Sometimes patients are a mystery.

A relatively young man comes to see me.
Problems, a bit intricate, I type a thorough
history as we talk. I make suggestions
and he is to return in a few weeks.
He receives a copy of the note and plan
spit out by the printer.

He returns. There is a pain component.
He does not bring the journal I suggested.
He seems no better. I add a little to the plan
and suggest that he return again.

And again and again. Fourth visit. No journal.
“What have you tried that I have suggested?”
He replies, “I haven’t read your notes yet.”
“You haven’t read my notes yet? In three months?
I’ll tell you what: how about you return after
you read my notes and try some
of my suggestions. Why come in if you aren’t interested
in trying anything?” I do not go to rage.
It is not my problem. It is his problem.
If he doesn’t like the plan or doesn’t want to read
(yes he can read) or doesn’t want change,
that is his choice. Don’t waste my time.

He does not return.

It is a mystery. What did he want?
Why didn’t he tell me if he wanted something else?
If it was opiates perhaps he asked around
and decided I am the wrong “provider”
since I am very careful about those provisions.

A mystery. I wonder if it could have played out
differently. Then I let it go and move on.


For the Ragtag Daily Prompt: sinecure.