u/Alternative-Pay3733

My school's dumpster fire of a free clinic

US MD school on the east coast. My school has 3 student run free clinics, and I helped manage one of them. Ours is once a month, advised by a PhD, and has close to zero funding. We drive out into the country to serve a population that is indeed medically underserved.

But I don't feel like we serve them. We have no labs, no pharmacy, limited follow up, and are only there monthly. Services are constantly being cancelled and we recently had to move locations (which the PhD did not tell the med school about and now we're in a compliance crisis.)

Also, it is run by FIRST YEARS. Interviews, physical exams, follow-up, workflow, etc. are all managed by us first years. I have poured my fucking heart into this clinic but realize I am severely underqualified to do this. We have attendings we present to but they're not very involved and don't do much for the patients other than Rx stuff to Walmart or tell them to go to the ER if it's bad enough. In my research I have found some free clinics are able to provide reasonable, sustainable care for people who cannot be connected to the major healthcare system, or work to plug them into the real healthcare system. This one just seems like a resume-building token clinic for the PhD and medical students.

Anyone else experiencing this or is ours just particularly bad? I feel like we need to be shut down. No one else seems to care if what we're doing is true service. It's been the most frustrating part of med school so far.

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u/Alternative-Pay3733 — 11 days ago

My Part

I was living with an older close friend/mentor for a few years. I grew dependent on their feedback, running everything in my life by them and simultaneously resenting it. Over time, they became more critical and I became more resentful and started hiding my feelings. I thought they were controlling and mean and wanted to pull me around like their own little puppet.

A friend in AA listened to me complain about the story and paused. He asked "do you see your part now?" I suddenly recognized how little I had communicated, how poor my boundaries were, and how much I held back information or straight up lied to manipulate and control. I have so embarrassed and feel terrible. After moving out and making some amends things are improving and we are talking again. It's scary I'm 5 years into recovery and am still obsessed with control. Hope to give it up to my higher power.

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u/Alternative-Pay3733 — 27 days ago

Don't know if its manipulation or I'm ungrateful

I'm a 32M and know I'm codependent as hell. I have also been in AA for 5 years and am living with an older woman in recovery. They have let me stay there rent free while going back to school, paid for meals, give me an "allowance", etc. I didn't ask for any of that, and it felt weird but they insisted.

Recently I have wanted to be move out/ be independent again, and they keep telling me I'm ungrateful and am not trusting God, and that it's a terrible financial decision. I feel trapped. I have done the 12 steps like 5 times but feel stuck, especially since they've been so important to my program and spiritual life.

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u/Alternative-Pay3733 — 2 months ago

I want to move but can't get myself to do it

I am in a weird living situation. After living alone for a few years I was invited to live with an older friend who takes care of disabled adults when I moved for college. They have been a spiritual advisor, close friend and confidant for years, but since I have lived there I have felt stifled. I do work around the house and help with the kids. She doesn't charge rent, which I initially thought was a fair trade. 4 years later it is getting ridiculous. She pays for things, gives me an "allowance", and goes in and has been doing my laundry and that kind of stuff against my wishes. I feel like I'm 15 again and I want to die.

I have wanted to leave for a while but am afraid at her reaction, and of leaving the family behind. I've found myself having terrible thoughts of things happening to them so I can escape. It's like I'm in a Swedish prison - surrounded by material security and wisdom but unable to leave.

I don't know if I want advice or to vent but I'll take anything.

Reading this back I am definitely codependent oh my god.

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u/Alternative-Pay3733 — 3 months ago