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

Stop being a doormat for your patients

Starla Fitch, MD
Physician
March 12, 2014
Share
Tweet
Share

One of my goals is to help doctors be happier in their day jobs. This does not mean you put on a fake smile, and grin and bear it through your day. What it does mean is you consciously set your boundaries for what you need. Stick with them and let others know. Because the truth is, you teach people how to treat you.

This is not only reserved for your spouse, your teenage daughter, or your yardman. This is for all people. Seriously. Everybody.

Here’s an example: Let’s say you have a patient who notoriously doesn’t listen to your sage advice. For a long while, you have been trying to get her to quit smoking, to exercise, eat better, or be consistent with her blood pressure medication. Or maybe you have simply recommended she apply an ointment to her eyelid for three weeks to improve some inflammation.

But, each time this patient comes in, it’s the same old story: She didn’t have time to eat right or walk around the block three times a week. She didn’t like that the ointment felt greasy (even though she was only supposed to use it at bedtime), so she stopped it after two days instead of two weeks. She didn’t really put any effort out to quit smoking. All her family smokes. Why should she quit, when she’ll be surrounded by second hand smoke?

Haven’t you all heard this before? Let’s face it: We can’t really put their feet to the fire or a gun to their heads to make them do as we suggest. But we can draw the line in the sand. We can say, “I’m sorry, but I won’t be able to schedule your cosmetic procedure until you quit smoking because studies have shown — and I have seen in my practice — that patients who continue to smoke heal poorly.”

Or, we can say, “Because you are not taking your blood pressure medicine properly and you aren’t trying any of my suggestions about exercise or stress reduction, I am going to instruct my office to only schedule your appointments with me at 8am on Mondays. That will require you to make an additional effort to get here early and wade through the traffic. I will be available to you for emergencies, but I reserve my prime time appointments for my patients who work with me to improve their health issues.”

And finally, we can say, “Go back and try that greasy ointment for another 12 days, as I originally requested. You still have inflammation of your eyelid because you didn’t use the medication as I prescribed it. We can’t know if the treatment didn’t work if you don’t actually do the treatment, now can we?”

What happens when you quit being Dr. Doormat? You release the negativity that surrounds patients who are not compliant. Sometimes, your patients will start towing the line. Other times, they go elsewhere and start the same story with another doctor. Sometimes, you must release the good to make room for the great. If they go, your practice is freed up (as is your heart) for patients who are sincere in improving their health, and who will work with you to make a difference in their health.

It’s time to roll up your sleeves and roll up your doormat.

Starla Fitch is an ophthalmologist, speaker and personal coach.  She blogs at Love Medicine Again and her upcoming book, Remedy for Burnout: 7 Prescriptions Doctors Use to Find Meaning in Medicine, will be available this summer. She can also be reached on Twitter @StarlaFitchMD.

Prev

Can the pharmaceutical industry move beyond the pill?

March 11, 2014 Kevin 0
…
Next

Physician time means nothing to programmers and policy makers

March 12, 2014 Kevin 42
…

Tagged as: Primary Care

Post navigation

< Previous Post
Can the pharmaceutical industry move beyond the pill?
Next Post >
Physician time means nothing to programmers and policy makers

ADVERTISEMENT

More by Starla Fitch, MD

  • A cancer scare changed my life in 7 seconds

    Starla Fitch, MD
  • Doctors experience the world differently

    Starla Fitch, MD
  • No, doctors aren’t to blame for burnout

    Starla Fitch, MD

More in Physician

  • Why judgment is hurting doctors—and how mindfulness can heal

    Jessie Mahoney, MD
  • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

    Olumuyiwa Bamgbade, MD
  • The gift we keep giving: How medicine demands everything—even our holidays

    Tomi Mitchell, MD
  • From burnout to balance: a neurosurgeon’s bold career redesign

    Jessie Mahoney, MD
  • Why working in Hawai’i health care isn’t all paradise

    Clayton Foster, MD
  • How New Mexico became a malpractice lawsuit hotspot

    Patrick Hudson, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • 5 blind spots that stall physician wealth

      Johnny Medina, MSc | Finance
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • Why judgment is hurting doctors—and how mindfulness can heal

      Jessie Mahoney, MD | Physician
    • Why medical schools must ditch lectures and embrace active learning

      Arlen Meyers, MD, MBA | Education
    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy

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 46 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

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • 5 blind spots that stall physician wealth

      Johnny Medina, MSc | Finance
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • Why judgment is hurting doctors—and how mindfulness can heal

      Jessie Mahoney, MD | Physician
    • Why medical schools must ditch lectures and embrace active learning

      Arlen Meyers, MD, MBA | Education
    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy

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

Stop being a doormat for your patients
46 comments

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

Loading Comments...