The doctor patient relationship is considered fiduciary . Doctor should have only patient’s welfare in mind and the patient is supposed to have faith in doctor’s judgement .
The real picture is very different
There is a deep distrust in the air ,as every where .
As there is no tort reform , doctors have to practice defensive medicine . Patients are sometimes viewed as potential litigators .Doctors have to deal with EMR ,extensive documentation , administrative hassles ,shortage of manpower .
On the other hand , patient are caught unaware about newer regulation about controlled substances .As doctors are the face of these multiple agencies like insurance companies , Corporate hospitals , physicians are viewed as an allies to them . Unfortunately , that is far from truth .
Some times the anger and frustration is so extreme that they would not even stop using cuss words for the doctors
Back home in India , they go a step further .
If there is an unfortunate outcome , they would take law in their own hands . Violence against doctors , arsons at the hospitals are not infrequent
We need to redefine and retrospect on this fiduciary relationship .
A Physician is not God or Santa
Wish lists cannot be always granted