Thank you for saving me

I got my first bottle of wine off a patient today. Not that I think patient’s should encourage their doctor’s to alcohol or anything, though there could be worse things.

Some people’s office’s and pigeon holes are coming down with thank you cards and pressies from patients – there is a certain speciality bias to that.

People who deliver babies get lots of gifts cause it’s generally a happy event and there’s lots of pressies being bought anyhow.

Surgeon’s get lots cause what they do to the patients is fairly dramatic and occasionally it even works (sorry, no surgeon bashing, sorry…) and you generally see lots of them over a month or two so there’s a certain relationship that develops there.

Anywhere, where you get to develop a relationship with a patient (not in any dodgy “let’s meet for dinner and a movie” type way) then there’ll be opportunities for free stuff.

Unfortunately given the nature of A&E we generally don’t develop too much of a relationship – the majority of what we do is basic management and diagnosis and then referral on for appropriate definitve care. The bit of the job that is truly ours and ours alone is the critically ill and resuscitation. Unfortunately most of our target demographic is nearly dead or technically dead and therefore not big into relationship building.

[Anaesthetists suffer a simiar problem in that they put all their patient’s to sleep and do the cross word till the butcher surgeon is all done.]

So we suffer a somewhat unfortunate lack of biccies and pressies relative the 70000 or so we see a year.

There are exceptions to this. Almost every patient of Gilly’s I review will have “a little something” for Dr Carson. But then he is truly exception as medic, Christian and human being. And he doesn’t even drink the whisky…

5 years I’ve been working now and not one pressie have I got (I once got given 20 quid which I put into the ward fund) – now I’ve got boxes of celebrations dedicated to the ward staff but nothing to me personally. Yes I’m that self-absorbed.

Till today. A young fella who I had blind luck to pick up sarcoid on got me a bottle of vino – even though it was the respiratory team who did all the real work of scopes and scans and biopsies. Seems unfair. But hey I’ll take what I can get –  deserved or not.

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