Client Centered Medicine Client Centered Therapy Heroic Client
Recently, I spent a little over an hour in an Emergency Room after having a mishap on my road bike while cycling in Maui. Having had my start in college in Nursing School completing the usual clinical rotations, the ER is a familiar place. There are machines that beep, locked glass cabinets with temperature controls and potent drugs, every kind of needle gauge and tubing within the push of a doctor’s exam room chair, and a crash cart ready to be used to save a life.
Once the ER physician debrided the wound and extracted the piece of asphalt jutting out of the fatty tissue below my patella, I began my usual routine of assessing the state of healthcare from the distal end. “How are we doing?” was the question. While my practice exists in an office outside of the world of the hospital, I am still very much inside the healthcare world. And when I am the patient, it gives me a chance to assess the power of client-centered medicine and therapy.
We didn’t do so well that day. Though the visit was quick and the experience not particularly unpleasant for what it was, I began to wonder what happened to the client-centered approach as I ambled into the ER reception area. No one offered me wheelchair. And if that shocks you to hear that, as blood dribbled out of my knee, this wasn’t the first time. I had an experience only eight months earlier, where I had to hold myself up with the sliding glass doors of an ER as I dragged my dehydrated body towards the reception desk. It took two people to finally call someone to bring the wheelchair. Forty-five minutes later, I begged a nurse to give me water to swish out my mouth to clear it of the taste of vomit.