About Johnny

https://www.psychologytoday.com/za/blog

The rain was pouring badly. She raced against time and traffic to reach work on time. It was not rush hour, but traffic was very slow due to heavy rain. Her mind was busy as usual, but she did not want to be late for work. Unfortunately, the weather and traffic were both not in her favor today. She was driving very fast while carefully looking at the highway. She tried her best, but she was still 10 minutes late.

As she entered the emergency department, she saw the lobby was full of patients. The security guard was not at his seat to open the door for her. She needed her badge to open the door. Well, her purse was full of equipment and books, so good luck finding the badge. Her daughter often comments that the mother keeps the ambulance in her purse. Finding the badge in the full bag was never easy unless she dumped everything from her purse on the counter. She was trying to find the badge when she suddenly heard a familiar sound. She was familiar with stuttering. Johnny (not real name) asked her,” why are you late? You should have come 10 minutes early. I have been waiting for you for the past 20 minutes. I was worried about you”. She responded while still searching for her badge. She said, “Yes, there was a lot of traffic on the road due to heavy rain.” Johnny said innocently,” I have made it on time even when it is raining.” She looked at Johnny,” you are very punctual, that is why. Go take a seat in the lobby. I will call you whenever the room is available inside”. Johnny always listened to her, so he went back into the lobby. By then, the security officer had returned who went inside the ED to handle the combative patient. The office said, “Sorry, the doc inside is chaotic.” She looked at the officer but did not say anything.

Johnny is 49 years old male patient with some delayed mental development. He is very innocent. His soul and mind are also simple and pure. However, he is not capable of understanding the selfishness and complexity of this world. He comes to the ED whenever he wants without any medical problems. His complaints are always very minor or vague, which doesn’t qualify him to be seen in the emergency room or even the doctor’s office.
Johnny knows all the staff members. He knows who treats him well in the ED. He can recognize if any doctor treats him as a patient or not. Johnny won’t see the same doctor again if he were not treated fairly. He lives nearby, so he walks. Sometimes Johnny won’t even register his name if he sees any of his favorite docs are not on duty. Johnny often comes to the ED for foot pain or nasal congestion. Her co-worker was number one on his favorite list. She was second. Since her co-worker quit this facility and started working in another hospital 10 minutes away from this hospital, Johnny has promoted her to number one. So now she is Johnny’s favorite # 1 doc.
Johnny’s turn came after 4 hrs of waiting in the lobby. He never yells or gets upset like other patients due to the long wait. She has seen Johnny multiple times with the same foot pain. She did all types of testing, and she even sent him to the specialist. There is nothing wrong with Jonny’s feet and nose.

She went to evaluate him in the exam room. Jonny made sure both his feet were naked for the exam. She sat by him on the chair. She touched both his feet and did the entire exam, but the exam was normal as usual. She never prescribed him any medications because of his ability to overdose in the past. She always gives him a dose of Tylenol in the ED and prescribes some topical analgesics. Someone had prescribed him a topical analgesic a year ago, which he has not opened yet. The medication was already expired, which Johnny discarded per advice.

Johnny never forgets to tell her about his mother’s death on each visit. He never forgets to tell her how his father left him when he was a child. He is happy living with his two siblings now. He is proud of his siblings, who work hard. He also regrets that he doesn’t know how to cook. After she did his exam, she told him to wait for the nurse for his discharge paper. Instead of waiting in the room, Johnny decided to follow her, which he had never done in the past. She asked if he needed any additional help, to which he said no. Johnny stood by her for a couple of seconds behind the computer screen while she was documenting. Suddenly he said,” I went to see him yesterday.” She asked who did you go to see Johnny. He said, “I went to see Brian in another hospital. I will go again in 2 days. You can send him a message if you want”. I laughed, “Okay, tell him we miss him.”
Now she knew that Johnny does visit his favorite doc # 1 in another facility. She smiled, but one of the nurses could not stop herself from telling him,” so now you have started following the docs.” She could see Johnny did not like the nurse’s tone. So the next day, she texted Brian. He told her that Johnny frequently visits him at his facility. Johnny had asked him the same thing if he had a message for her. Nurses have made fun of his two-way communication as “a free mailman.” But she was more concerned about his foot pain. Johnny doesn’t have a ride, so he visits her ex-coworker walking on his feet, at least 30 minutes one-way walking distance. Well, he will be visiting the ER frequently due to his foot pain now. Technically, she is not his favorite # 1 doc. She is still number # 2. But everyone loves Johnny, so she is happy being number two on his favorite list. A patient like him who makes the medical staff smile and feel good is not easy to find nowadays. God bless him and his family.

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