“My Own Private Idaho”

By Michael Fingerhood, MD, Johns Hopkins Medicine 
 

“Can you please change my visit tomorrow to video because my bicycle needs to be fixed?” 

“Are you able to do one? We’ve never done one before.” 

“I think so.  My new phone can do video.” 

“Sure, I’ll have it changed.”

Next day—I click on the video button to connect for a telemedicine video visit.  

“Hey, doc, good morning. Let me show you around. I noticed my note from last visit said I’m homeless. Let me show you that I’m not . . . I’m in the woods but here is my tent—see how big it is?” 

“That looks nice.” 

“Yeah, I’ve been in this spot for a while. It’s not too far from the road. There’s my bike—I need to get the chain fixed. I got a hitch over there that I attach to it.  I put my propane tank on the hitch and ride over to the store to get the tank filled. That’s how I get heat and how I cook. I have enough propane for a week or so, but I should be good—a buddy is going to help me get my bike fixed today or tomorrow.” 

“Looks like you know how to survive out there.” 

“Yeah, I’m more at peace here that anywhere I’ve ever lived . . . much better than any shelter. Let me show you inside the tent” 

“Go ahead.” 

“Here’s where I sleep . . . here’s where I keep my tablet so I can watch stuff . . . here’s where I keep food and here’s where I keep clothes.” 

“Thanks for showing me.” 

“Yeah, I hope you’re proud of me. I love it out here. I haven’t used any dope or pills in over a year. The bupe really works—I got no craving and I think it helps my pain too.” 

“That’s really great. You know I always root for you and it’s nice to see you on your turf.” 

“Thanks doc, you don’t need to worry about me . . . but in your note for today, please don’t say I’m homeless.”

This piece expresses the views solely of the author. It does not necessarily represent the views of any organization, including Johns Hopkins Medicine.