{"id":117,"date":"2010-04-22T13:52:53","date_gmt":"2010-04-22T12:52:53","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=117"},"modified":"2020-07-17T10:29:12","modified_gmt":"2020-07-17T09:29:12","slug":"blue-lights-and-all-the-paradox-at-the-heart-of-being-a-doctor","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2010\/04\/22\/blue-lights-and-all-the-paradox-at-the-heart-of-being-a-doctor\/","title":{"rendered":"Blue lights and all: the paradox at the heart of being a doctor"},"content":{"rendered":"<p>This week, life as a general practitioner has been a little too exciting for my liking, and far too eventful for my patients- young and old- around whom this unnecessary and unwelcome excitement has centred. Twice in as many days I&#8217;ve had to call, in the middle of a surgery, for an ambulance, and to answer yes to the question of whether I want it to be an all dancing all singing blue lights flashing affair. <!--more--><\/p>\n<p>Working in an area with a large population of young children, and where the older population is, mostly, stoically resigned to the ill-health a hard life all too often entails, barely a day passes without someone apologising for being less ill than they&#8217;d thought. The implication being that they&#8217;ve somehow wasted my time by booking an appointment. In the case of older patients I&#8217;ve learnt to accept this as a charming if sometimes self-harming attitude that means they all too often ask for less than they need or deserve. In the case of babies and toddlers I remain genuinely grateful every time a child that is causing a parent great concern turns out to be far less unwell than initially feared and I \u00a0have the happy task of letting the parents know this good news.<\/p>\n<p>Because, and as every doctor knows, whilst it&#8217;s our job to diagnose and treat and, occasionally, to make a dramatic and life-saving intervention, we&#8217;d all be a lot happier if serious diseases and crises were to become a thing of the past and no one was ever really ill enough to need us that much. Unfortunately, life&#8217;s not like that. As I reflect on the events of this week, unable to put aside my worries about these two patients, I am reminded, once more, of one of the great paradoxes at the heart of what it means to be a doctor, or at least of being a GP: that whilst we spend years working in secondary and tertiary centres, proudly acquiring the experience and skills\u00a0\u00a0to recognise and cope with a crisis, most of us secretly pray we&#8217;ll never need to use those skills. We pray that we&#8217;ll never be faced with a grey baby lapsing in and out of consciousness, that we&#8217;ll never need to give the mother the news that, this time, we can&#8217;t reassure but instead need to draw on all the help available. \u00a0Now. \u00a0Immediately. \u00a0Blue lights and all.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This week, life as a general practitioner has been a little too exciting for my liking, and far too eventful for my patients- young and old- around whom this unnecessary and unwelcome excitement has centred. 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