Doctor-Patient Relationship: How Far Am I Willing To Go?

Bonedoc, my colleague in more ways than one (fellow orthopod, fellow blogger, fellow...nature lover :D) posted a link to an interesting read in our Facebook group page hours ago. Titled "Can Patients Be Facebook Friends With Doctors?", the article is something that I could have probably written a few months earlier. It is not a secret to most of you who have come across some of my posts that I am not much of a Facebook fan mainly because of security and privacy concerns, though I am still holding on to my present account for purposes of keeping in touch with family and friends.

Of course, doctor-patient relationship is but one of the many relationships that I have to protect, not just in Facebook world. I may still be (relatively) young in the specialty practice, but already I am quite aware that most patients appreciate it so much when their attending physicians take time out to know them a bit more. Things like remembering the patient's name and being able to associate the name to the right face are just but the first steps in helping the patient speak more openly, not just about his illness, but also his concerns about its impact on his personal and social life. However, and this is a personal opinion, a line has to be drawn somewhere, somehow. And "friending" in Facebook is just one of the places where this line has to made distinct. 

Cartoon comes from this link: http://doccartoon.blogspot.com/2010/07/facebook-friend-requests-i-will-refuse.html

Endocrine-witch did make me think about how much I would want to get involved in a doctor-patient relationship, and I came up with this list.

1. I would not be so inclined to accept Facebook friend requests from patients. Probably the only exception to this is when my account is created for the purpose of disseminating general information relevant to the medical field; however, I have no such account.

2. For security reasons, I do not also wish to give my mobile number to patients. In the past, I had been a victim of numerous stalkers. Sadly, some stalkers actually got my number from my co-workers (one incident involved a stalker asking for my number from a nurse(!)). While I have many times contemplated to get another number solely dedicated to patient calls, at the moment the hospital landline seems to suffice.

3. Will I accept invitations to attend social affairs from patients? (i.e., birthday party, wedding etc) Filipinos are generally the type to involve everyone in their social affairs; I say generally, and yes I think is a cultural thing. This is quite an iffy situation that has to be answered out on a case-to-case basis.

4. What if I fall in love with my patient? I have never been in this situation, have never envisioned myself to be in this situation, and I do not, by all means, intend to be in this situation. As far as I am concerned, carrying on a love affair with a patient is so out of the question. The only acceptable time for me to be in a romantic relationship with a patient is when that person first became my partner before becoming my patient - certainly not the other way around. 

There are likely more situations where the extent of the doctor-patient relationship will be tested. I am not one to impose my personal beliefs, and I welcome opinions and constructive criticisms. Let me know what you think. :) 

By the way, the absolutely cute cartoon is courtesy of this entertaining blog A Cartoon Guide To Becoming A Doctor. Do check it out.

Why Blog...? (...when it's as obsolete as mIRC?)

Sigh. Why risk being called a tech dinosaur? After all, there have been numerous well-based predictions that Facebook and Twitter, what with their ease of usage and accessibility, will slowly put blogging into extinction.

It is not actually a question of whether I like to write. There is, indeed, no question that I like to write, as I find this method of communication more effective for me than talking. I did not learn to talk till I was 4 to 5 years of age, but at that very same time I was constructing sentences and doing a lot of drawings. I grew up always bringing with me my "magic slate" (y'know, those things you write on and eventually erase when you lift the translucent gray film off the black base), eventually replaced by a small notebook and a pen where I can write random thoughts and ideas. It is one of my many personal attempts to put some semblance of order into my cluttered mind.

(Ideas as cluttered as wisps of cloud. Hong Kong skies, 2007)

One of my first reasons why I started blogging is to address a need, so to speak.

When I started my first proper blog called Trash Radio Manila, my initial goal was to write about the music that I like and how the local underground scene is like from my viewpoint. These are the very things that I want to read about online and yet I do not get to read much. Apparently, there are some people who would want to read about the same things that I am interested in.

Then I realized then that blogging allows for a sharing of opinion even from strangers - people whom I would not dream of adding in my Facebook account.

You see, sometimes, there are just some things that I just want to write about and see what people think. When you want to determine a particular opinion, oftentimes you get the more objective ones from strangers. I can explain a certain issue at length, without being interrupted, and then see what they have to say. It is like allowing a good friend to talk about a problem that's bugging her and what he plans to do about it without interrupting him, then when he is done talking you can give your thoughts.

I certainly believe that good communication even with people whom I never know at a personal level is possible, and this does not require Facebook.

I have always regarded Facebook as a phenomenon yet not without its limitations. Facebook has made communication too personal. Honestly, it irks me a bit to read those status that change every hour - and people wonder why stalkers abound. Sometimes - my apologies for having to state this - some friends will breach the boundaries of "personal space", at times invading your Facebook wall with their issues that you have absolutely nothing to do about. Facebook is like being in a noisy bar: people move about you, brushing your arms and shoulders as they move about, breathing behind your necks ... does this sound like I am experiencing some form of online claustrophobia here?

This is also the same reason why I do not hang around much in Twitter, either - I only use it for networking purposes, just like my Facebook account.

Blogging, well ... call me old-fashioned. Blogging is like being in a coffee shop with a friend. Communication is unhurried, you can both stay up all night, and go home to your respective places without one needing to know what the other person wears (or does not wear, perhaps) when sleeping.

*****

This is my submission to the May 2011 edition of The Blog Rounds. Yay, Bonedoc, we're back! :)