What not to say to your patient

dbfrontI wasn’t looking forward to this day though I was brought up to take each day as it comes. My mother used to say, “No day is bad, it all depends on what you make of it.” Even if it was a difficult day, she would say, “But calmness comes after the storm.” Sometimes I struggled with this philosophy that mother had tried to implant in me. More so today, another theatre day.

The mother of the boy with complicated circumcision had waited for us on the ward. And as we arrived, she looked like she was going to burst. I took my place behind Dr Braver but he was too small to shield me. I prayed that he handled this issue sensitively. Getting it wrong would lead to real trouble that afternoon.

“So what have you got to tell me, Sir?” The boy’s mother asked.

“Not a lot. Have you heard what happened?” Dr Braver asked.

“You tell me. You are the doctor,” she replied, her eyeballs now looking too big for the orbit.

“O.K. then,” he said, after clearing his throat, “Well, there was a small injury to the willy and I have repaired it.”

“Thank God,” I said to myself, “At least this time he didn’t blame it on his registrar.”

“You have repaired it. Is that all you can tell me?” She screamed, “Do you know what you’ve done to this poor boy? You’ve ruined his life!”

“Actually I didn’t cause the injury. He had balanitis which made the foreskin to be adherent to the tip of his willy and when I tried to separate it a small part of the tip came off. But I have repaired it,” Dr Braver replied, with a low voice.

“If you had done it properly this would not have happened,” she said, with her hands gripping her waist.

“Who told you that I didn’t do the operation properly?” He thundered.

“The people who were with you in the theatre. That’s what everybody has been saying,” she said, now looking like a boxer waiting for the bell to ring for a fight.

“What!” He screamed, and stared at me as if to ask if I was party to the gossips.

Thank God, I didn’t stay behind after the list. I was pretty certain I had not discussed any patient with anybody. But of course, he should know by now that people would always discuss issues of interest. I wouldn’t have thought that someone would directly inform the patient’s mother about the details of the incident. Besides, it was against the hospital policy and any member of staff who had done that would be in real trouble.

“That’s it, isn’t it? You’ve butchered my son!” She screamed, “I will complain to the hospital authority.”
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“O.K. I’ve heard you. I have not butchered your son. I have repaired the affected area and expected everything to be fine. But of course, you have the right to complain. And you may do so. As for the person or persons who have instigated you by providing wrong information, they will have themselves to blame. Good day,” he said and stormed out of the ward.

I had anticipated this when I saw the woman. She looked like a no nonsense person and I had no doubt in my mind she would stir real trouble for the department. Meanwhile, I tried not to get involved and walked out quickly before she or any of the nurses had chance to ask me questions.

I sank myself in one of the chairs in the doctors’ room. I needed a bit of time to myself. As I pondered over all the procedures that we had carried out that day, my bleep went off. I almost dropped the bleep when I saw that the number that appeared on it was Dr Braver’s office. At first, I wanted to ignore it. After all, it was the end of the day and I could pretend to have left the hospital. But I knew, of course, that if Dr Braver wanted me he could phone me at home or wherever I might be and whatever the time might be.

As they say, “If you stand up to your demons they would not overcome you.” I dialled the number with a trembling hand, hoping that no one would pick it. My heart stopped completely when he picked the phone. His voice was unmistakable.

“Doctor,” he commanded, “Leave whatever you are doing and get yourself here straightaway.”

“Yes, Dr Braver,” I replied, my heart now out of my body.

“This sounds serious,” I said to myself. But then, he always sounded serious whenever he called. However, it was unusual for him to call me directly. Normally, he would tell his secretary to make the call or leave instructions with her. Had he known that I was going out with Anna? Or that his wife fancied me? Did he really think that I was the person who told the boy’s mother about the injury? I battled with these thoughts as I raced to his office.

“Yes, Dr Braver?” I said, my arm pit dripping with sweat.

“Tell me. Who told that idiot that I did not do the circumcision in the normal way?”

“The idiot?” I asked, pretending not to know that he was referring to the boy’s mother.

“Yes, the boy’s mother,” he said, his voice stronger.

“I did not discuss with anyone. Besides, I don’t believe in discussing things that go on in the theatre. That is not my problem.”

He took a long look at me as he struck his lips lightly with his gold pen. And then he broke the silence. “Shall we make a deal?”

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