Physician Facebook Phobia →

Change your name. Don’t friend patients. Delete your Facebook account. This is official social media advice for today’s medical students and physicians.

What fuels physician Facebook phobia?

Patients may make romantic advances or request appointments on Facebook. Patients might view a physician’s personal posts or vacation photos. One silly picture can forever tarnish a doctor’s reputation. And physicians who post political and religious comments may harm patient relationships. Really?

Physicians must first do no harm. Any patient can post their medical records online, but a doctor should never reveal anything about a patient without consent. Physicians who break confidentiality risk fines up to $250,000 and/or imprisonment. Share health news and tips, but medical care is best face-to-face, not on Facebook. Ultimately, patient confidentiality is upheld by physician integrity and common sense.

But doctors are warned to go beyond such ethical safeguards. They are advised to separate their personal and professional lives. So some docs have separate personal and professional Facebook pages. Will that protect physicians from tarnishing themselves and harming their patients?

Can physicians maintain privacy in a world wired for accessibility? Will medical hierarchy survive the digital age? Does Facebook undermine physician professionalism? How far should we go to protect physicians from friendly patients?

But the bigger question is: Why fear patients at all?

I’m a family doc. I’m trained to care for patients physically, emotionally–and socially. A patient once explained, “An ideal physician is a friend who happens to be my doctor.” I’m no fan of professional distance. Physician closeness is often the best medicine for patients. I’ve taken a dying man out for breakfast and a woman with fibromyalgia to a writing conference. I attend patient funerals, go to patients’ homes for Thanksgiving–and yes, I’m Facebook friends with my patients.

Sharing personal information can actually strengthen the doctor-patient relationship. I love looking at Joanna’s wedding album. I “like” the photos of her daughter smiling in a bubble bath. I enjoy commenting on Misty’s midnight political rants. Facebook has given me a magnificent view of my patients’ inner worlds. Some patients have scheduled follow-up appointments via Facebook. Some docs have solved medical mysteries by perusing a patient’s posts.

So why hide from each other?

Is it possible to be too vulnerable?  Today I posed this question on my page: “Anyone think it’s not okay to be Facebook friends with your doctor?” Bettie replies, “Why not? They have seen everything else! LOL! Haha.” Maybe it’s liberating to trade professionalism for humanism, privacy for transparency.

We live in an age of authenticity. Join Facebook. Share that photo of you dancing with your dog in a pink tutu. I just posted a photo of a goat wearing a stethoscope in my exam room. It’s 2013. Go ahead. It’s safe for doctors to be human.

Still suffering from Facebook phobia? Maybe it’s time to Facebook your physician for an appointment.

Pamela Wible, M.D., is a family physician in Eugene, Oregon. Her best patient stories from twenty years of medical practice are included in her latest book, Pet Goats & Pap Smears: 101 Medical Adventures to Open Your Heart & Mind. Friend Pamela on Facebook.

 

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The Revolution Starts with You →

Remember:

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Oregon: Easier to Get an Assault Weapon Than a Doctor →

I pick up a Glock semiautomatic, the model used in the Virginia Tech massacre. I need to hold it, to feel it, to rub my finger across the trigger.

I don’t fear death. Raised in a morgue, I worked with my dad, the city medical examiner. As a kid, I watched autopsies and talked to dead people and made up heroic stories about their lives.

Now I’m moved by slaughtered innocence. But I can’t find peace–until today. Obsessed, I have to hold the Bushmaster AR-15, the model that killed those school kids. I need to feel the cold metal on my heart. I hug the gun, but still can’t feel all the pain. So I beg to hold the biggest, deadliest gun on display. When I look up, a crowd is smiling at me. I smile back. A doctor with an assault weapon makes people laugh.

Some things never make sense.

At today’s gun show, I’m offered assault weapons. No paperwork. I don’t even have to give my name.

Some guns are pink for girls. Some are really tiny. They all shoot–and kill. One seller mumbles, “Everybody wants something that will fit in their pocket and destroy the world.”

Providing health care in a country of gun lovers has its challenges.

In Oregon, rifles and shotguns are legal to own at 18. Handguns are legal at 21. I was 28, with 24 years of education, before I was legal to provide health care.

In Oregon, I don’t need a license to use my gun, but I do need a license to use my stethoscope.

To apply for my license, I had to submit a notarized application to the Oregon Medical Board with my birth certificate, medical diploma, photograph, fingerprints, national board exam transcript, and specialty board certificate, plus proof of internship, residency, and medical education with dean’s letter. I had to verify past employment, staff privileges, state licenses, and comply with a Federation Disciplinary Inquiry.

In Oregon, I don’t need to know how to read or write to buy a gun from a licensed dealer. My one-page background check can be legally filled out by just about anyone.

In Oregon, I don’t need a permit to use my gun, but I need permission to use my stethoscope–and that requires knowing how to read and write and complete pages and pages of documents. I had to account for all personal time since medical school, including nonmedical activities and vacations. I had to disclose all mental health treatment with names, dosages, and dates of my medications, plus names and addresses of my psychiatrists. Today, I don’t have to disclose any of that to get my gun.

In Oregon, I don’t need to register my gun. To provide health care I had to register and pay more than 1,000 dollars in fees to the Oregon Medical Board and Drug Enforcement Administration. Applications take 3 months or longer to process.

But there’s no waiting period for my gun. My instant background check takes less than 30 minutes and costs just 10 bucks. In Oregon, it’s easy to get a gun.

In Oregon, it’s easier to get an assault weapon than a doctor. In Oregon, our suicide rate is higher than national average, and physicians have the highest suicide rate of any profession. I’ve lost far too many colleagues. All men. Firearms are the method of choice. Some docs buy guns and kill themselves the same day. Receipt still in the bag.

Background check is done. Now one last decision: Bushmaster or Glock.

 

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America: 350,000,000 Guns & 47,000 Psychiatrists →

We have a constitutional right to bear arms.

We have no constitutional right to health care.

America is the most heavily armed nation in the world.

America also leads the world in mental illness.

Half of all Americans develop at least one mental illness.

Half of all cases begin during childhood.

Nearly half of all Americans have at least one gun at home.

The human brain controls the gun.

People will find ways to end their pain.

A civilized society offers civilized solutions.

A violent society offers violent solutions.

It’s easier to get a gun than see a psychiatrist.

It’s cheaper to buy a gun than see a psychiatrist.

Ammunition costs less than medication.

Bullets are just a few cents each.

God bless America.

 

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Housecalls for the Homeless →

Dr. Pamela Wible spends the afternoon with Tamara and Marlo on 7th & Washington in Eugene, Oregon. A photoessay by Pamela Wible, M.D.

Pamela Wible, M.D., pioneered the first idea clinic designed entirely by patients. Are you a nurse, doctor, med student who wants a community-supported ideal clinic? Join the next Teleseminar & Retreat  and be part of the Ideal Medical Care Movement! Photos by Spark Boemi.

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