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Beyond the clinic door
Volume 54, Issue 7, July 2025

Swapping the chairs

Boban Ramesan   
doi: 10.31128/AJGP-04-25-7634   |    Download article
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Once in a while
It is helpful to be there
On that plain chair
right across the cluttered desk Where the patient usually sits …

How do you feel? Perfectly at ease at heart
Or uneasy with a foreboding?
Does your heart flutter
at the thought of the news?

The doctor is right there
his eyes bright with compassion and years of painstaking wisdom He knows it all
For he has seen and read them

He has something to say?
To break a capsule of news and release the pungent truth!
Whatever has been lurking in the dark is emerging from the shadows …

It feels too hot in there though it’s quite cool outside
Moments feel like unending days
The silence overwhelming
that needs to be broken, finally …

Is it better to put it straight to him without the futile prevarication?
Would I live or die
Knowing is painful
But feigned ignorance isn’t blissful, either!

Let us get the good news out first
The systems aren’t perfect
But they’re performing their duties Which is certainly a positive thing! 
But … but … The bad news is …

Why does stammering silence break in, punctuating the serious conversation? There is something to worry about
His eyes bestow a kinder look
Why is it so painful like piercing glass?

Is he pretending to be nicer as though I won’t bear it?
The room suddenly starts to spin The information storms into the ears, inside which wolves start howling!

He has mentioned the word,
The most sinister word known to humankind, It is there, for sure!
Don’t know for how long it has been there Or how long I’ve got left in my life …

Tears sprout in the eyes without invitation The room has gone dark and gloomy though it is spring outside the window He is carefully slicing the words

Keeping the jargon out of the talk …

He talks about the evidence
and the evolving medical wonders
He checks that I am receptive
able to handle the flux of information
And most vitally, he lets me talk!  

I’m full of shock and disbelief as if hit by a monstrous truck!
However, I’m able to vent my thoughts though distraught and chaotic
He listens, so patiently he listens …

We can set this right, he says soothingly He gives me hope
The most priceless and rare gift
for one to soldier on and fight back
As if we’ve signed a pact of solidarity together! 

It is going to get busy
It is going to be painful and daunting
I ought to garner all the support
that a human being can possibly do,
And he will guide me through the journey …

The journey has just begun
The world appears to be eerily different , suddenly shattered like an earthen pot!
But in times of crisis, trust counts the most
The faith in humanity, and the power of medicine …

There is a hesitant knock on the door The room settles back to reality
I am in the doctor’s chair, again!
No longer am I the patient
Sometimes dreams can feel all too real!

The real patient is going to step in Unfortunately I’ve bad news to deliver, with compassion, respect and love

I’ve to re-enact the patient myself
To be the candle light of hope, in darkness …

AI declaration: The author confirms that there was no use of artificial intelligence (AI)-assisted technology in the writing or editing of the manuscript.

Competing interests: None.
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