfort has been found in being there for him, providing a fleeting moment of hope each day. Even with his communication difficulties, I took the time to comprehend him, ensuring that his needs were addressed when others overlooked him. We discovered joy in simple pleasures, like dipping mouth swabs in coffee or broth for him to savor.

Another patient, an elderly man with a fractured spine, received inadequate initial treatment and ultimately needed proper care under my supervision. Despite being unnecessarily restrained, his gentle spirit shone through, and our exchanges offered comfort at the conclusion of demanding days. I advocated for his well-being and communicated with his family, who acknowledged the commitment I dedicated to his care.

While many patients and their families express their gratitude, others are less engaged. Navigating these dynamics can be difficult, yet the occasional sign of appreciation, such as receiving flowers, is incredibly humbling. These instances remind me of the difference I can make as a physician, even when the challenges appear overwhelming.