Hektoen International

A Journal of Medical Humanities

Waiting

Sandra Gaynor
Chicago, Illinois, United States

Arrangement in Grey and Black No. 1 (aka Whistler’s Mother). James McNeill Whistler. Oil on canvas, 1871. Musée d’Orsay. Via Wikimedia. 

What is waiting? As a child, waiting was, for me, a time to be angry with my father. He found it impossible to be on time for any event. When the rest of the family was dressed and sitting with coats on, he was thinking about showering and shaving and possibly getting dressed. From fifteen years of waiting for my father, I developed a chronic anxiety of being late and, just possibly, missing something.

In adulthood, I am having a different experience of what it means to wait, caused by spending an inordinate amount of time in one particular waiting room. I am not learning patience, nor expanding my mind, nor distracting myself with crocheting.

But I am waiting.

It is the very cold winter of 2016. I am in the waiting room of a refugee health clinic in Chicago. This is the healthcare entry point for every international refugee passing through the major resettlement organizations. Waiting here is a suspension in time for me.

There is one large, rectangular waiting room, built of icy cold cement blocks painted incarceration-gray. Two windows frame the southeast corner, but the windows are not tight, and the winter wind blows in from around their perimeters. These windows provide the only light in the grayness. Next to the entry is the security guard’s station. The guard is constantly on his cell phone, attempting to use his paid “wait time” productively.

Three sides of the walls have gray plastic bucket chairs that do what I thought was impossible—they magnify the drabness of the room and dramatically raise the numbing level of waiting.

The fourth short wall sequesters the three-clinic staff manning the telephones and charts behind five-foot-high sheets of plastic. Mounted to the ceiling is a TV playing reruns of the 1960s show The Rifleman on continuous loop.

Right now, there are ten adults and thirteen children in the room. Four different languages are spoken: Arabic, Urdu, Nepalese, and an African dialect. I am the only English speaker in the waiting room. I am the only one not talking.

The noise level is deafening. It is mostly women who come with the children and the occasional husband. They are cold and tired from the long bus trips to get here. Yet they must feel that this gray Guantanamo is a safe place, as the minute they come through the door, they surrender all interest or control over their children.

As soon as a woman hears another speaking her language, they are magnetically attracted to each other, children forgotten. For a refugee woman here, waiting is being home once again, being with the familiar, finding comfort in talking. Talking is the respite from all that is foreign to them outside of the clinic.

Language is such a challenge here. The clinic staff are primarily of Russian descent, and they are there to run the business of screening the health status of all of the refugees. There sometimes is a translator for Swahili and some of the Indian and Arabic languages. Most often, the responsibility for interpreting the medical banter between doctors and patients falls to the children. The grammar school children are kept home to interpret at the clinic visit. I am with a fourth-grader who has been here six months, but is responsible for explaining to the doctor why her mother cannot sleep at night.

Most of the children are babies or toddlers. There are no toys or games, nothing to distract them while they wait. And they are here, waiting for hours. Appointments for simple vaccinations last two hours. Every thirty minutes, a staff member steps from behind the plastic wall and yells, “Quiet, we can’t hear on the phones!”

This group of children, especially the boys, seem to engage in a lot of aggressive behavior towards both their siblings and other children. They push, shove, make each other cry, and constantly run through the room. This may be a manifestation of post-traumatic stress, or it may just be boredom.

Every child, even those young enough to be unsteady on their legs, has a Tootsie Pop in their mouth. Sugar is an affordable, portable comfort source for refugees. Dental problems are rife within the group today. A tiny four-year-old of Arabic background asks me something. As she speaks, I can see that every tooth she has sparkles with a silver filling. The Tootsie Pop finds its way back into her mouth.

Rhiannon is eager to help her mother, but her own command of the language is novice and her understanding of it even less. I care for baby Sara. Their mother goes into the exam room three times: once for weighing, once for vital signs, and finally to see the doctor. Each time she goes to the exam room, she removes her winter coat, sweater, blouse, long Arabic gown, stockings, and boots. Each time she returns to the waiting room, she is fully clothed—zipped, buttoned up with hijab, winter coat, scarf, gloves, and boots.

I know there must be some coordination to the clinic patient flow, but it is hampered by the constant interruptions to keep down the noise and chaos in the waiting room. I wait with the baby, the fourth-grader, and their mother for three and a half hours for the mother to be cleared for a measles vaccination.

The refugee women are all experienced “waiters.” Their experience seems to suspend them in a relationship with time that clashes with my “need” to be “on time.” On time so that I can get somewhere else, do something else, produce something else. The refugee families I work with have difficulty with the practice of appointments. There is a struggle with the recognition of time and the importance of it in their new society. The refugee waiting time is giant, expansive, endless…

But they are all trying.

And I can wait with them for that.


DR. SANDRA E. GAYNOR is a founding and current member of the Hektoen Nurses and the Humanities Program. Her nursing memoirs are shared at a number of student venues and various writing groups. Dr. Gaynor has been an active volunteer with refugee populations in Chicago and Appalachia since 2015.

Submitted for the 2024–25 Nurse Essay Contest

6 responses

  1. This is a truly beautiful piece of work. It paints a vivid picture of the environment and experience of these people. I am also a nurse and have experienced healthcare in various countries and the challenges culture and language present. Excellent job Dr Gaynor and I commend you for your dedication and patience

  2. This account is beyond descriptive. It is both poetic and dramatic, using words that paint a clear picture of the scene. Similarly, the piece shows the various actions of the children, the mothers and the clinic staff and reveals levels of meaning which underpin all these behaviors. Very well written and insightful.

  3. Thank you,Dr. Gaynor,
    for this look at ”the real.”
    Well done.

  4. I am there in that cold drab room with you. You’ve recreated your experience with vivid authenticity and empathy. The connection back to your childhood waiting gave your writing depth and personal meaning. Congratulations.

  5. The refugee women are all experienced “waiters.” What a touching story, Dr. Gaynor !! great job
    I feel honored to have the opportunity to meet you in a lifetime. and I want you to know that we are forever grateful for your presence in this world. Thanks for being the light!

    As someone who was a refugee once, this story reminded me of all those moments when I was in that clinic with all the thoughts in my head trying to understand the system and didn’t know what was going on around me. The experience caused me a lot of anxiety and doubts, and I questioned whether I was intellectually capable of accomplishing anything in my new country. Would I be able to interact with doctors and people one day? What else am I going to need to learn and experience? Waiting in a crowded waiting room was difficult, and having social anxiety was difficult, but I had to accept it as part of life. Years of being a refugee and waiting led me to the same question at the end of each day, what would happen to my future, I was afraid of getting sent back home, to a home that did not belong to me anymore. Having refugee status in a country where I knew it was impossible to go to college one day for not having basic citizenship rights and money. Watching stressed parents, witnessing their financial and health struggles, and searching for meaning in life. I was forced to wait and wait and wait after each time trying to get an update on the status of my resettlement.
    I noticed that As refugees, we are all traumatized beings. Women in particular have turned to become the type of human who don’t recognize themself anymore.

    Waiting for refugees can sometimes be like searching for the light at the end of a dark tunnel in which there is no guarantee of success, there is no promise of exit, or it may be like walking down a one-way street without considering any possibilities of returning…

  6. Dr. Gaynor’s descriptive writing talents have a way of blending personal experiences, keen observations, poignant details, and artful connections. Her pieces broaden the reader’s perspective and tap into empathy, leaving us more in touch with the experiences of others, in this case, the refugee community. As a nurse, her insightful writings feel like nutrition recharging my caregiver’s soul.

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