I once cared for a patient for 10 years, which is a pleasingly long time in oncology. Alas, the years didnโt bond us. I found her, in turns, combative and annoying, and I confess she probably found me the same. Before each encounter, I would take a deep breath and talk myself into greeting her with an ease I never felt.
She was my โheart-sinkโ patient. When she didnโt show up, I worried, but when she did, my stomach tightened. My โsurface feelingโ was impatience, but inside, I felt terrible that any patient should arouse such antipathy in a member of the โcaring professionโ. When she was finally discharged in good health, we were both relieved for different reasons.
I found myself thinking about this when reading an illuminating study about what makes โdifficultโ patients difficult.
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