{"id":987,"date":"2016-06-07T13:44:54","date_gmt":"2016-06-07T12:44:54","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=987"},"modified":"2020-07-17T09:50:31","modified_gmt":"2020-07-17T08:50:31","slug":"first-impressions-only-happen-once","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2016\/06\/07\/first-impressions-only-happen-once\/","title":{"rendered":"First impressions only happen once"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><strong>Fergus Shanahan<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Eyes smiling, face beaming, the porter rose from his stool to greet arrivals at the cancer centre, each nervously hesitant, staying close to a supporting loved one. With the confidence of a man who enjoyed being good at his job, he paused for those needing directions, reassured us that we were in the right place for our appointment, and then boomed: \u201cWelcome everyone, and good luck to you all today.\u201d<\/p>\n<p>Good start. After that, we didn\u2019t mind inconveniences like waiting for the single working elevator and felt better about whatever unknowns were ahead. The moment was still fresh when we got to the sixth floor. There, we faced a receptionist unable to switch her gaze from a computer to address us. Detached with jaded eyes fixed elsewhere, her outstretched arm dispatched us to an adjacent touch screen to register. We obeyed but the system insisted on a five-digit address code. Bad enough to be labelled \u2018international\u2019 as code for not having acceptable insurance, but not having a zip code was a new stigma. Before we could explain, Miss No-Eye-Contact was on the phone staring at some distant point behind us, then back to her screen with a facial expression that said: \u201cCan\u2019t you see! I\u2019m busy.\u201d Bristling a little, I blurted out my son\u2019s details to demand attention. Without the slightest shift in posture, she confirmed our existence in the system with a few flicks of her keyboard. Progress. Then she left us with the unsettling comment: \u201cHmm, that\u2019s interesting\u2026take a seat and wait while I check with Accounts.\u201d This is not what patients want to hear as they contemplate the prospect of major surgery. No one wants to be that kind of interesting.<\/p>\n<p>Joe shot a warning glance at me \u201cDad\u2026don\u2019t be rude with this lady. Don\u2019t lose it!\u201d<\/p>\n<p>Lose it! After 8 months of continual worry and stress trying to steer my son through the complexities and decision-making of a young man\u2019s cancer treatment, I was determined not to \u2018lose it\u2019. We were overseas in a different healthcare system for a high stakes operation. They were now in charge and I would just have to play it their way. After all, I wasn\u2019t the patient. I was supposed to be the support. So I stayed quiet. Then, the silence was broken, delightfully so, it seemed to me, when an old woman behind us flatly refused to have anything to do with self-registration. Dismissing the technology with an impatient wave of her hand, she snapped at no one in particular in a brash accent: \u201cI\u2019m not gonna do it, I can\u2019t be bothered with that.\u201d<\/p>\n<p>Miss No-Eye-Contact receptionist had met her match.<\/p>\n<p>While waiting, I imagined myself telling anyone seeking my opinion that professional staff within medical offices and hospitals should heed the little things that comfort patients. I would tell them that little things are important. Staff should know that routine for them is crisis for the patient. I would remind them that there is only one opportunity to make a first impression. First impressions are made up of little things. Little things can make a big impression. If the front office experience is poor, anxiety increases and confidence in the rest of the enterprise becomes more doubtful. In other words, if the dentist\u2019s receptionist is a barracuda, don\u2019t expect much pain relief when you get to the back office.<\/p>\n<p>Then, we heard our name called out and we were on our way into the back office.<\/p>\n<p>The interview with the surgeon was probably over within minutes but it seemed much longer. He began with a firm handshake. Then, sitting beside us not across a table, he spoke confidently in clear, crisp, explanatory sentences. These, he must have repeated on hundreds of previous occasions but it didn\u2019t seem that way. He anticipated our questions and acknowledged our sense of urgency.<\/p>\n<p>In the end, the professionalism of the porter that morning and his memorable welcome was the bellwether for what followed. The surgeon\u2019s skill and experienced team determined what was to be a favourable outcome. But something else made a difference and a lasting impression. To borrow from the poet Maya Angelou: \u00a0\u201c\u2026people will forget what you said, people will forget what you did, but people will never forget how you made them feel.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p>Fergus Shanahan, MD, DSc<\/p>\n<p>Professor and Chair,<\/p>\n<p>Department of Medicine,<\/p>\n<p>Director, <em>APC Microbiome Institute<\/em><\/p>\n<p>University College Cork,<\/p>\n<p>National University of Ireland<\/p>\n<p>Tel +353-(0)21-4901226\u00a0 also cell phone 086 280 4881<\/p>\n<p>FAX +353-(0)21-4345300<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Fergus Shanahan &nbsp; Eyes smiling, face beaming, the porter rose from his stool to greet arrivals at the cancer centre, each nervously hesitant, staying close to a supporting loved one. With the confidence of a man who enjoyed being good at his job, he paused for those needing directions, reassured us that we were [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2016\/06\/07\/first-impressions-only-happen-once\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":263,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15070],"tags":[15068],"class_list":["post-987","post","type-post","status-publish","format-standard","hentry","category-blog","tag-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>First impressions only happen once - Medical Humanities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2016\/06\/07\/first-impressions-only-happen-once\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"First impressions only happen once - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"&nbsp; Fergus Shanahan &nbsp; Eyes smiling, face beaming, the porter rose from his stool to greet arrivals at the cancer centre, each nervously hesitant, staying close to a supporting loved one. 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