Thoughtful Thursday: Characteristics
February 21, 2013
You may have seen a news story this week about a lawsuit in Michigan in which a nurse is suing her hospital for allowing a NICU patient’s father to dictate that no Black nurses care for his baby. Strongblonde and I have been talking about this off-blog, since it’s her neck of the woods as well as her profession (nursing, not white supremacy).
Obviously we both object to the racial prohibition in this case, along with the rationale. However, we’ve both made choices of health care providers based on the providers’ characteristics. Depending on the situation, sometimes I have no preference and sometimes I have a strong preference.
Sometimes I’m put off by very young providers — not enough experience — and sometimes I’m not a fan of very old providers — unsteady hands, and perhaps not up to date on the latest science. As someone who recently moved to a new city, I have also purposely avoided old doctors because I don’t want to lose them to retirement almost immediately.
Sometimes I check where physicians went to medical school and residency, as a proxy (imperfect though it may be) for intelligence.
Sometimes personality also impacts my preferences. One of the dentists at my new practice is quite popular, but I will not be switching over to him based on what I can overhear across the hall: he is such a chatty Cathy. Friendly and personable, but he talks nonstop during people’s cleanings and procedures. For a different kind of doctor I might not mind, but at the dentist I am not interested in extended chit-chat with someone’s hands in my mouth.
I make choices when I’m choosing a doctor ahead of time. When assigned to someone, as I have been in the hospital or with other staff in a doctor’s office, I’ve never refused a provider. I’ve requested someone I liked better when making a return appointment, sure. But I’ve never refused, even when I actively disliked someone. Like the midwife whose cutesy schtick involved blaming pregnant women for premature labor. Ha ha. Hilarious. Even then, I accepted my fate. I was not friendly, but I didn’t demand a switch.
A friend of mine chose a hospital specifically because it was not a teaching hospital, and therefore she would not have to deal with medical students. However, the hospital did have nursing students. After the birth of her baby, a nursing student stuck herself then my friend with the same needle. After that, and the ensuing need to test for HIV etc., my friend banished all nursing students from her room for the rest of the hospitalization. Because of the incident, and because my friend had Dr. before her own name, the hospital respected her wishes, but I wonder if they would obey if a patient just walked in and said, “No students! I don’t like ‘em!”
Bringing it back to the news story, a deceased relative who was a Holocaust survivor used to refuse doctors who came from Germany or had German lineage. No one ever seemed to have a problem with that. The two cases are similar in practice but very different in rationale. I wonder, though, where we draw the line: when is it okay to object on the basis of personal characteristics, and when it it wrong? I really have no idea.
Do you ever choose health care providers on the basis of personal characteristics? Have you ever refused to have a certain kind of provider?