Family doctor vs. family reasons for nausea in the morning other than pregnancy doctor

I, like many physicians, am the only doctor in my extended family. To say that they are proud is probably an understatement. I’ve been a practicing physician for seven years now and reasons for nausea in the morning other than pregnancy yet my grandmother each time I see her greets me reasons for nausea in the morning other than pregnancy with, “there’s my doctor grandson.” I have worked quite hard to get to where I reasons for nausea in the morning other than pregnancy am and I enjoy what I do. I, too, am proud to be the doctor in the family. However, I don’t want to be the doctor FOR the family.

I think that most physicians find themselves fielding questions about reasons for nausea in the morning other than pregnancy aunt jane’s rash or cousin john’s blood pressure. On the whole, I’m happy to answer basic questions and perhaps translate some reasons for nausea in the morning other than pregnancy doctor speak into plain english for my family. Where I have really struggled is when the line between reasons for nausea in the morning other than pregnancy family member and personal doctor becomes blurred.

I told my immediately family right off that I wasn’t interested in being their doctor. That if they had general questions, I would happily answer them but other than a little reasons for nausea in the morning other than pregnancy gentle nudging of my dad to quit smoking or to reasons for nausea in the morning other than pregnancy both my parents to get out and go for a reasons for nausea in the morning other than pregnancy walk now and again, I was not going to insert myself between them and reasons for nausea in the morning other than pregnancy their actual doctors.

For me, this happened in december 2012. I was walking out of the office after a day reasons for nausea in the morning other than pregnancy of clinic, a freshly minted attending having graduated residency only six months reasons for nausea in the morning other than pregnancy prior. As I walked to my car, I got a phone call from my mother. I could tell immediately that this wasn’t a call for a friendly chat. She wasn’t calling to talk to her doctor SON, she was calling to talk to her DOCTOR son. At the age of 62, she was having vaginal bleeding. She knew it wasn’t normal but was traveling from north dakota to arizona reasons for nausea in the morning other than pregnancy for the winter and needed me to help her decide reasons for nausea in the morning other than pregnancy what to do.

Putting aside the fact that I was talking with my reasons for nausea in the morning other than pregnancy mother about vaginal bleeding, I put on my medical hat and walked her though reasons for nausea in the morning other than pregnancy all of my questions and thoughts on how she should reasons for nausea in the morning other than pregnancy proceed. Over the course of the next few months, I tried to help my mother and father, her major other support person, navigate numerous appointments, scans, studies, and questions. I flew to arizona twice to be present for doctor’s visits and surgeries. I even called and talked with her gynecologic oncologist while reasons for nausea in the morning other than pregnancy he was on holiday in south africa when none of reasons for nausea in the morning other than pregnancy the studies coming back where making any sense and no reasons for nausea in the morning other than pregnancy one would give a straight answer. To this day, I don’t know why he answered the call other than sainthood.

My most difficult moment came in early 2015 when I reasons for nausea in the morning other than pregnancy got a call from my mother that she had shown reasons for nausea in the morning other than pregnancy up for her chemo appointment and the doctor said that reasons for nausea in the morning other than pregnancy rather than getting chemo she needed to be admitted to reasons for nausea in the morning other than pregnancy the hospital and he didn’t know if this chemo, her second line, was helping at all. I was on a plane that night headed back to reasons for nausea in the morning other than pregnancy arizona. I arrived to find my mother thin, frail, but in surprisingly good spirits. As I sat with her and my father for the reasons for nausea in the morning other than pregnancy next two days in the hospital, several different hospital teams beat around the bush and refused reasons for nausea in the morning other than pregnancy to say it outright that they didn’t think any further chemo was in her best interest. They wouldn’t bring it up and so I did. Did they think it was time for hospice? The medical teams seemed to be relieved that I brought reasons for nausea in the morning other than pregnancy it up. They still wouldn’t outright say yes but said things like, “that would be a reasonable option” and “it is certainly something that we need to consider.”

Three days after arriving, I was pushing my mother through the airport in a reasons for nausea in the morning other than pregnancy wheelchair to help her fly back to north dakota and reasons for nausea in the morning other than pregnancy start hospice. While the last three months of my mother’s life on hospice in north dakota were filled with reasons for nausea in the morning other than pregnancy good times to connect as a family and just love reasons for nausea in the morning other than pregnancy one another, my role as doctor hadn’t ended. I was constantly being asked about dosing her medications for reasons for nausea in the morning other than pregnancy pain, nausea, sleep, etc. The hospice nurse, who lived 60 miles away from our rural home town, could only come by once a week, so I made any adjustments needed.

My final decision as my mother’s doctor came at around 9 pm on june 20, 2016. My father called to say, “the nurse thinks we should give her some IV fluids reasons for nausea in the morning other than pregnancy tomorrow, what do you think?” up until this point in her hospice care, she hadn’t received any IV fluids but we had had an reasons for nausea in the morning other than pregnancy ongoing conversation about the fact that she still had a reasons for nausea in the morning other than pregnancy port in place from her chemo so it would be reasons for nausea in the morning other than pregnancy easy to do. Her biggest issue had become keeping hydrated as her nausea reasons for nausea in the morning other than pregnancy increased likely due to increasing obstruction from her progressing colon reasons for nausea in the morning other than pregnancy cancer. I responded by asking, “do you think it would improve the quality of her reasons for nausea in the morning other than pregnancy life?” when my dad said, “what quality? She hasn’t had any quality in weeks,” I told him no. I didn’t think she should get IV fluids.

I wish I were writing this to tell you I reasons for nausea in the morning other than pregnancy have since come up with a solution on how to reasons for nausea in the morning other than pregnancy avoid being in a similar situation yourself. Unfortunately, I haven’t and ultimately I don’t know that I would avoid the situation if I reasons for nausea in the morning other than pregnancy were able to do it all again. I love my work and I love my family. Combining the two isn’t ideal but sometimes it still feels like the right reasons for nausea in the morning other than pregnancy thing to do. Hard, but the right thing.

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