Sometimes, I see patients and for whatever reason I get flustered. There might be a few complicating issues, the symptoms aren’t clear, my mind is thinking of possibilities A, B, F, K, and Z, the clock is ticking and the floor is on fire. I feel under pressure and I can’t think straight. And when this happens and I don’t know what to do, I realise that I need to just stop, take a breath and start from the top.
Last Thursday, I had a difficult morning. I started the day with a complicated patient which set the tone for the rest of that morning clinic. My first appointment was a lady with known mental health issues. Midway through, she suddenly flipped and demanded I stop asking questions. She’d been getting more and more agitated and I think she’d just had enough. It put me in a bit of a bind. I examined her but I felt the safest thing I could do was refer her to be seen to rule out a blood clot. This was another mission. By the time I saw the next patient I was just all over the place. Add that with a complicated, slow computer program, that knows exactly when to act up and I started to jet steam from my ears.
Stop, breathe and start from the top.
I get like that occasionally, more than I’d care to admit. More often than not, I know what to do if I just slow down and take a minute to process everything. I know I add on a lot of pressure on myself and I get frustrated. I worry I might be judged by others. Judged by my colleagues or judged by patients for taking too long. I can’t control what other people think of me, but it seems like my own self esteem relies heavily on it. It’s a work in progress.
I was recently listening to an interview by the author of The Subtle Art Of Not Giving A F*ck. I’ve not read it yet, but that book sounds like it was made for me.
But until then:
Start from the top.