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Re: Going into medicine From: Henry Gregor (henrygregor@yahoo.com) Sat Jan 29 22:28:57 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: How many uninsured? (Long)" Previous message: Henry Gregor: "Re: Going into medicine" In reply to: D. Ashley Hill: "Re: Going into medicine" Next in thread: Charlie Chambers: "Re: Going into medicine" Well said, and I think it makes all of us better physicians, and gives patients better care, when we recognize those perspectives. I once had a young call associate who preferred to manage his methotrexate ectopics from several states away, w/o benefit of a "signout" communication...I do not doubt the sincerity of his committment ot close followup on them via cell phone, etc...but it's sad to see an otherwise well trained and intellient individual delusional in his belief he is providing an appropriate level of care. That's the kind of investment in doc-pt relationship that I think is sad to see. Ultimately, a bad outcome and a dreary round of depositions will often season that viewpoint, but occasionally a fractured family,or some dysfunctional family relationship, occurs along the way. Hank- That's an extremely coherent analysis of what drives many of us (ob/gyns) to work so hard. I think most ob/gyns crave the positive feedback from our patient-physician relationships, and while some patients choose us because of that professional relationship, many (most?) are not that wrapped up in it and will seek care elsewhere for a cheaper copay, a nicer office, a nicer hospital, or less travel time. It took me 8 years in practice to realize this, and my mental health is far better over the past few years now that I recognize that patient-physician rapport is great, but it's not the end of the world when a patient decides to seek care elsewhere. You can't please everyone. Thanks, Ashley At Fri, 28 Jan 2005, Henry Gregor wrote: > >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 reme! mber 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, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency and Loch Haven Ob/Gyn Group Orlando, Florida Yahoo! Search presents - Jib Jab's 'Second Term' Next message: Henry Gregor: "Re: How many uninsured? (Long)" Previous message: Henry Gregor: "Re: Going into medicine" In reply to: D. Ashley Hill: "Re: Going into medicine" Next in thread: Charlie Chambers: "Re: Going into medicine"

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