Just some things that a girl from a middle sized Californian town observed while working in a large downtown dialysis clinic:
The transvestite hookers are harmless and often better dressed then the non-transvestite hookers who are farther down the street.
Also, they are good escorts at midnight when you need to get to your car, and their fake Prada purses are not fake, people, not fake.
Finding a crack pipe behind a patients chair is the norm, no, I am not exaggerating.
Seeing a roach scurry across the floor is not worthy on jumping on a roller chair and screaming, “eck, a roach!”, they are just “a part of downtown, like a mascot or something.”
Imagining said roach getting big enough to lounge in dialysis chair and watching MTV while telling you it’s too damn cold in the clinic may not be something you express to your teammates. They may think you are odd.
All in all I totally love working in the “poor” section of the city, the people you met are one of a kind, the experiences are valuable and my California “this is the way we roll, take it or leave it” mannerisms seem to pay off.