Pocket Wisdom

I was rifling through a box of papers from the days of my first few years of practice in the small town of Chemainus (1994-1998).    The beginning of learning how to care for patients and fit into the medical system.   I came across a folded up piece of paper that I recognized as one I had carried in my lab coat pocket for many of those early years…

Ode to Patient Care

If we speak with the tongues of specialists and consultants,

and have not love, we will have nothing more than the noise

of our own voices and the clanging of pet ideas.

If we develop new methods, write new curriculum,

and learn new techniques,

and if we understand all about the five stages of dying

so that we are not surprised when a patient is angry or depressed:

and yet we have not love, we are useless.

If we give up our old anxieties about talking with patients

concerning their true feeling,

but we have not love, we gain nothing.

Love never ends.

As for tumour conferences,

they will pass away;

As for workshops,

they will cease;

As for inservice training,

it will change.

For our methods are always imperfect

and our plans often don’t work out.

When I first became a helper, I thought like an idealist

and talked like an expert.

As I began to mature, I realized that I too was afraid

and the patient often taught me.

For now we see only reflections of sickness and death,

but someday we will see them face to face.

And the time will come when we will know for sure what it is like,

and we will be sorry we ever judged.

So methods, techniques, case conferences, care plans,

seminars, small group experiences, counselling-

There is all this and much more we would suggest for

gaining insight and increasing effectiveness:

But greater than all of these is love.

Dan McEver

Now posted once again where I practice daily so I can be reminded of what really matters….

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Worth It

ccFlickr shared by Eduardo Llanquileo

It’s been awhile since I’ve been here…. I’ve gone from regular posts to a lapse in writing of over two months!  Even worse for my professional site which has been three months!  I sat down today and thought about what had changed and why I haven’t been writing.

I guess I have just been tired… It has been an overwhelming couple of months with many changes.   Changes that have taken the pharmacy practice I love into the scary place of perhaps not being sustainable.  Government decisions, which have been short sighted and without consultation with the front line health professionals who are affected, have been devastating.  Even as the government back pedals on some of their inane decrees in an attempt at damage control, the changes will continue and have a vast impact on the health of Albertans’ and the sustainability of pharmacy.

The emotional roller-coaster of connecting with hundreds of other pharmacists across Alberta who are in the same position has been both inspiring and enhausting.  I have met so many professionals who are utterly committed to their patients; but it is heartbreaking to hear of some colleagues, near retirement, who may lose the value of their practices they spent years building.

I am many years from retirement and am hopeful this will not be the case for me, but there have been days I have walked into the place I love and found it difficult.  Wondering if decisions, which are in government’s hands, would take away what I have been building.

Then yesterday I received a letter from the College of Pharmacists that I have been anxiously waiting for.  For over a year I’ve been putting together my case to apply for prescribing rights.  I finally completed the process and sent it off.

While I have had limited prescribing rights for years, there have been many times when caring for patients that I have felt like I had my hands tied when I couldn’t prescribe what I knew they needed.

My son handed me the letter from the College, and when I opened it he asked me why I was grinning like crazy!

I had received my prescribing authority; and it was more than the expanded ability to serve my patients that had me grinning.  It was hope.  I could see that I had been losing my joy…the reason I was building my practice in the first place.  This affirmation caused me to take a step back and realized that I am exactly where I always wanted to be.  I practice with colleagues whom I highly value and continue to learn from and I am in my own pharmacy able to care for my patient’s exactly as I want.  Definitely worth it.

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