What the heck is this?
“Hey! I can see your brain from here!”
Is this what they did before tiny otoscopes were invented?
If they tried to irrigate through that thing they’d blow the brain out of the opposite ear!
It looks like a toilet plunger.
A bit of overkill for ear wax….
Remember the literary project that Maria put together at Intueri? #1 Dinosaur at Musings of a Dinosaur jumped in with a great addition! Here is Dinosaur’s take on “A Picture is Worth a Thousand Words“.
I think I finally figured something out.
Every now and then I sense a feeling of suspicion or wariness from a patient or family member.
The feeling that they are watching me like a hawk.
Like they don’t quite believe what they are being told.
No matter how many times you reassure them that everything is okay, there is an unspoken response of “Oh really?”
And that is the problem right there.
If a patient is concerned enough to come to an emergency department, they want validation that seeking treatment was the correct thing to do.
They want to know that we empathize with their concerns, that we understand.
If the first thing out of our mouth is something to the effect of “oh, this is nothing”, the patient may believe they are not being taken seriously. They believe there is something to be concerned about and it makes them anxious that we don’t seem to see it.
I know a physician who handles this type of situation naturally, and I’ve learned by watching and listening.
First, acknowledge that the patient’s symptoms present a concern to them and it is understandable why they would seek treatment. Even if it is a non-urgent issue – it is an issue to the patient.
Second, discuss why the patient is concerned (for example, the patient fears they are having a CVA when it is Bell’s Palsy or a heart attack when it is really costochondritis) and explain why the patient does not fit the criteria for that particular problem.
Finally, explain what the diagnosis actually is and what can be done to make the patient feel better, at that point reassuring the patient that everything is okay.
I guess the moral of the story here is not to be so quick to hand out those reassurance platitudes. For some patients it is a sign that their concerns are being trivialized.
It is hard to view every situation from the patient’s perspective, especially in a busy emergency department. For some, the gift of empathy comes easily. Others need to occasionally remind themselves to empathize.
Being able to do so goes a long way in diffusing suspicion and gaining the patient’s trust.
I’ve seen it in action.