Referral!

I always find the starting sentence of "Thank you very much for the kind referral" as the most reassuring sentence in the casenote of any patients.

I wanted to believe that the other side really, thankful, that i refer to him/her.

The very nature of our work is highly dangerous, and risky.

To both, patient and us.

As our CPH always said, defining self knowledge and capabilities' boundaries would be one of the most difficult things to do as medical practitioners.

We refer because we are not in the right position to make that call.

I would take pride when people refer to me.

I would really meant it when i said, "many thanks for your referral"

That is the whole idea of specialization.

That is why butcher only good in cutting meat, and plumber can do the pipings.

When the nurse refer to us the lowly houseman for spike of fever, or high bp, low urine output;

I sincerely wanted to help.

Because we are having the same dillemma when we refer our MO/specialist for high urea/creat overnight.

We want some of greater-than-us position, capability, experience, and know-how to tell us what to do, and doing the right thing. In some level, to protect us.

I cant never quite understand the fury of certain people upon getting referrals.

Also the grumpiness when attending to case referred.

To me, it is impossible to present a case without get bombarded if the other party set out the intention to do so.

I dare say even when I heard some biggies presenting to another biggie, there are gaps that i can pick up, cut in and ask for.

Why they chose not to do so?

Because the focus is to work together with mutual respect, end point is to find out the problem and solve it.

Some of the referrals are bad, i must admit, but human, like Pavlov (the dog fella) said, will inevitably, learn.

Sometimes our gaps of knowledge with lack of experience dealing with particular problem is restricting our ability to present case well, we simply dont know what is the thing they look for.

But instead of going NGAUM!!!!, the benefit of doubts has to be given to the trainee.

Peace!