Realities of working at a safety-net hospital

One of the patients I'm following managed to put together quite the interdisciplinary team. We consulted: infectious disease, GI, neuro, psychiatry, nutrition, speech therapy, social work, physical therapy, and occupational therapy.

Despite so many people and so many resources devoted to this patient, she still insisted on returning to the poor lifestyle decisions that landed her in the hospital in the first place. She understood how her actions negatively impacted her health and that she would likely wind up back in the hospital with the same problems, or worse. "Why change now?" I had a dozen answers to that question, but none of them mattered. She didn't want to die, yet she also seemed to accept early death as a consequence of living the rest of her life on her own terms.

I think what I'm feeling now is the prodrome of disenchantment.