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Notes from a PA Student

Rush Not to Judgment

Published September 3, 2009 9:38 AM by Jenna Lombardi
 

Now that summer classes, like anatomy, physiology and medical terminology, are all over, the fall semester brings an entirely new set of subjects. One class in particular has me thinking about a lot of heavy issues. The class involves studying problems that are prevalent in the communities surrounding us. Each week, we have a different PA-C guest speaker come in and talk to us about a different striking issue.

Our first lecture detailed the ongoing prevalence of child abuse in our country and how we will not only encounter cases if we work with children, but how we'll learn to identify or deal with the situation in a professional manner. Needless to say, the lecture was informative, but for me-and the majority of my class, I'm sure-a little disturbing. However, it wasn't just the pictures we were shown that disturbed me. The scariest part was feeling my own internal reaction to what I was seeing and hearing. Not only could I not physically or emotionally understand how someone could do those things to their child, but I was appalled at how so many cases could go unnoticed, unresolved or ignored. The only emotions I could find at that instant were those of hatred for the inflictors (mostly parents) of abuse, sympathy for the children whose lives will be forever changed, and gratitude for my own upbringing. The lecturer explained to us that it took him a long time in his line of work to get to the point where he doesn't go right to that place of disgust for the parents. He now understands that there are explanations for why this still occurs. Whether the abusers were the product of a similar environment, they lack education, or they simply don't know another way to deal with the stress of raising a child, his point was not to justify the behavior, but to help explain it. I am sure we will have lectures to come on other controversial things like drug abuse or domestic violence, but I can already see myself feeling the same frustration.

My question is, in a profession in which we are expected to be confident, even-tempered, unbiased, trustworthy, and, to some, all-knowing, how do we get to the point he has reached? How do we restrain ourselves from displaying the emotions that are only human for us to feel? How do we adjust or temper our reaction appropriately to these things we are going to encounter and not let our biases or prejudices infect our encounters?

I know that although many professionals in this field learn to become truly detached, there are a lot of us who will still feel these things on the inside. Is being detached better? Or is it better to hope that with time, it's not that I will become completely desensitized, but instead will learn to harness my energy into finding the resources to do something about issues like this, rather than being enveloped in those negative emotions?

3 comments

Jenna, what we often forget is the patient in front of us.  Regardless of their offense, medicine is about the patient.  There will be certain emotions that are elicited within but we learn how to handle those professionally.  Abuse is something close to home and I of all people feel the fury burn within.  However, what good will that do if I am treating the abuser.  How will that hold up in court if I neglect my duties as a provider because of anger?  I am not saying that we turn the other way.  There will be a time and a place to talk with our patients about the hard stuff.  This is only a thought to me since I have yet to graduate.  I do not imagine desensitivity to be possible.  There are only two responses: to deal with our internal response initially or simply repress.  Something you will realize as your education progresses will be the intimacy of medicine.  You will be closer to the patient than anyone has been before.  The closer we get to people, the more real it becomes.

PA-S September 3, 2009 9:05 PM
Dallas TX

Dave - Thank you so much for your encouraging and kind words. My desire and compassion to help people is why I am getting into this field in the first place, so hearing your story is inspiring. Thank you. and thanks for reading!

Jenna Lombardi, PA-S September 3, 2009 5:42 PM
Philadelphia PA

Jenna,

  Years before I became a PA, I was working in an ER as a paramedic. We had a 4 yr old girl come in with cigarette burns on her feet. She was being placed into the care of the state. I was so touched by this little girl! I found out that there were no foster homes available. I asked the social worker what would happen? She said that the little girl would have to stay in the social worker's office until placement was available. Appalled, I called my wife, a nurse, and asked her if it would be okay for us to foster this child. She didn't hesitate and said yes. I told the social worker we would volunteer to take her. She declined because we hadn't been properly screened! I was very upset.

I hope that you never lose that gut feeling that you've experienced. Yet people who are hurting and in pain want to see your confidence in your ability to help them. As you observe others this may appear as detachment. In some cases it is, but others are just putting on their game face to help implement the best care.

We live in a fallen world. You're going to run into ridiculous rules, jerk doctors, burnt out nurses, mounds of paperwork, and lawyers sitting on your shoulder. But your compassion and care can still make a huge difference. Heealthcare is a mess, but the time I spend with the patient in the exam room is the best. It's why I still practice. That human connection, the patient's trust, and my God given talent to facilitate healing make the worth tolerating.

Hang in there, and don't stop feeling for your patients.

Dave Ericson, ENT - PA September 3, 2009 11:28 AM
NJ

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