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

Make a personal connection in the ER

David Klein, MD
Physician
April 18, 2014
Share
Tweet
Share

After a relaxing weekend with my daughter, son-in-law and 2-year-old grandson, my wife and I made our way to the Atlanta airport to begin our trip home. The end of a trip — even a short weekend — is always sad. I never look forward to the travel home and usually want to snap my fingers and skip the travel.

My wife and I have trouble packing light and so, when we arrived at check in and our bag weighed 51 lbs, I sighed. My frown quickly disappeared, however, when the Delta attendant joked, “You just HAD to push the buttons… and see what I would do. 50 lbs just couldn’t cut it so you went for 51.” My wife and I smiled as we walked toward the security line.

Later, as we boarded the plane, I noticed another attendant making friendly comments to each passenger as they boarded. For some anxious travelers, this personal connection was all they needed to calm their nerves as they entered the aircraft. As I boarded with almonds in my hand, she commented, “Oh snacks! Delicious! How did you know I have been on my feet working for hours and could really use something. Thanks!” Again, I smiled as I boarded the plane.

These two very simple interactions made an otherwise uneventful flight experience one that I remember and talk about with friends and family. The goal of the flight was to get me from one point to the other — but Delta did more than that. They provided me with an experience I won’t forget.

Over the past several weeks I have thought to myself, wouldn’t it be great if our patients left the ER feeling the way I did as I left that plane?

As our patients enter the emergency room, we can assume that they are generally not happy to be there. Yes, our job is to get them better. But part of getting them better means helping them relax — making sure we are communicating effectively and minimizing any barriers to quality care.

We recently began working with a communication consultant to strengthen our ability to make personal connections with our patients. Last month, she spent some time in our emergency rooms observing our patient interactions. She shared that throughout our time with our patients, moments arise when personal connections are possible, often initiated by our patients. Perhaps a patient mentions a family gathering, or how they wish their spouse could have accompanied them to the hospital — these are small moments when we, as providers, have the opportunity to connect personally.

Recently, a middle-aged woman came to the emergency room for abdominal pain. After completing the physical exam and history intake, there was a pause where the physician was thinking through the case and identifying next steps. Suddenly, the silence was broken while the patient commented through a giggle, “Oh dear … My husband doesn’t even know I am here.”

Several days later, a male was seen for rectal bleeding. He described his symptoms at length, completed the history intake and had a physical exam. After all was complete, he took a nervous breath and anxiously commented, “You know … I woke up at two in the morning and after seeing what I did, I turned to my wife and I knew I had to come in … I just couldn’t wait.”

In both instances, our patients were looking for a connection. The first was concerned that her husband had no idea that she had been in the hospital for several hours. This was her attempt at making a connection with her physician through something other than her physical ailments. She likely would have welcomed a response, such as, “If my spouse was in the hospital, I might be worried. Would you like us to call him for you?”

The second patient example relates very closely to the airline story mentioned above. Many of our patients are extremely worried — the emergency room can create an intimidating environment. As physicians, we can’t always predict the outcome for our patients. However, we can have the empathy to comfort them. Perhaps we could say, “I know this can be scary but you did the right thing by coming in to see us. We will check everything out and take good care of you. You are in good hands.”

If we look for it, we will find evidence that our patients are looking for that personal connection. And it is our jobs as physicians to express that. Just like the flight attendants, we must actively listen to identify the moment when this connection is possible.

The most integral part of our job is helping our patients get well. But, if we can do this, all while creating an empathetic, enjoyable experience for our patients, then job well done!

ADVERTISEMENT

David Klein is an emergency physician who blogs at The Shift.

Prev

Are the benefits of price transparency overstated?

April 17, 2014 Kevin 22
…
Next

If a doctor isn’t face to face with a patient, is he still a doctor?

April 18, 2014 Kevin 17
…

Tagged as: Emergency Medicine

Post navigation

< Previous Post
Are the benefits of price transparency overstated?
Next Post >
If a doctor isn’t face to face with a patient, is he still a doctor?

ADVERTISEMENT

More by David Klein, MD

  • She died thirsty! Ice chips matter when it comes to patient satisfaction.

    David Klein, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The lessons hospitals and physicians can learn from Ebola

    David Klein, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The palliative care discussion starts in the emergency department

    David Klein, MD

More in Physician

  • a desk with keyboard and ipad with the kevinmd logo

    How to advance workforce development through research mentorship and evidence-based management

    Olumuyiwa Bamgbade, MD
  • The truth about perfection and identity in health care

    Ryan Nadelson, MD
  • Civil discourse as a leadership competency: the case for curiosity in medicine

    All Levels Leadership
  • When a medical office sublease turns into a legal nightmare

    Ralph Messo, DO
  • Why the heart of medicine is more than science

    Ryan Nadelson, MD
  • How Ukrainian doctors kept diabetes care alive during the war

    Dr. Daryna Bahriy
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • 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
  • Recent Posts

    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician
    • The truth about perfection and identity in health care

      Ryan Nadelson, MD | Physician
    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Dear July intern: It’s normal to feel clueless—here’s what matters

      Tomi Mitchell, MD | Education

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 4 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

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • 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
  • Recent Posts

    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician
    • The truth about perfection and identity in health care

      Ryan Nadelson, MD | Physician
    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Dear July intern: It’s normal to feel clueless—here’s what matters

      Tomi Mitchell, MD | Education

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

Make a personal connection in the ER
4 comments

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

Loading Comments...