Monday, March 30, 2015

The Siren's Song...



The Song of the Physician 

This is what we do. What we strive for. Our calling. The cross we bear. We are martyrs to our craft. Our world is one of parallels: sickness and health; life and death. We walk a thin line between probability and actuality. Our life is comprised of the demands of our profession and that of our personal life. Godlike perfection is demanded, as we are required to wield years of knowledge and skills effortlessly. In the days of yore, we were called healers, shawmen. Today, we are known as physicians – health care providers… those of the white cloth. 

The Song of the Pre-Med/Medical Student 

“Why do you want to become a doctor?” 

This question plagues us, the moment we answer the call of Hippocrates: the problem isn’t with formulating an answer – anyone can come up with a response – the challenge is finding the heart behind the answer. Harry Potter may have Hogwarts, but his "Expecto Patronum" can kiss our Primum Non-Nocere's ass, because Lord Voldemort's magic can't compete with the binding spell of the Hippocratic Oath. We are the inheritors of the white cloth, and our path makes the Forbidden Forrest look like an arboretum. Our decision to become a physician wasn't made lightly. The road to becoming a doctor isn’t smoothly paved and lined with trees filled with singing birds. Often times, its dirty and mind numbing. It’s a sacrifice of the largest proportion, and doesn’t offer any sympathy to those who have chosen to brave and endure medicine as their profession. 

“Why do you want to become a doctor?” 

The human experience is more than mechanical functions of the body. It transcends physical and mental aspects of life, and is ornately spiritual. Wealth and fame are not what draws me to the profession of healthcare: the human will to survive when all the odds are against it, and be successful, is the fuel to the fire that drives me to pursue a career in medicine, as a physician. I want to be a part of the drive to find ways that improve quality of life, not to “fix” things that aren’t necessarily broken; to be an ally and confidant to future patients. I want to be the physician who looks for methods of treatment outside of the norm, because I recognize that the norm isn’t always effective.

I want to be a doctor, because being anything else is not only unacceptable, but unfathomable. Being a doctor allows me to do what comes naturally: teach those who seek knowledge, care for those who either struggle or are unable to care for themselves, and okay, attempt to make things better – even if it’s with a simple smile and warm, “Hello, how are you feeling today?”

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Today is National Doctors' Day. On March 30, 1933 (also the anniversary of the day anesthesia was first administered to a patient, by Dr. Crawford W. Long in 1842 - huzzah!), the wife of Dr. Charles B. Almond, Eudora Brown Almond, endeavored to set aside a day to honor physicians. The first observance consisted of a few doctors’ wives putting together a luncheon for the local physicians, and placing flowers on graves of deceased doctors. Then, on March 30, 1958, the United States House of Representatives adopted a resolution to celebrate Doctors’ Day. In 1990, legislation was introduced in the House and Senate, which received overwhelming approval, to establish a National Doctors’ Day. March 30th was then designated as a day to honor physicians, nationwide for their commitment to caring for the community.

So, what does the twenty-first century U.S.A. do to honor its doctors? To be completely honest, I was shocked to learn of today's significance - it's not exactly a holiday comparable to those of Easter, Valentine's Day (or, as I prefer to call it: National Singles Awareness Day), Halloween, Christmas, etc. etc. Therefore, I can only hazard a guess that health care corporations use it as a day to kiss their physicians' asses - ahem: appreciate the lack of a usurp of power from the suits to the white lab coats....

As in: 

"Oh mighty Order of the White Cloth, wielders of the knowledge of the ancients, please accept our offering of artery clogging/diabetes laced feast, as well as paper cut inducing cards from Hallmark, in an attempt to atone for our 'sins'.... We humbly (cough, cough) acknowledge that your profession's judgment is superior to our own, and we deeply regret (cough, cough) the effects our indifference toward what's best for the doctor-patient relationship in pursuit of the almighty dollar/ACA compliance, has had. Please accept our 'sincere' apologies, as we will make joint effort in ensuring the days that follow, are the best the Kingdom of Healthcare has ever seen (snicker; cough, cough)..." 

Okay, okay - that may have been embellished (though I highly doubt by much). At either rate, not much is done on a mass scale to let our doctors know that their sacrifice is appreciated. The men and women that enter the ranks of medicine, do so at the expense of their personal/family life, sacrificing years of potential earnings to amass 200-300k of student debt in order be able to take care of others. Physicians endure years of education, training, abuse, etc. to have the privilege of serving their community during both the darkest and brightest of times.

It is truly a great privilege to be entrusted with the task of caring for others. Despite the presence of bad apples, which is true for every profession, the majority of doctors - though one might not always see it - do enjoy what they do, and couldn't imagine doing anything else. It's hard to not be affected by the lives of patients, and it's nigh impossible to separate oneself from what is taking place and continue on with the day's responsibilities.

Therefore, as a "professional" patient of a stupid amount of doctors, who will one day join the "Order of the White Cloth", I wish to thank all those involved in my care....

Thank you for spending time unknown, racking your brain as to the identity of the cause of my health suck.

Thank you for not treating me as case #fuckiveseenalotofpatientsinthespanoffifteenminutes.

Thank you for teaching me, encouraging me, and fighting for me. 

Thank you for not treating me as that "pain-in-the-ass pre-med student", as I incessantly probe your brain/ask questions.

Thank you for seeing a person, rather than statistics/lab values.

Thank you for being sincere, honest, and open.

Please don't ever succumb to society's unrealistic expectations for your profession: don't give up/burn out. Fight as hard, if not harder, as you did to get your MD/license to practice. Use that determination - that grit - to do has much good as possible, in spite of all obstacles. If you find yourself slipping into a deep abyss, please recognize that it's perfectly okay to take care of yourself first and seek help. Although you are a doctor, all doctors are human beings; therefore, be kind to yourself. Take your own advice when it comes to self-care.... In other words: love thyself.....

You are more than the sum of your abilities, more than a name on payroll, and certainly more than the target Big Pharma/the Government/etc. has on your back. Remember that, always. However, recognize the moment your frustration/anger infects every aspect of your practice and either take actions to reverse it, or, hang your stethoscope and get out before you bring harm to your patients. There's enough of that going on already, please don't add to it. Don't be a statistic. Let your legacy be one that the junior doctors/students will mimic. 

Thank you for everything - I know it's not easy. *hugs*