Being a physician is an important role. It’s easy to forget the impact that you have on a patient just by being at their bedside.
To be a patient it’s an incredibly vulnerable experience.
People are really putting their faith in you to understand their needs and to ease their suffering.
It’s a powerful thing to ease the mind and body of someone in that vulnerable state. Don’t take it for granted.
If you understand that power or that responsibility, then you can use that to improve your experience together.
By understanding the importance of your presence, you can help people out in ways you might never fully appreciate.
What does a patient really want to hear, you say?
There are only a few critical messages you need to convey.
You don’t have to say these things directly, but you should be letting a patient know that you’re there… for them.
How you enter the room, how you greet them, how you look them in the eyes, and how you listen to them.
Patients in that heightened emotional state are sensitive to the verbal and non-verbal cues that you’re putting out there.
A simple thing like a little eye roll can entirely ruin the experience.
We know from a few studies that “good-doctor patient interactions affect patient satisfaction and good outcomes.”
It means that your attention and communication with others really impact the care that they receive. The nicer you are, the better your patients will do.
You often think of a patient’s disease as a physical ailment. You forget all of the thoughts, worries, and rumination that impacts those symptoms.
What is your role in the treatment of the mental side of physical disease?
What are the messages that a patient should be receiving from you?
Try and run through a little mental checklist. You can try instituting this as an experiment and see if your interactions with people change for the better.
So, you can work to try and convey the following messages.
1. “I hear you.”
Patients need to feel like you’re actually listening to what they’re saying.
It’s not just the sensation of hearing their words. You need to give them the impression that you’re really listening to what they have to say.
Patients are often waiting several hours for a few minutes with a doctor.
They’ve been rehearsing and re-rehearsing what they’re going to say.
Give them a chance to say it, and let me know you’ve heard it.
Look them in the eye. Listen, really listen, to what they’re saying.
2. “I feel you.”
It must be hard to feel whatever it is you’re feeling. It hurts. Let patients know that you really understand why they’re seeing you today.
This builds trust and confidence in your ability to care. When someone trusts you, they are more likely to follow your advice.
3. “I want to help you.”
I really care that you’re experiencing the distress that you are. You’re not just another burden.
You’re a person, and you’re not feeling well.
4. “I’m going to try my best.”
I’ll do what I can, within my limitations, to help you.
I’ll try and order the right tests and investigate your problems to the best of my ability.
It means that I’m going to let people know that I’m trying to figure out their concerns.
But if you let patients know that you tried, they are often still satisfied with their visit and respect the limitations of what you can provide them.
5. “I will make you better.”
This one is perhaps a bit controversial. I mean, you can’t make everyone better, and some things just aren’t going to get better.
But what does it mean to be better? If a person with low-risk chest pain is told that they aren’t having a heart attack, but still feel the same symptoms, aren’t they in some ways still better?
If a person with end-stage disease gets some words of comfort or short-term pain-relief, for that moment, at least, are they not better? Do they not still feel some relief?
In some instances, let’s say a patient:
“I know it’s bad now, but you’re going to feel a lot better by the next time I see you.” It doesn’t always happen, but that degree of confidence can already cause a fair bit of relief.
When you’re able to assure the right patients that they will, in fact, feel better, there is a letting go of some of the clinging that amplifies their pain.
It’s using the placebo effect to the fullest. It’s a real thing, remember. When someone believes that their pain is going to get better, they are much more likely to do so.
This is a reminder to take full opportunity of the brief time you spend with patients. Remember the importance of your presence.
You don’t just make people better by giving them drugs and removing their organs.
You sometimes help just by listening. By understanding. By caring. And by reassuring them, that in fact, this will be better soon.