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

Sometimes what patients really need can be surprising

Sanjay Shewakramani, MD
Physician
September 1, 2018
Share
Tweet
Share

“I give up! I can’t help these people.” Emily was completing the final month of her emergency medicine residency and flopped into her chair with exasperation.

“What’s up?” I asked. We were on the final two hours of our shift together. And I, as her attending, was already feeling apprehensive about the patient encounter that awaited me.

“They want so much from me, and I can’t fix them!” She began to tell me about the patient in room 24 she had just met: a young woman with a benign-appearing neck mass that was diagnosed last week. We had found it two weeks ago on CT in our emergency department, and she had since seen her primary care doctor and a head and neck surgeon, received a fiberoptic evaluation, and was scheduled to have an operation to remove it the next day.

“What’s she doing here?” I could feel my own irritation brewing.

“She thinks her airway’s closing because of this thing. I mean look at her CT! It’s nowhere near her airway. She’s ridiculously anxious. She told me she wants it out today. She thinks she’s dying.”

“What did you tell her?”

“That she’s not dying.”

“Great. Is she good to go?”

“Probably not. Work your magic, she probably just needs a hug.”

I got up and took a deep breath. The door to room 24 was closed, so I could only imagine what was behind it. Should I bring in the box of Kleenex in preparation? Deep breath. Do I have my phone on me in case I need rescuing? Deep breath. Twist the door handle. One last deep breath.

“Hello!” Said a smiling face as I entered. She sat upright in her bed and seemed genuinely happy to see me. Maybe this was a ploy.

“Hi, I’m Dr. Sanjay. How are you?”

“I’m great!”

“That’s wonderful. I understand you are pretty concerned about this thing in your neck.”

“I was. I’ve seen three specialists this week, and nobody’s really talked to me about what it means. I thought this thing was collapsing my airway and every time I’ve laid down to sleep for the last week I thought it was going to choke me and I would die.”

“And now?”

ADVERTISEMENT

“Emily was the first person to actually show me my images. She showed me where it was. I have nothing to be worried about. I feel silly being here.”

***

“Emily, you and I need to talk.” I deadpanned as I sat down next to her. A mortified look fell upon her face.

“Oh god, what did she tell you?”

“That you fixed her.” I beamed proudly. Her face quickly mimicked my own.

Sanjay Shewakramani is an emergency physician.

Image credit: Shutterstock.com

Prev

MKSAP: 49-year-old woman with obesity, hypertension, and type 2 diabetes mellitus

September 1, 2018 Kevin 2
…
Next

4 reasons why physicians will become extinct

September 1, 2018 Kevin 7
…

Tagged as: Emergency Medicine, Radiology

Post navigation

< Previous Post
MKSAP: 49-year-old woman with obesity, hypertension, and type 2 diabetes mellitus
Next Post >
4 reasons why physicians will become extinct

ADVERTISEMENT

Related Posts

  • Are patients using social media to attack physicians?

    David R. Stukus, MD
  • A surprising example of how medicine is learned from our patients

    Aaron Grubner, MD
  • Surprising and unlikely rewards of social media engagement by physicians

    Lisa Chan, MD
  • You are abandoning your patients if you are not active on social media

    Pat Rich
  • Physician Suicide Awareness Day: Where are the patients? 

    Jennifer M. Sweeney
  • Is physician shadowing immoral?

    David Penner

More in Physician

  • The overlooked power of billing in primary care

    Jerina Gani, MD, MPH
  • Why pain doctors face unfair scrutiny and harsh penalties in California

    Kayvan Haddadan, MD
  • Why physicians need a place to fall apart

    Annia Raja, PhD
  • The joy of teaching medicine through life’s toughest challenges

    John F. McGeehan, MD
  • Why health care can’t survive on no-fail missions alone

    Wendy Schofer, MD
  • The unspoken contract between doctors and patients explained

    Matthew G. Checketts, DO
  • Most Popular

  • Past Week

    • 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
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
    • What street medicine taught me about healing

      Alina Kang | Education
    • The silent cost of choosing personalization over privacy in health care

      Dr. Giriraj Tosh Purohit | Tech
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
  • Past 6 Months

    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • A physician employment agreement term that often tricks physicians

      Dennis Hursh, Esq | Finance
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why the future of cancer prevention starts from within

      Raphael E. Cuomo, PhD | Conditions
    • A new approach to South Asian heart health [PODCAST]

      The Podcast by KevinMD | Podcast
    • Private practice employment agreements: What happens if private equity swoops in?

      Dennis Hursh, Esq | Conditions
    • Inside the final hours of a failed lung transplant

      Jonathan Friedman, RN | Conditions
    • Why South Asians in the U.S. face a silent heart disease crisis

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Why chronic pain patients and doctors are both under attack

      Richard A. Lawhern, PhD | Conditions

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

    • 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
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
    • What street medicine taught me about healing

      Alina Kang | Education
    • The silent cost of choosing personalization over privacy in health care

      Dr. Giriraj Tosh Purohit | Tech
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
  • Past 6 Months

    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • A physician employment agreement term that often tricks physicians

      Dennis Hursh, Esq | Finance
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why the future of cancer prevention starts from within

      Raphael E. Cuomo, PhD | Conditions
    • A new approach to South Asian heart health [PODCAST]

      The Podcast by KevinMD | Podcast
    • Private practice employment agreements: What happens if private equity swoops in?

      Dennis Hursh, Esq | Conditions
    • Inside the final hours of a failed lung transplant

      Jonathan Friedman, RN | Conditions
    • Why South Asians in the U.S. face a silent heart disease crisis

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Why chronic pain patients and doctors are both under attack

      Richard A. Lawhern, PhD | Conditions

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

Sometimes what patients really need can be surprising
1 comments

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

Loading Comments...