{"id":45233,"date":"2019-08-02T14:23:36","date_gmt":"2019-08-02T13:23:36","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=45233"},"modified":"2019-08-15T10:11:31","modified_gmt":"2019-08-15T09:11:31","slug":"sharon-roman-because-empathy-matters","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/08\/02\/sharon-roman-because-empathy-matters\/","title":{"rendered":"Sharon Roman: Because empathy matters"},"content":{"rendered":"<p class=\"standfirst\">The comfort that empathetic doctors provide has an incredible impact on patients and their outcomes, says Sharon Roman<\/p>\n<p><!--more--><span style=\"font-weight: 400\"><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2016\/10\/sharon_roman.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-37647 alignleft\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2016\/10\/sharon_roman.jpg\" alt=\"\" width=\"156\" height=\"200\" \/><\/a>If a picture is worth a thousand words, then a screenshot that I keep on my phone is a tome. It captures an attitude towards healthcare that I find archaic. After tweeting my thanks to a doctor who authored an article that resonated with me, I was surprised to be the sole recipient of a message from someone else which said that a doctor must not \u201cpander to patients,\u201d but rather should be knowledgeable and efficient. It was a surprising statement, but what spoke to me the most was what it revealed about a certain mindset of practising medicine and its want of a caring attitude. Not only is this a prescriptive, paternalistic attitude; it lacks a value system of care in a doctor&#8217;s role. I was taken aback by the use of &#8220;pander&#8221; and saddened, as it is well known that doctors who are empathetic to their patients achieve better outcomes. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Knowledge and efficiency, while important qualities, alone are not what I credit as having made a difference in my healthcare.<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3529296\/#\"><span style=\"font-weight: 400\"> Empathy,<\/span><\/a><span style=\"font-weight: 400\"> however, has. Caring is what puts doctors and other healthcare professionals in a league of their own.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I was given the great fortune of knowing outstanding care before I understood the true value of it. At the beginning, I took my late family doctor&#8217;s care for granted simply because it was all I had ever really known. When illness struck and my needs suddenly erupted, I gained a new perspective of the important and integral role he would play in my healthcare\u2060\u2014and just how much he truly cared about his patients. <\/span><\/p>\n<p><span style=\"font-weight: 400\">When my first multiple sclerosis attack prompted admission to hospital, I was surprised to find him behind me while I was processed at the triage desk. He had come to ensure that I was admitted immediately and gave me his home number as it was a Friday and I had no family in town. In time, he grew to know my family, took my husband as a patient when we married (he too saw the need to treat the family as a whole), and diplomatically and adroitly managed my complex healthcare needs. His support of and <\/span><a href=\"https:\/\/www.bcmj.org\/obituaries\/dr-larry-raymond-patrick-collins\"><span style=\"font-weight: 400\">devotion to his patients <\/span><\/a><span style=\"font-weight: 400\">knew no bounds. He worked hard to improve the lives of his patients and without a doubt, did more for me than I know. He deftly applied<\/span><a href=\"https:\/\/www.bcmj.org\/obituaries\/dr-larry-raymond-patrick-collins\"><span style=\"font-weight: 400\"> empathy, emotional intelligence, <\/span><\/a><span style=\"font-weight: 400\">and a sense of humour. For him, being a doctor was a calling; practising family medicine was his life&#8217;s goal, and it was evident. Sadly, I never got the chance to thank him as he died of cardiac arrest on the eve of an appointment.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">From a young age my husband also learnt the difference a caring doctor can make. While it is often said that the kitchen is the heart of the home, my husband&#8217;s grandfather also made it the heart of his practice (something unheard of in an age where doctors are busily setting boundaries). Early memories of his grandparents, <\/span><a href=\"https:\/\/www.thecanadianencyclopedia.ca\/en\/article\/charles-lightfoot-roman\"><span style=\"font-weight: 400\">Dr and Mrs Charles Lightfoot Roman<\/span><\/a><span style=\"font-weight: 400\">, a nurse, include the sanitised kitchen and the house with a back door that was never locked. In the days prior to universal healthcare in Canada, their kitchen served double duty as a clinic to people who could not afford to pay for their healthcare. His attitude towards the practice of medicine was praised as not only a profession but also a way of life. He was <\/span><a href=\"https:\/\/www.thecanadianencyclopedia.ca\/en\/article\/charles-lightfoot-roman\"><span style=\"font-weight: 400\">more than a doctor<\/span><\/a><span style=\"font-weight: 400\"> to his patients; he was a warm friend and counsellor to them and their families.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">These doctors, and many others, who are so dedicated to the improvement of their patients&#8217; lives show how important the human aspects of practising medicine are; these are irreplaceable and necessary to bring about the best possible outcomes. Efficiency and knowledge alone is an incomplete picture of what I, as a patient, value in my care. Second opinions can be sought, schedules can run behind, but there is no substitute for caring. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1494899\/#\"><span style=\"font-weight: 400\">Fortunately, empathy can also make practising medicine more meaningful<\/span><\/a><span style=\"font-weight: 400\">, perhaps even elevating it from a profession to a way of life\u2060\u2014a calling. We should all know the comfort of care that goes beyond merely doing a duty, and rest easy in hands that have answered the call\u2060\u2014because empathy matters.<\/span><\/p>\n<p><em><strong>Sharon Roman<\/strong>\u00a0studied economics at the University of Toronto and Simon Fraser University. She had her first MS attack around the age of 30.<br \/>\n<strong>Twitter:<\/strong> <a href=\"https:\/\/twitter.com\/SRoman_SPQR\">@SRoman_SPQR<\/a><\/em><\/p>\n<p><strong>Competing interests<\/strong>: None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The comfort that empathetic doctors provide has an incredible impact on patients and their outcomes, says Sharon Roman [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/08\/02\/sharon-roman-because-empathy-matters\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":45278,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5749,18898],"tags":[],"class_list":["post-45233","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patient-perspectives","category-sharon-roman"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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