Generalism with a Family Focus is the way…

If Bill Gates liked this book then so do I! 😉

Recently in hospital, we helped a 38 year old woman admitted with intractable back pain and unwellness. She was admitted by the Emergency Room physician with said diagnosis. Despite treatments, her symptoms did not improve so further testing was done (bloodwork and scans). She had a significantly elevated C reactive protein so there was concern of infection. Infectious Disease was consulted by a colleague covering who suggested more testing (blood cultures). Then the patient started developing swelling of her right arm so Internal Medicine was consulted because of the concern of DVT or other pathology. Blood cultures were negative and ultrasound was negative as well. The joint fluid was aspirated by a Proceduralist which showed numerous white blood cells, Gram stain negative and no crystals. Lastly, a Rheumatologist was consulted to help further diagnose and treat this patient. At the same time with all of the above occurring during COVID-19 hospital visiting restrictions (patient’s husband and children could not visit her), she was having increasing anxiety and low mood because of the above medical issues, lack of improvement in her health (she had been in hospital over a week) and disconnection from her family.

As her Family Doctor, we were able to connect, support and help her during this trying time in her life. That’s what makes my job so fun and fulfilling! As a generalist (who is mindful of Family), I have the honour of helping patients and their families heal with science, compassion and relationship.

As noted, we need specialists and their amazing work and care, but in the end, it is the holistic approach which heals patient (and their family).