If you continue without changing your settings, we’ll assume you’re happy to receive all cookies from the BMA website. Find out more about cookies
When you visit any web site, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalised web experience.
Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer.
These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms.
You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.
These cookies are required
These cookies allow us to know which pages are the most and least popular and see how visitors move around the site. All information we collect is anonymous unless you actively provide personal information to us.
If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.
These cookies allow a website to remember choices you make (such as your user name, language or the region you're in) and tailor the website to provide enhanced features and content for you.
For example, they can be used to remember certain log-in details, changes you've made to text size, font and other parts of pages that you can customise. They may also be used to provide services you've asked for such as watching a video or commenting on a blog. These cookies may be used to ensure that all our services and communications are relevant to you. The information these cookies collect cannot track your browsing activity on other websites.
Without these cookies, a website cannot remember choices you've previously made or personalise your browsing experience meaning you would have to reset these for every visit. In addition, some functionality may not be available if this category is switched off.
Our websites sometimes integrate with other companies’ sites. For example, we integrate with social networking sites such as Twitter and Facebook, to make it easier for you to share what you have read. These sites place their own cookies on your browser as a result of us including their icons and ‘like’ or ‘share’ buttons on our sites.
We had a patient who wasn’t really engaging. It isn’t professional to call a patient difficult, so you can choose a different word, but he was slow to move through every step of his journey.
Initial recovery, rehabilitation; they were coloured by reluctance. During morning handover, one of the more junior doctors went through the main outstanding issues of all our patients. When we got to this man, he added a seemingly curt acknowledgement of the lack appetite to move on, and it went like this: ‘I think he likes being here.’
And he continued the handover.
It took me a couple of seconds to register the comment, but once I had I could no repress a response so I stopped him, mid-sentence, and I said: ‘That man is here because he tried to kill himself, I doubt he likes being here, I doubt he likes being anywhere, that’s probably the problem.’
There was silence from the six people at the table, and he looked at his paper, didn’t respond but sort of shrugged at me half nonchalantly. It was clearly more bravado than anything else.
We moved on.
I regretted it immediately. Not my point, I was right. It was unprofessional handover behaviour for such a junior doctor, or any doctor. We had just changed jobs and so I hardly knew him.
My response was reflexive. It was rebuttal intended to knock him down and what had I achieved? He was exposed, perhaps, but definitely not engaged. Either I had made him embarrassed or I made him resentful; either way it wasn’t what I wanted to achieve.
I registered his comment as flippant but actually he may not have even meant ‘like’ in the true sense of the word. After all, it would not have been surprising if our patient had attached some fear to moving on.
Maybe it was just a poor choice of word to articulate a perfectly reasonable observation. I should have mentioned it afterwards, at least then I would have known.
And who was I to judge? I’ve made throw away comments. It has been necessary for me to make a friend of that particular humour we engage in. Sometimes it is just how you get through the day. In truth, I felt like this was different, but was it really?
The more years I spend as a doctor, the easier it is to point out the mistakes of those more junior. The point is though that you see them, probably because you’ve been there and made them. Often because you know better, but then again you are supposed to.
The type of senior I want to be would have swallowed the indignant portion of my response and engaged this doctor afterwards. But I guess there is still time for me to become that person and maybe the consultant in the room was looking at me knowingly and thinking, I remember when I was exactly like that too.
By the Secret Doctor
Read the blog
and follow @TheSecretDr on Twitter
I am not sure I agree that your guilt is warranted. Moving on without commenting on a throwaway (potentially damaging) comment done as part of a handover, normalises that comment - not only to the person who said it, but also to the others in the room. If this comment was written in the case notes and something later happened to the patient and case notes were reviewed the doctor who wrote it would be in a legally dodgy situation.
In my opinion , from the summary of the story above, you have stood up for the patient, not knock a collegue down.
I absolutely agree with the comment below.
The throwaway comment called for an equally reflexive throwaway response.
I think that stigmatisation of mental health difficulties in the general acute hospital setting is a big problem. Why not go back and discuss the context of your throw away comment with your colleagues? I'm sure they would understand the context. Your reflex reaction was appropriate in response to their more damaging comment. I think its ok to show emotion sometimes, so long as thats followed up with a more logical point.
Hello players i am here and played the best online card game,this is free spider solitaire games,many users here and played this video game http://spidersolitaire.me this game are updates a new version with sound or themes,so friends hurry click on this site and get this free game.
We all are getting and generating the more losing a friend and perfect tips and engaging more professional journey with us. More www.superriorpapers.com/ repress the essential stopped nonchalantly and including the great services.
You will need this service https://anassignmenthelp.com/ even if you are a doctor! This is a crucial task!
Thank you for sharing this exciting resource with me and the world. Wish you always luck.