Re: Going into medicine

From: Henry Gregor (henrygregor@yahoo.com)
Fri Jan 28 19:13:49 2005

Appreciate the feedback. Interesting expeirence, and readily comprehensible as well, fon a bried reflection,considering how often one sends folks for tertiary delivery services. Inevitably, once settled in, and certainly after delivery, they are usually very satisfied with the experience. I think, and I didn't express this well in my first post, that such a system may be very important in attracting people into the profession. Re the psychic rewards, they're to be respected and appreciated, but I think they need to be enjoyed for what they are, and to not have more import attached to them than is justified.I think they can be fools gold in terms of the sine qua non of relationships, ie. family relationships, which represent the area of truest value and importance. All too often, IMHO, one finds physicians immersing themselves in (delusional) secondary gain emotional professional relationships while avoiding important marital and parental involvements. It also helps to remember that those undying bonds of phsycian-patient mutual regard usually have a breakpoint somewhere around an extra ten dollar co-pay, lol.

Hank

"D. Ashley Hill" <dahmd@cfl.rr.com> wrote: Hank-

I recall a study a few years back where patients noted they did not really care who did the delivery, as long as they could choose the doctor who did the prenatal care. We have seen similar (although not quantified) results in our 8-partner practice. We have a modified hospitalist practice style and sometimes you meet a patient for the first time when they arrive in labor. Interestingly, patients almost never seem to care, and comment that "I thought I would be mad that I had not met you, but I'm so excited to be here I don't care who does the delivery." I'm not sure that's good or bad for us, but it may ease your mind when contemplating a hospitalist system.

Ashley

At Fri, 28 Jan 2005, Henry Gregor wrote: >
>"...not enough sleep..." Got me thinking. After three thousand plus deliveries, guesstimating five hours lost sleep per delivery (what with the antenatal evening/early am phone calls as well as the deliveries that occurred at night), that's certainly reason to feel a little slack. Perhaps a "hospitalist" in-house delivery providor system might be something for the future. 'course it would come with a cost in terms of the interpersonal relationships that account for so much of the psychic rewards of the specialty.

--
D. Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
and Loch Haven Ob/Gyn Group
Orlando, Florida


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