Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Embrace the gift that our patients are giving us

Leana Wen, MD
Physician
March 19, 2013
Share
Tweet
Share

Everyone knows that life in the ER is fast-faced, extremely busy, and ever-challenging. When things get crazy, it becomes habit for busy physicians to see patients as “the chest pain in room 6” or “the broken wrist in the hallway.” We turn people with their amazing lives and fascinating stories into a nameless number and a “chief complaint”.

It’s a practice that’s easy to justify—after all, taking a long time with one patient can delay care for all the other people who are waiting to see us. However, the story of the patient, the story of why he is there, and the context of his illness—these are all critical to us taking care of him.

Learning our patients’ stories also makes our professional life that much more fulfilling. Last moth, I was supervising an intern, who saw a patient that she was confident she knew what to do with. “Room 8 is an old guy from a nursing home with dementia, who was recently here for pneumonia. He comes in with altered mental status and a cough. He is confused, has a fever, his lungs sound junky. I’m going to get a chest x-ray and do an infectious workup. He probably has pneumonia, and will need to be admitted.”

That sounded like a straightforward plan to me. It was a busy day, and I went into see this “old guy” who probably had pneumonia. I introduced ourselves to a woman in his room, his daughter, who was holding a book. It was on love: the metaphysical interpretation of love.

She saw me looking at the book. “Have you ever read it?”

I shook my head. “Well, it’s my father’s book,” she said. “It’s been printed in 100 countries.”

Indeed, this “old guy from a nursing home” was one of the foremost experts on the philosophy of love. He had had a phenomenal career, filled with interesting adventures. The daughter was one of many people who made up his loving family—they were more than happy to tell me about him. In a few minutes, I had learned so much more about him as a person, and as a patient.

How often do doctors find out, really find out, about our patients? Well, here’s how NOT to find out. Ask: “Do you have chest pain? Shortness of breath? Abdominal pain?” These yes/no questions may seem important to us as we check off a list that doctors feel compelled to ask, but they don’t tell us anything about who is the person in front of us. We have no idea of the careers they devoted effort to, accomplishments that they are proud of, and goals that they strove for.

As I think back to the most memorable moments of my medical training, what stands out aren’t the never-ending lectures, or heroic surgeries, or terrible traumas. What I remember are the people I met and their stories.

I remember Sharon, a lady who was dying of cancer. Her husband showed me a picture of the two of them when they were both three—they had met in a sandbox 80 years ago, and had been inseparable since then. I remember Fan, a middle-aged man who was so serene after a serious car accident that resulted in tetraplegia. I later found out that he was a Buddhist monk, one of the most revered in Asia. I remember Sydney, a drug addict I saw as an intern who returned two years later saying that he was now totally clean and running a recovery program for teens. These are the stories I cherish, of the patients I have been privileged to care for.

Physicians, nurses, and our team of health professionals are part of a humbling profession, an incredibly rewarding one, where we are honored to meet people from all walks of life. Instead of shying away from this task and turning people into a compilation of their symptoms, we need to embrace the gift that our patients are giving us. We should ask our patients about themselves. Not just what pain they have, or do they have this symptom or that symptom, but ask them who they are. What they do. What drives them. What makes them happy. Not only will it add so much depth and accuracy to their diagnosis and their care, knowing our patients will make doctors happier people—individuals who are more attuned to the humanity of our patients, and ourselves.

Leana Wen is an emergency physician who blogs at The Doctor is Listening. She is the co-author of When Doctors Don’t Listen: How to Prevent Misdiagnosis and Unnecessary Tests.  She can also be reached on Twitter @drleanawen.

Prev

Comprehensive annual physical exams have no scientific value

March 18, 2013 Kevin 20
…
Next

Doctor ratings need to be physician driven

March 19, 2013 Kevin 8
…

ADVERTISEMENT

Tagged as: Emergency Medicine, Patients

Post navigation

< Previous Post
Comprehensive annual physical exams have no scientific value
Next Post >
Doctor ratings need to be physician driven

ADVERTISEMENT

More by Leana Wen, MD

  • a desk with keyboard and ipad with the kevinmd logo

    Help patients by addressing the health of the community

    Leana Wen, MD
  • a desk with keyboard and ipad with the kevinmd logo

    A simple act of kindness in the ER

    Leana Wen, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Learning from patients on a speaking tour

    Leana Wen, MD

More in Physician

  • How policy and stigma block addiction treatment

    Mariana Ndrio, MD
  • Why don’t women in medicine support each other?

    Jessie Mahoney, MD
  • IMGs are the future of U.S. primary care

    Adam Brandon Bondoc, MD
  • The high cost of gender inequity in medicine

    Kolleen Dougherty, MD
  • Women physicians: How can they survive and thrive in academic medicine?

    Elina Maymind, MD
  • How transplant recipients can pay it forward through organ donation

    Deepak Gupta, MD
  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
    • How community and buses saved my retirement

      Raymond Abbott | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [PODCAST]

      The Podcast by KevinMD | Podcast
    • Ancient health secrets for modern life

      Larry Kaskel, MD | Conditions
    • How the internet broke the doctor-parent trust

      Wendy L. Hunter, MD | Conditions
    • Why don’t women in medicine support each other?

      Jessie Mahoney, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
    • How community and buses saved my retirement

      Raymond Abbott | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [PODCAST]

      The Podcast by KevinMD | Podcast
    • Ancient health secrets for modern life

      Larry Kaskel, MD | Conditions
    • How the internet broke the doctor-parent trust

      Wendy L. Hunter, MD | Conditions
    • Why don’t women in medicine support each other?

      Jessie Mahoney, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Embrace the gift that our patients are giving us
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...