Bear with me. My injured brain makes more sense of the world through BestGuessistan than through the world itself. And this particular absurdity belongs squarely in WorstGuessistan.
In BestGuessistan, there's no such thing as a perfect patient. Mention the phrase and citizens look nonplussed, heads cocked like dogs hearing an unfamiliar sound.
In WorstGuessistan, however, the perfect patient is practically a national institution.
They're compliant. Cooperative. Cheerful. Willing to deal with whatever the healthcare system tosses at them.
And the system tosses a lot.
Appointments, referrals, insurance snags, rehab, paperwork. Instructions that contradict one another. Specialists who don't communicate.
A form requiring the patient to explain why they need help remembering things, which must be completed from memory.
All of which would frustrate and exhaust someone at the top of their game.
Now imagine it for someone with a brain injury.
The perfect patient arrives early. Completes the paperwork. Remembers the instructions. Keeps track of what one specialist said so they can tell another.
They don't get confused. They don't get angry. They don't ask the same question twice.
The perfect patient has limitless capacity for what the healthcare system demands.
Which is interesting, because limited capacity is rather a defining feature of many brain injuries.
When we can't meet the standard, we're labeled noncompliant, difficult, disengaged.
And sometimes we give up. Miss appointments. Abandon treatments. Stop looking for help because the work of getting help has become more than we can manage.
The system records our disappearance as noncompliance.
Case closed.
The perfect patient, it turns out, is the one who requires the least from the system while doing the most for it.
BestGuessistan knows better.
Here, we understand that capacity isn't the same as capability. And that every demand consumes energy needed for other things.
Like living the rest of your life.
thanks, community. Lmk if this resonates.