March 1 , 2004

I Don't Know


I became a better doctor when I learned to say, "I don't know."

Too many times physicians fall prey to the M. Deity complex. (My thanks to Charles Schultz the creator of the Peanuts cartoon for the "M. Deity" words he gave to Charlie Brown.) It is the temptation to appear to be all-knowing to your patient.

This desire to be omniscient may develop for several reasons. The first is the desire to appear competent to your patient. Unfortunately, as physicians we too often believe competent means having all of the answers. The second reason is the desire to be successful; which means fixing your patient's problems. The third reason is to be in control because you as the physician believe you know what is best for the patient. (And of course since I'm not omniscient, for other reasons unnamed.)

Fortunately for my patients, I learned that they came to see me not for my omniscience, but for compassionate, knowledgeable care. I learned to say to my patients, "I am here to help you find the healthiest way to live your life. It is your body and your life and my purpose is to help support you. No one else knows what is best for you and the life you want to create. My job is to help you find the best health resources and help you clarify where you want to go on your life's journey."

I am reminding you that your physician and all of your other health professionals are there as your consultants and resources. They work for you.

 

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