Relationships and Medical Practice - Making a Connection
Over three decades of practice in the same community, I have a share of "grand-patients" - children of children that I have cared for over the years. There are patients in my practice that I forget immediately after I leave the examination room, but over the years, there have been numerous special patients and families that you never forget. No, it is not their illnesses or their special medical needs that trigger this attachment, but rather who they are as people.When I first started in clinical practice, my physician boss advised me never to get personally involved in the people that I treat. Be friendly; but don't be friends. Although it sounded odd, I followed his advice for many years, missing opportunity after opportunity to get to know the wonderful plethora of human beings on this planet. I absolutely love people, so when I changed jobs so that I could raise my children in a smaller and safer community, I totally rejected this advice. I wanted to be a part of the community.
If my patient owned a gas station, I bought gas from him. This came in very handy during the gas crisis in the late 1970's. People lined up their cars for hours just to get gas, but not me. My friend (and he is still my friend) made sure my tank was full. When his kids were sick in the middle of the night, I was there for him. This is the way America used to be and the way it should be now. Medical providers are not different species. We are humans and humans simply enjoy the company of other humans.
I look for connections with patients that we all have. Everyone on this planet has a connection of some sort. We have the same hobbies; lived in the same area in the past; drive the same cars, or kids going to the same school, or whatever. If you talk to a person long enough and are really interested in who they are, you will find that all-important connection. Sometimes, the connection is profound.
Learning about your patients is a powerful way to understand who they are as humans. You don't treat an "ear infection in room one," you treat a PERSON who just happens to have an ear infection in room one.
So, during my ongoing effort to get to know people, you find friends. Back in the late 1970's, I took care of a family called the Hammons that I really loved. They were the greatest kids and the nicest parents you could imagine. I didn't need a chart when I saw them. I knew their medical histories, and who they were in my heart. Jump thirty years later and a lot of water under the bridge of life. A mother is bringing a little child to see me. She is smiling. This little child was another "grand-patient".
"Do you remember me?" She asked. "My name is Kim Hammon."
"Kimmy! You have grown up.", I responded.
"Of course, I remember you. How's your brother? How's your Dad, Randy?" A fond connection was re-established across three decades of our separate lives.
Her Dad and mother divorced years ago. Her mom still lives in town. Her Dad remarried and is now "sort-of-retired", living in Loreto, Mexico. She gave me his e-mail and asked that I send him a note. I remember that family like I saw them yesterday. There are days when I can't remember where I parked the car, or what I came upstairs for, but I fondly remembered this family. We had a connection.
E-mails were exchanged. Plans were made. To make a long story shorter, my wife and I just returned from a 2800-mile road trip to Loreto -- the longest house call that I ever made. This is my "old patient" and friend, Randy, with his grandson, Aturi.
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8 Comments:
I liked this post. It was very touching. When you said, "You don't treat an "ear infection in room one," you treat a PERSON who just happens to have an ear infection in room one." This reminds me of the town my great-aunt and uncles live and other relatives. Everyone knows everyone and you get to know them. I recently got back from Southern, Illinois where they live. I was attending a funeral and you would not belive how many people showed up. I think everyone in the town was at the wake and half of the town was at the funeral. I think I need to get out of the city and find a nice little town where you know eveyrone and get to know them. Thanks for a GREAT post.
You can't connect with every doc, but the doc who helped me through infertility then delivered my son became such a good friend that her son is named after my son.
Another doc and I play music together, and she found my melanoma when we were in the church kitchen cooking dinner for the youth group. Docs need non-medical friends that they can relax with and be human with. Too many medical people have to appear "perfect" and appreciate friends outside the medical profession. We should have a "Befriend a doc month: it's good for their health".
Re: the 1st post: We did "get out of the city and into a nice little town", but to many of the locals upon first meeting, I'm a Yankee and therefore an outsider, also since we have no family nearby. Fortunately, I'm a people lover who tries to understand that small towners had plenty of friends before I arrived, so even though I want to get to know them, they sometimes don't feel that way about me. Now after 7 years, we're starting to have some credibility. If you have any relatives at all in a small town, I recommend to go to that town; not one where you'll be total strangers.
I live in a town in North Eastern Iowa of about 3500 people. We have a clinic with about 3 doctors, 2 P.A.'s and one surgeon. Then we have another clinic in another town about 15 miles away that I go to. There is one doctor there with 2 P.A.'s. I go to one of the PA's. She lives in the town I live in. She knows everyone in my family and I know everyone in her family. Her husband grew up in the small town by where my step-father grew up in and her children were around the age of my son. I had problems with my son (drugs and alcohol) and she was there through it all with me and now she is there with my daughter. The doctor delivered both my children and knows all my health problems and his wife teaches art in the high school where my daughter goes to school, in fact my daughter has her for a teacher. Sometimes we go to some of the other doctors here in town when the weather is bad and we get the same treatment. The one doctor knows my husband real well and my daughter has gone to him several times. One of the other doctors treated me in the emergency room for a migraine headache and also treated my daughter once and the other doctor came from a neighboring town where his youngest daughter was friends with my sisters daughter. So, the only doctor I don't know is the surgeon and that's because I've had most of my surgeries done in the Twin Cities. I love being able to know my doctors and I love knowing they know me and my family. It makes going to them easier. Linda
I AM GLAD TO SEE AN ARTICLE LIKE THIS. I HAVE BEEN IN THE HEALTH CARE BUSINESS FOR OVER 30 YEARS; WORKING DIRECTLY WITH PATIENTS AND/OR CLIENTS IN A THERAPUTIC SETTING. I HAVE ALWAYS BELIEVED TO TREAT OTHERS LIKE I WOULD WANT TO BE TREATED...AND BEING "HUMAN" IS ONE OF THE BEST WAYS TO INSURE POSITIVE RESULTS FROM ANY OF MY INTERVENTIONS. UNFORTUNATELY, THERE ARE MANY IN MY PROFESSION WHO DO NOT BELIEVE THAT....PREFER ROBOT THERAPY (SIC).
This is the best article I have read in ages. We have a doctor like this even though we live in a suburb of Chicago. He is great. He has gotten my family through tragedies and shared our joy over miracles.
I had a couple of Doctors who were very nice and caring but soon left for other places. Since then I have seen two who didn't seem to care if if I were well or almost dead. They had their own agendas, never answered any questions, were rushed and abrupt and my problem went untreated. My husband has a wonderful Doctor and suggested someone for me to see next time.
I sure hope for a better experience.
OK, so how does a person find a doc like you??
I have to admit that I loved this story but I am also a bit envious of your patients...lol
I have been to 3 PCP's in 5 years and as a matter of fact just went in for a check-up for my 50th birthday..
I have RA but other than that I don't really get sick very often..
I walked into the docs office and the nurse weighed me, took my blood pressure, pulse and temp..I waited for the doc and when he came in he looked at me, listened to my chest and got up to leave..
I stopped him and asked if he would be taking blood tests and he turned around and said "Doesn't your rheumatologist do that??"
I answered by telling him that he only takes tests related to my RA..So he sat down and wrote out a script for bloodwork then immediately got back up to leave..
I had to stop him again to tell him that my hip had been bothering me and that I had been having heart palpitations..
He came back and ordered an echo and an x-ray..
He was in such a hurry to leave he didn't even ask me any questions and didn't order any tests that I have been told should be ordered (ie: colonoscopy etc)
Turned out my x-ray showed my hip has problems and my echo showed mitral valve prolapse..
I felt as though I was bothering him and he just didn't have time for me even though I had made an appt..
I am one of those people that never looks sick even when I am sick and I have been brushed off like that alot..
The last time I was brushed off and told I "looked fine" I had medicine induced lupus and MGUS..
I feel like I have to convince the docs that I don't feel good when I go..
I am just frustrated with PCP's and wish I could figure out a way to find a doc that cares..
A Very frustrated patient
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