Patient Safety - Reality Check

The Seductive Nature of Care giving

Care giving is seductive, both to the giver and the receiver, making both feel that the caregiver cares about patients, or at least the patient at hand. Yet the moment something occurs that could have repercussions for the caregiver, often an external observer would have to conclude the opposite. So what really was going on prior to the adverse event? Was what the caregiver really liked merely the belief in his/her own selflessness and generosity and goodness? Because the moment the care giving goes wrong in a way with the potential to cause problems for the caregiver, patients can be allowed, or sometimes caused, to become worse in effort to cover-up the cause. Like with Janice M. Scully, MD. when she became a patient, had a problem and no one would note the cause. The entire medical community conspires at such moments to protect each other, sometimes with dire costs for the patients. When the patient who complains about it isn't a physician, a normal response is to assume the complaint is frivolous and the patient is a crank. Does anyone explain to medical students that once they become part of the culture of medicine, they too will accept unfounded, self-serving assumptions that are bad for patients?

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