monday morning e06
First of all, Gato, our sympathies for what have had to have been a rather enduring couple of days. Thankfully nick is going to be all right. But the matter does occasion us to revisit a rather time-honored policy here that doctors do not treat family members if it can be avoided, and that especially applies to our children. Are you agree with me so far,Dr. Villanueva?
No the policy stinks. The policy should be "heal" period. If I'm in a position to help my son heal, the policy should be " get the hell out of my way. "
So you feel you were the best doctor available in this situation to render emergency care to your son?
Yes I do.
Excellent. Any issues, anyone? Actually just out of curiosity, as you went about diagnosing your son's medical situation, what question, if any, did you ask him? Did you ask him anything doctor? Oh it is not like you not to remember. You are a bit of steel trap in that regard. Were you have a bit of a day? Was the blood flowing? Were you unusually excited, doctor? Not hear the question?
I was a little worked up.
Oh. I happened to know what you asked your son. It was overheard by many. You said "nick, who did this to you?" Of what diagnostic value was that, tell me. I can quite understand a police officer making an inquiry to that effect, but a doctor? Who did it to him seems to me to be of very little medical relevance. Perhaps more relevant is that the question suggest rage to me, doctor. Rage, emotion. Now, does rage, emotion, fear...Do those qualities improve your medical performance? Does retribution now become part of your diagnostic DNA? I suppose it is tough to be objective about these things, which is why we are lucky in that we have colleagues to offer perspective. Now take here, for example. You had one of the best colleagues, Dr. Sydney Napur. In addition to having splendid hands. In addition to being one of the best cardiothoracic surgeons in the Pacific Northwest. She brought perspective into the operating room. And you sought to make that perspective and all that skill take a backseat to your emotion. Well done, Dr. Villanueva. That was splendid doctoring indeed. First, you son sustained life-threatening injuries. Second, because you are a legendary trauma surgeon. You are a man of imposing mental intensity, not to mention physical girth. It would be very easy for a doctor to feel intimidated by you. Your son might very well be alive today because he had in his doctor. The one person who doesn't put up with your particular brand of bullshit. Look, I agree with you,Gato. The best policy might be heal. Let's go with that then. Let's make sure that every patient has the best possible chance to heal. And more often than not, that policy is best served by doctors who are not mentally or emotionally compromised.
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