Sunday, 9 November 2014

LOVE THY PROFESSION: LOOKING DEEP DOWN A DOCTOR’S HEART


Pretty much on a weekly basis the author writes an article about how awful life is as a practicing doctor. Articles focus on how unhappy medical practitioners are with their jobs, with their working hours, with their pay or with health care reforms. Also, reading and judging from various articles, social media surveys and blogs, the medical profession seems to be extremely demoralized. Doctors typically complain of “feeling like a beaten dog” to “living in humiliating servitude”. The public response to these complaints is largely indifferent. The prevailing attitude (if the comments sections of online articles and blogs are to be believed) seems to be less than sympathetic. Comments like “Poor doctors, making a little less income and not being treated like gods anymore, have to work long hours, welcome to the real world, you grumblers” do not make an attempt to understand a doctor’s psyche.

Thankfully, practicing medicine is poles apart than the online stream of hostility that the doctors are subjected to on a daily basis. Should patients also talk to their doctors the way online comments read, they would have quit practicing years ago. The reality remains that a large number of patients are still generally grateful, attentive, and respectful.

But the fact remains, doctors, somewhere in their hearts, like their jobs. Is it the perfect job? The answer is “Absolutely not, in fact quite far from it.” There are certainly many times when being a doctor seems like a very difficult task. The long hours, high pressure and emotionally charged environment can take its toll on anyone. Although practicing medicine is certainly a challenge, doctors love their profession, and are thankful for the privilege of practicing medicine every single day.

There is something very special about being a doctor.

All doctors take the Hippocratic Oath on the day of their graduation, promising to help the sick, and in doing so we shoulder a profound responsibility. For a doctor, helping a really sick person to get better is absolutely the best thing about his job. Not many professions can experience the true satisfaction that a doctor feels when he knows he has made a significant and positive change in a person’s life. The enormous wealth of training, investment and opportunity that has been given to a doctor is fixated on one goal, i.e. to attend to the patient in front of him.

A special feature of this profession is that one gets to experience and understand the entire spectrum of the human condition. Doctors may be privy to a secret the patient entrusts to no other. They see people at their very worst and their very best. They are present when babies are born and when patients die. Although these moments can be intense, it is to be remembered that the patients entrust a doctor with seeing them at their most vulnerable.

Another great aspect of this profession is that it hones skills which are useful in many other areas. For example, doctors become adept at prioritizing tasks. They learn to troubleshoot problems and make critical decisions under pressure. They learn how to interact with children and the elderly and everybody in between. They learn how to manage other people. In short, a doctor learns a lot of really useful life skills.

The attitude of the treating doctor also shapes the work environment to some extent. Patient and peer temperament are in part a reflection of the doctor himself. If a frightened, sick patient is approached with an arrogant, dismissive tone, the professional relationship with the patient (and his family) develops accordingly. There is a negative cascade that doctors can trigger (perhaps unwittingly) when they are rushed, curt, or inattentive. Beginning every new patient relationship with a caring, respectful, detailed history and physical exam lays a foundation of trust for future interactions. Once a positive rapport has been developed, the daily grind can be much more bearable.

Doctors have, to an extent, the power to make their careers as meaningful or soul-sucking as they choose. The relationships built by allying themselves with patients, and shepherding them through this broken system, are where the rewards lie. Patients hold the keys to the professional fulfilment of doctors because nothing can beat the joy of helping those in need.

How does a doctor know that patient appreciation is enough to make this profession worthwhile???
“Because he still loves being a doctor.”

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