I have helped many over the phone, with the occasional Z-pak or blood pressure/thyroid medication. It was always a Band-Aid, never thought out treatment plans. Never was able to look at the big picture for my friends and “patients”.
Reminded me of when I was doing my second residency. I had an intensely complicated patient who had been admitted to the hospital every 2 to 3 weeks. I had to manage a myriad of problems and see him at least every 2 weeks. Three months passed, and his conditions all stabilized. He felt great. I told him, ok now it’s time to come in for the full physical exam.
Finally he comes in and I start my detailed exam. There, LITERALLY, on the tip of his nose was cancer – squamous cell. I missed it the entire 3 months, why? Because I wasn’t looking. I was focused on all the other medical ailments, just stabilizing him, so I missed it.
As we grow, as a practice, I will try not to provide any more Band-Aids, but be present for you all.