As a physician, it is difficult to admit to a lack of control

“Why aren’t you treating this patient?”

Over the phone, the pediatrician’s voice crackled with disdain.  I had just spent the last 5 minutes explaining why I didn’t think surgery was necessary for a patient whom the pediatrician had referred to me (unwillingly, as she pointed out during our conversation — the patient’s insurance wouldn’t cover visits to the much bigger competitor hospital that she normally referred to).  I remembered the little …

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