Thoughts after your family doctor retires

My family doctor recently announced he’s retiring from medicine after 37 years, and my husband and I were his patients for more than 18 of those years.  We had a lot of one-offs before finding him, but he was worth the wait. I want to explain why he inspired our loyalty.

He saved my husband’s mobility. A glass coffee pot separated from its handle and a shard went straight into the top of my husband’s bare foot one morning when he was making coffee. The ER doctor stitched the skin shut over a deep tendon cut. By sheer coincidence, our doctor happened to run into my husband several days later. He noticed Bruce was walking funny and asked what happened. When he explained, our doctor immediately got on the phone with an orthopedic surgeon and arranged surgery. Bruce was in surgery for more than three hours, which surprised me, but the surgeon explained it was tough going because the nearly severed tendon was hardening into place. He was only 2-3 days away from being unable to reattach it.

He guided me through breast cancer. When I was diagnosed with ductal carcinoma in situ, classified as a stage 0 breast cancer, it was pretty overwhelming. While it’s infinitely preferable to being diagnosed with invasive cancer, it’s still a shock and the treatment choices can seem drastic. During one of our frequent visits, my doctor said, “I’m going to help you get through this,” and he did. When he recommended a course of treatment he said it was what he’d ask me to do if I were his wife. I never doubted he’d do any less than his best for me, but hearing this was comforting.

He listened. It didn’t matter whether our complaints were large or small, or even if we could articulate them. I’ll never forget one visit when I was having a hard time explaining something. He asked, “Do you feel like something’s wrong?” That question showed both intuition and respect.

He did physicals. I keep reading about how the physical has become a lost art, and I’ve had doctors confirm this in online chats. On one of my last visits with him, my doctor said he couldn’t tell me how many times patients have told him lately they wish a doctor would just touch them.

We do have a new doctor lined up and finding one this time was easier.  I saw one of my doctor’s young partners during his last tour of duty in Iraq. (He was a colonel in the Army Reserve and also did two tours in Afghanistan.) After he came back I said I liked the way she communicated and he told me she’s a good doctor. Coming from him, with his reputation for excellence, that’s high praise.

Still, I wanted a second opinion so I called my surgeon. I’ve gone through three breast cancer surgeries and gallbladder surgery with him and I trust him as much as I trust my family doctor. Both of them are “doctor’s doctors”—other physicians send their family members to them. I was thrilled when he recommended the same doctor and said she really knows what she’s doing.

It was a huge relief to have two doctors I trust both speak so highly of the same doctor, but there are other things I like from the patient perspective. Number One, she gave me a physical exam. (I love that intent, inner-focused look doctors get when their hands are reading your body. She and my former doctor both get it, and so does my oncologist.) Number Two, she talked—and listened. Another doctor had been recommended by someone, but when I mentioned him my doctor said, “You’ll never have a conversation with him.” I had that confirmed by a patient who said he spent less than a minute in the room with him. Finally, and this is a small thing, but I like it that she wears the white coat. I know a lot of doctors don’t like wearing it, and it’s not a deal breaker for me, but I figure they earned it as much as they earned the MD after their names. It shows respect for and pride in the profession.

I know it will take time, but I’m hoping my husband and I can build a relationship with our new doctor. She’ll be the one helping us navigate old age. She may be the one having the end of life talk with us. If it comes anywhere close to the relationship we had with our other doctor, we’ll be blessed. We will always be more grateful to him than he knows. And we wish him only the best in his well-earned retirement.

Jackie Fox is the author of From Zero to Mastectomy: What I Learned And You Need to Know About Stage 0 Breast Cancer, and blogs at Dispatch From Second Base.

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  • Chrysalis

    Beautifully said. A good PCP is worth their weight in gold. Good luck on your new doctor/patient relationship!

    • http://secondbasedispatch.com Jackie Fox

      Thank you!

  • anon MD

    If even a few of the patients that I have helped were as appreciative as you, I would still be doing primary care. I once found an early lung cancer in a woman during an annual physical (it was an apical lung cancer that created a small bulge near her clavicle) that was so early-stage she didn’t require radiation or chemo after it was resected. Instead of being appreciative, she claimed that I was “blackmailing” her into coming in for blood pressure checks when she just wanted phone refills of her meds. She stopped seeing me after that statement. (By the way, I am another physician who believes in physicals.)

    • ninguem

      What anonMD said.

  • http://www.mdwrites.com MD

    A good primary care physician is worth his weight in gold just like somebody said above. But as anon MD said, so few patients are appreciative of the attention and caring so many physicians show towards their patients. Especially in this litigious environment where every magazine and billboard has lawyers asking people to give them a call after injuries. Our society can really harm the doctor patient relationship which has been so important over the decades. It is also perhaps one of the most rewarding parts of medical practice. If only people could come to realize that their physicians are indeed trying to do their best most of the time, and that bad outcomes and errors are part of the risks you take entering our medical system. Just like there is a tiny risk of your plane crashing when you go on a flight.

  • Chrysalis

    Take heart you MDs. More patients than you know do value your role.

    For what you’re seeing in your practices…look at it this way, I feel it’s like a couple under stress. The couple is besieged with outside forces putting stress on each one of them (ie insurance co, administrative wants, illness, time management, sleep deprivation, etc). What happens? Pretty soon the couple begins to disconnect. Resentments build, miscommunication occurs, assumptions are made. Now, instead of working as a team, it may feel adversarial.

    There was a post on here about doctors banding together to bring about change, not too long ago. I would have linked to it, but I couldn’t find it. It was very good, but my feeling is…both doctors, and the patients they treat, need to band together. We need to get these other entities out of the doctor/patient relationship.

    The stress in the doctor/patient relationship, is coming from outside sources. As you mentioned, ads to sue, ads that frighten patients , management’s demands on keeping up and on schedule, (with no regard for the multiple comorbidities that you are handling, and the time it takes to handle those) the list goes on.

    Know that you are appreciated! You may never know how many patients have thanked you privately, in the comfort of their own home. Don’t let these times in medicine drag you down. You are valued.

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