The Patient Without the Earpiece

An image of a glasses.

Prior to every surgery in our clinic, we conduct a final examination consisting of a patient assessment, an infusion of local anesthetic, and a marking of the surgical area.

It was during a recent examination of this type that I encountered a young man who was to have a scalp cyst removed. Normally, while waiting for the anesthetic to fully take effect, I engage our patients in small conversations to help make them feel more comfortable.  But, this young man was different. He wasn’t very talkative and just kept looking down at the floor. In fact, he looked quite depressed.

This procedure was observed by another physician, as part of the criteria for maintaining our ambulatory surgery center certification.  He was greatly impressed when he saw that I used the incision technique for my young patient (so that no hair would be lost). He admitted to never having seen it before and decided to begin using it, as opposed to his current technique.

As I examined him more closely, I noticed his glasses were missing the left earpiece, and I wondered why he hadn’t replaced it. So, after the surgery, I sat him right up and asked him directly, “Why don’t you get a new pair of glasses or replace your earpiece?” He simply replied, “I cannot afford it”.

He mentioned he had been working at McDonald’s and only just started a new job. When I asked him where he went in the past for his eye care, he indicated he had gone to Walmart. Immediately, I asked my nurse to call the Walmart Optical Department to set an appointment for him to get a new pair of glasses.

Later, I called him to find out how he was feeling and to make sure he was going to obtain the new glasses. However, when his wife answered the phone, she informed me that he hadn’t had an eye exam in years and would need a new prescription. So, I told her that I would cover both his eye exam and the glasses. She was very overjoyed and promised he would make an appointment for the exam.


Conclusion: I find it very fulfilling to look beyond the reasons my patients come to our clinic to see if I can make a difference in their lives. They are more than just “cases” to me.

FAQ - Frequently Asked Questions

What is “The Patient Without the Earpiece” story about?
“The Patient Without the Earpiece” is a real-life story about a young man having a scalp cyst removed whose broken glasses revealed deeper financial hardship. It highlights compassionate patient care that goes beyond surgery, including arranging and paying for his eye exam and new glasses.
A thorough patient assessment before minor surgery helps ensure the patient is medically stable, understands the procedure, and receives the right local anesthetic. It also allows the surgeon to notice non-medical needs, such as emotional distress or vision problems, that may affect overall patient care.
The surgeon used a specialized incision technique that preserves hair follicles around the scalp cyst. This hair-sparing method minimizes visible scarring and helps maintain a natural hairline after surgery.
Surgeons can show compassion by noticing small details, like broken glasses or emotional cues, and offering practical help when possible. This might include arranging follow-up care, connecting patients with affordable services, or covering essential needs such as an eye exam.
If you can’t afford new glasses or an eye exam, ask your clinic, community health center, or local optical store about low-cost or charity programs. Many areas have nonprofit organizations, discount clinics, or special events that provide free or reduced-cost eye care and prescription glasses.

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