Any number of things really, and what's a riot is though a provider myself for twelve years and inactive for a time but the knowledge is there I use it a lot differently to begin with.
But what's a lot more serious to me are for one that "How to "get rid of a problem patient in 10 days" is what is being taught in medical schools daily across this "developed" country.
What happened to simply paying a PR department or having an ethics of medicine and one also educated and experienced in law?
I worked in a Catholic hospital, in another Houston area hospital, as well as one in my hometown Nevada residence, two Seattle hospital and one Northern hospital clinic before I took a job selling lattes, which was a hoot. People were a lot more friendly when I sold them coffee and dished out some home remedies in conversation over a doughnut, and I have never until recently had to scale back on what's given free.
My college education came at a heavy price. Time from my friends and family.j
Having to put an end to fun for one: a nightmare beginning for them: battling chemical dependency and learning to live tolerating most if their pain its difficult to walk out on someone who clearly has a serious drug problem and say "I am not giving you Vicodin, Percocet & any opiate or opioid drugs."
What I also was taught to remember is kicking the physical addiction is extremely difficult thing but I was allowed to and required to help them get treated if they were willing.
When not and screaming a line of cursing its a bit different. And even then I usually was able to place one final attempt to ensure if they were at risk (people get desperate) and send a CDMHP ( mental health if anything was able to get them a 72 hour hold in a detox facility.
Paperwork was usually it.
And my signature.
Less and less do I see private practices that thrive and the advent of hospital oats running patient care.
And even well insured people with complex and chronic health concerns do poorly when one provider isn't the person who runs the show.
As a "patient" myself now I'm ever more humbled with mysteries of the human body and what changing one thing in a persons medicines or self care routine can do.
To remember first to do no harm? Before taking my commencement at the Masters level I was humble and did take the Hippocratic Oath.
Removing it from a medical education creates hypocrites.
But with remembering that professional obligations to a patient existed if not ethically but a moral one I also felt obligated to do the two inches of paperwork, if it spilled into regular activity on the next shift, coffee, food,and Tylenol for the headache I felt for the screams about overtime?
It was hardly worth the fight. I parked it in a staff lounge and punched out. Why? I had to do it and no interruptions when one is no longer on the clock, it gets done faster no matter who you are if no one interrupts you.
Free food?
We used to kid each other, "A tube fed and leg bag and I can last forever"
When are any of us the Energizer Bunny?
Fact is no one lasts forever. Except God.
However I see four behaviors so frequently:
Laziness (usually over what amounts to two pages of paper and a? Signature!)
Arrogance.
Generally incompentence or being human and at least being thoroughly unable to admit you are wrong. Or you were. If its required of one of my patients I was never "above" admitting I'd been wrong. And admitting my own fallibility.
And complacency.
Dangerous combination really.
Ghandi happens to be right, and since people are examining themselves wanting to understand why provider relationships fail?
You aren't dating folks! :-)
Seriously if you saw the nature of family lives? Physicians, nurses are by no means exceptional in this area.
Some of the highest rates of "failed interpersonal relationships." Like shrinks or neuro and cardiac surgeons? Nurses in those areas?
Love us what it comes back to each time, but personal accountability too.
It's barely taught to kids or many adults.
It bonded me to more patients, and for some even putting a hand on that of someone dying was never an issue, it was done and now?
It's not allowed, I guess too much of a good thing but allowing regular practice of some evaluation and sharing also helped people show you care.
The most satisfying job was actually in communities and often done by word of mouth. Church groups and Bible studies were rich ways to fulfill time with my son and daughter, but now to think back it taught them values too.
What I've seen in a brief stint considering moving my care to the University teaching hospital?
I guess I'm not in agreement when someone I love is in the building where an oral surgeon could have changed her quality of health: that I also was elsewhere or would have clearly come to help.
Getting one us a major problem if you are in a crappy category.
Take your pick:
Pain, mental? A bad oral infection causes mostly neurological symptoms for us both.
And many with chronic health disorders?
Find another provider. I think community health offers the most rounded approach.
So many changes (a positive usually) but human fallibility is within each of us.
Doctors too and it's harder to take anyone who lacks many financial resources, and governments inviting themselves in?
Well I hated to say this?
Hardly! Forcing something makes it no less attainable.
And I've found? Everything ends, relationships too.
If a doctor doesn't work?
Find another, burning bridges when you leave? Ill advised. Providers are human too.
So are patients, so limits are simply on both sides.
