And the grief of a bad medical appointment is not just disappointment. It is the grief of being a person with a real, serious, complex illness in a system that was not designed for you and frequently cannot find the language to acknowledge your reality. It is the grief of leaving an office more alone than when you entered.
When it becomes another source of loss, the isolation deepens in a way that is difficult to describe to people who have not sat in that parking lot afterward, just aimlessly staring ahead.