Patronising comments from doctors make me want to scream!
Doctors should know better
If you query an unhelpful treatment plan, doctors shrug their shoulders and say they don’t make the rules. They make me feel like screaming. What’s to stop them changing rules then? But it’s all part of today’s culture that thinks more of ‘Team Players’ than the old-fashioned doctor or nurse, prepared to fight on behalf of a patient for more appropriate care,..
- Why won’t rules allow staff to change treatment if something might work better?
- Why aren’t patients supported to challenge something that doesn’t work?
- Medical history is full of examples when medics had the guts to challenge the current thinking Without things ‘going wrong’ we would never have had penincillin, etc. What if what we suggest might be cheaper for the NHS? The NHS doesn’t care Ask why? A shrug of the shoulders and you are told by the arrogant person that they don’t make the rules
What DO they make? The tea? This takes us to the very heart of culture in the NHS;
- handed down policies that don’t work
- no-one challenges flawed thinking (look at the hospital scandals)
- giving us organisations that don’t work.
It happened to me
I was a polio patient in the RNOH Stanmore many years ago. Told that I would never walk again, I wasn’t staying in such an environment for the rest of my life. I made plans for an exit strategy, convinced recovery would depend on exercising every waking moment, even though medical thinking at that time advocated complete bed rest.
I was aided by the fact I was not popular with the Professor in charge. When he told me I wouldn’t walk again, I said I wasn’t going to stay in that place for the rest of my life. ‘That place’ was the hospital that was his pride and joy, so he passed my care over to the youngest doctor on his team, J.I.P. James. He and I got on like a house on fire, I knew myself what would work for me, would suggest it to him, or sometimes even do it if it were too radical – and we worked together to get me out of Stanmore, He went on to reach the top of his tree, became a professor, president of his discipline and was instrumental in training about ten doctors who went back to their country and eventually became head of their health services. .
Nurses said they could always tell my bed as it had an arm or a leg waving. .
I would question Mr. James about my treatment during weekly ward rounds; then ask if such-and-such might work. Sister and her cohorts were horrified, but he listened, and usually let me do what I wanted. Until the day, left alone to swim around in the pool, I was discovered walking on dry land.
Mr. James was obviously told what I had done, and during the next Ward round he suddenly said “let’s see you walk”. And from that moment on I was allowed to break with tradition, do what I knew was best for me, and eventually walk out of Stanmore.
What a change today
At Stanmore I was able to discuss policy, have an opinion, and talk it over with the boss, to everyone’s benefit. So when cancer hit I just went for what I knew would be best for me – and expected Oncologists to listen It was a struggle, and when I was proven right, no-one would acknowledge this. I often got the cold shoulder, and was made to feel I had ‘let the side down’.
Changing culture is a huge job; managers create their own eco-structure and their own climate. It’s your job to speak up and speak out if you genuinely feel something is/isn’t right for YOU. Today, very often those treating you are scared to think outside the box. Just make sure what you are doing is really working for you and STOP immediately if something goes wrong,