Are you a MD? Med student? A psychologist that can teach us something?
Sign up and get each chapter as it rolls off the mountain, for free. Completing this form gives me permission to send these by email in future.
...that I am just a rural family doc hoping to learn WITH you, in no way professing guru status!
I CRAVE your helpful criticism.
Have some creative suggestions? Send them!
Just at the tail end of a 30 + year
career in family medicine, the
lights are coming on.
A lot of medicine is becoming data management and the all important chart note. The chart is an important medical instrument.
But is it more important to document that you’ve discussed tobacco, or to attend the birth of a behaviour change?
Sometimes we’re going through the motions. We are. We’ve got so many demands on our time that something has to suffer.
Unfortunately it often seems to be the heart of the whole interaction.
We walk in and start the computer. We have to STOP doing this.
It is NOT more important to write it down than to interact in a real, palpable, human way, on a fibrous, tangible, heartfelt level.
So that’s one thing. It’s the most important thing. Without this thing, no thing else matters.
But there are other...things.
There’s knowing how to swim, but then there’s where to swim.
It’s not writing down the DSM whatever axes, and giving fourteen sub diagnoses. Do we need so desperately to put that many UPC codes on the suffering person in front of us?
How about focusing on how to help that person?
Must it all come down to making a good note, and prescribing the proper pharmaceutical? It doesn't have to be that way. Let's join together and shake things up!
Not that much, just enough. Enough to help. We may not be able to solve it...but that’s ok. Referrals happen to nephrologists, cardiologists, and orthopods all the time. We can’t do it all.
But we can push fluids, restrict salt, and put on an appropriate splint. We can focus on the problem, take a breath away from the diagnostics and just help the person.
Join with me as I explore how to do this.
Maybe I'll get stuck in the mud...
Maybe you can help...and pull me out.
Please join me. I’m writing about this, and I’d love it to be a process.
Is it a book? Who knows. Maybe.
Whatever it is, I’m calling it Brief Therapy.
It’s what we do in our offices. It’s the reality of family practice, the 10 to 20 minute appointment.
It’s based on the concept that we can actually DO something and have a real impact in a short session.
Give me your permission, leave your email, and you’ll be getting second drafts. Just so you know, it’s some of the misspelling, all my bad grammar (because I like it that way), the whole mess.
I’ll send it out, get feedback, scratch my head, and tinker with it.
Or bash it with a sledge.
Fill me up, or tell me I’m full of it.
No gloves. I want it on the chin.
I sincerely hope at the other end of this...thing...that it will all look different.
Maybe...It will all look different.
Every ... Thing.
Are you a MD? Med student? A psychologist with some halogen bulbs?
Hit the button!
(that's Hershey, my bud )
Family Medicine. (me, not Hersh. But he might be able to do it better than me most days.) Involving psychotherapy and hypnosis since 1986
Certification in Clinical Hypnosis, ASCH
Assistant Clinical Professor Family Medicine, deGroote School of Medicine.
(and that's me!)
4413 Ontario St, Beamsville, ON, L0R 1B5.
Call me: 905 563 1212
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