Tuesday, March 31, 2009

Enough is enough

Today I felt like a parent punishing a child. And I felt like I was going against the motto under which I was trained: The needs of the patient comes first.
But this time I felt that the lesson was necessary. I really do.
This was a 27 year old man I diagnosed with type 1 diabetes 5 months ago. He wasn't happy that I gave him the label. He wasn't happy that I told him he'd be on insulin for life (I can't blame him). His mother reported that he was in denial for a while. And perhaps out of frustration, or perhaps being passive-aggressive, or maybe he had a good reason to: He didn't show up for 2 of his appointments to see me. And skipped another appointment with one of the nurses and diabetes educator. And came late for another 2 appointments.
And so today, he showed up 30 mins late. I was still around though my nurse had already left for the day. And selfishly to an extent, I had a racquetball game to go to. Our clinic policy is if they are 15 mins late without calling then we consider that a no-show, so it didn't have to see him. I could have seen him (perhaps getting to my game late) if I wanted to. But perhaps to teach him a lesson about respecting my time, and not to take up other patients' precious time too (since latecomers almost invariably lead to my seeing other patients late), I refused to see him, and made him reschedule for a future date.
Perhaps it was harsh (and selfish?) of me, but really, he's done it one too many times. It has to stop. And so I hope the next time he comes, he comes on time.


Blogger walla said...

Seriously, ask him to pop an aspirin and see you tomorrow. Meanwhile, one hopes the SOLVD risk factor of 1.6 excludes such a psychologically induced risk common in type-1.

10:40 PM  
Blogger vagus said...

yea, tell me about it. that is, IF he shows up for his next appt.
are you an endo in DC, then, walla?

11:11 PM  
Blogger walla said...

nope, bbh surg.

(brain, bone, heart)

11:18 PM  
Blogger pilocarpine said...

could be having a faulty watch..
cool down

1:00 AM  
Anonymous Anonymous said...

I agree. Being late is being rude and inconsiderate of other people's time.

8:26 AM  
Anonymous pavlova said...

i dun see my patients if:

1) they dun show more than twice
2) they are always late
3) they keep cancelling short notice (we require 24 hrs notice)

you gotta help urself before i can help u. gotta have some responsibility in life, i'm sorry...

5:13 AM  
Blogger iml said...

And over in this part of the world, most arrive before the shutters are up, the lights are turned on and wait at least 2 hours just to see the Doctor for less than 5 min. And if you're late, Just wait.

8:36 AM  

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