The latest incarnation of The Medical Assistant had her final day last Friday. She gave me a hug upon farewell and I gave her a small carved turtle (she likes turtles) and said ‘to go is to return’ . In LeGuin’s ‘The Lathe of Heaven’ aliens shaped like large sea turtles say ‘to go is to return’ whenever the protagonist stepped out for something. I would say this whenever she announced she was going home early or was taking the afternoon off to attend an appointment. I said it for the last time when I giving her the turtle. But this time she is going and she will not return; chances are I will never hear from her or see her again.
Her departure was poignant as we were the last of the original clinic employees before the place was bought by The Overlords. When I was hired in 2005, I was ‘the last one hired’. There were three bosses then, along with a dozen counselors, and a handful of staff such as The House Manager, The Billing Department, and The Medical Assistants. It was all before tele-health and electronic charts and we worked under one roof. The three owners retired in time and the last one sold the place to a chain of clinics. No one knew then four months later that chain would be purchased by The Overlords. New managers and staff came in and us old ones moved on or retired in time. In the past few years it was the two of us and now there is only myself.
The archetype The Last Man comes to mind when one is the last of his or her family or tribe. Sometimes the archetype is evoked when the last of a native speaker dies and the language passes into history. Sometimes this is explored in science fiction when an alien is discovered to be the last of its race. Mr. Cooper captured The Last Man well in his ‘The Last Mohican’; the main character knows when he dies his race will be extinct, only a memory, if anyone remembers them at all.
It is a bittersweet feeling to be The Last Man. There is a quiet sense of survival and accomplishment but there is sadness and loneliness. Your friends, family, neighbors, and coworkers – the people you knew (and more important) who knew you are gone. If you are the figurative The Last Man among new people in your job, church, or neighborhood, the current ones do not know you and on the whole don’t care to. You are seen as the last of an era that no longer means anything; perhaps you too will depart soon, a lame duck of no interest or worth. When did you say you were moving on?
I need to be mindful of this archetype, for I am not a literal The Last Man. True my bosses and coworkers are all new for me, and some of them have worked and known each other for a long time. In a way I have joined their tribe – as an oldster and the only psychiatrist – and it isn’t certain yet if I will stay. Mind! There are no signs whatsoever of The Overlords wanting to eject me on the grounds I cost too much and my work could be done by a nurse at a fraction of my salary. I have opportunity to reach out to others and get to know them. It would be difficult. Unlike the old place, where everybody worked under one roof and congregated in the kitchen my current coworkers are scattered throughout Arizona, working from home, only ‘seen’ on zoom meetings where most of them do not turn on their microphones nor show their faces. Everyone’s work day is full up and there is no community kitchen in which to schmooze. It all enhances the at-work lonely feeling – especially at the MESA office, where I was originally hired. When I work there I sit in an empty business office, with no staff in any of the rooms once bustling with activity and with patients who came in for their appointments.
Archetypes by definition are complex and neither good nor bad but with mixtures of both elements. I need to be mindful not to become isolated but make some effort to reach out and meet others. I have worked twenty-five years at the same job. While the trappings have changed, as have all the staff, it is still the same job and often with the same patients. Let’s see how this next chapter goes and for how long before this Last Man goes and does not return.







