Wednesday, February 2, 2022

Whatever Happened to Patient Care?

 

The Healing Arts

“Not following up with your [people] is the same as filling up your bathtub without putting the stopper in the drain.”

Michelle Moore (Selling Simplified)

          I’m going for my follow-up appointment today—staples come out and I get to ask as many questions as I want of…whoever sees me. Maybe the PA, maybe the nurse…not likely the surgeon. I am learning that things have changed drastically in the medical industry in the last fifteen years. I know this sounds corny, but I came of age in the days when a physician’s loyalty was to his/her patients and not to a massive national hospital conglomerate. In the past, the caseload of physicians was managed to give each patient ample time to be seen, assessed, advised, have their concerns addressed and give them guidance back to health. When I called the surgeon’s office to make a follow-up appointment last week, I was asked, “Do you want 8:40 or 8:50?” Ten minutes, tops. Get them in, get them out, bill their insurance, keep those dollars flowing into the hospital coffers.

          This is not a blog about the good old days, even though I miss them. It is about the role of paying attention and being present in the healing of human beings. When I asked my surgeon at discharge after the surgery for his advice about follow-up rehabilitation—home health care or in-house rehab—his response was, “Just tell me what you want to do!” Now, I am deeply appreciative for his excellent hands and the skill they wield, but I am a whole human being, as I’m sure you are, and at that moment, I felt cast aside. Surgeons have the reputation for being difficult and grandiose, and people fear them as much as appreciate them. I guess my question is, do training programs teach med-students that caring about their patients is as therapeutic as fixing someone’s bad knee? Do they know the healing power of genuine interest and respect?

          Follow-up in any area is important. Taking time to sit down and write thankyou notes to the array of individuals who took care of me while I was unable to care for myself is one such follow-up. It’s time-consuming and awkward, and sometimes my memory is not so good—did they bring the walker, or the brownies?? But the effort to follow-up with a sincere thank you, puts a little sparkle in their lives, and, as my mother would say, “a star in your crown.” And Lord knows, I need as many stars in that sucker as I can get, given my ill-tempered personality.

          I wonder where all this consumerism stops. Is there anything in the world that is not subject to it now? When even the healing professions are more interested in human beings as a commodity—a “total knee replacement” or a “gallbladder excision”—then we have taken those same sacred arts and made them not much more than a butcher’s block—how thick do you want it, how many? “Just tell me what you want!” Reminds me of some of the delis in New York—"Don’t slow me down! There’s money to be made here!”

          I hope your day is blessed with people who care about you. Namaste.

                                                            In the Spirit,

                                                            Jane

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