Friday, December 10, 2010

Genuine Caregivers are Magical

Today (12/6/2010), I was a patient. It was only at a dermatology follow-up for this confounded eczema, but still I was a patient. This is uncomfortable for a Paramedic, who is used to being a care giver, not receiver. Today, I also witnessed a spectacle. A sparkly, magnificent display of patient care. I was privileged to see a natural caregiver, governed only by instinct and the inherent determination to heal, caring for their patient. This isn’t something that can be taught, or trained. It just IS. This particular caregiver makes it look effortless, which I consider a remarkable feat for someone who sees so many patients. Even though providing patient care can be a rewarding endeavor, it is also straddled by hard decisions, unforeseen circumstances, and a dynamic work environment. Sometimes it unavoidable to carry life stress, or previous patient stress into your practice. This provider begins anew with every patient contact she makes. 
She doesn’t judge you for what you look like, or what your life choices have been. She isn’t partial toward or against your social or financial status. She always enters the room and greets you warmly. She always makes and maintains direct eye contact, which I feel is a simple gesture that is often absent, or its importance is overlooked when providing care. She sits down and ACTUALLY LISTENS to what you have to say, without interrupting, prompting, or trying to guess the next word or finish your sentence. She expresses sincere concern and empathy. Sincerity is another remarkable quality that has to come naturally to be effective, because if it’s forced it is obvious and phony.  She is not repulsed by anything you might confide, or have to expose, even when looking at your grossest bits. She works out a meaningful and differential diagnosis and treatment plan for your complaint. Her diagnoses are not only accurate, intelligent, and educated they are sometimes profoundly reassuring. When I went to her a few years ago in agony from an itchy dermatitis that had already been misdiagnosed by three doctors, she immediately diagnosed eczema and healed it within a week. I always leave feeling amazed by this woman. 
Her name is Diana Fairfax Miller, and I will spend the rest of my career striving to be any percentage of the caregiver she is. 
Today I was a spectator. And it was quite a spectacle to behold! Thank You to Diana, and everyone out there who is a true caregiver. 

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