I'm not naive enough to believe I'm going to save the world in any capacity. But it still disturbs me to see disparities in health care that just shouldn't happen. When a down-on-your-luck patient seeks assistance whether the circumstances are of their own making or not, it's frustrating as a provider to be unable to connect them with requisite resources. Sure, those who are noncompliant or blatantly making poor lifestyle choices repeatedly makes it simple to not tap into compassion and just wash your hands of it. But then there are those who really are having an immensely unfortunate run of bad luck and circumstances. One such creature presented yesterday. Her TSH was greater than 100 because she has been without her medications since February. She is on her way to a myxedema crisis. Weak, forgetful, cold intolerance, diminished reflexes. So many social issues impacting this lady have made it almost hopeless that she can get her head above water and it breaks my heart. I felt helpless. All I could do is admit her for medical management and get social services involved. It confounds me that such disparities should happen.