The Doctor’s Doctor

Doctors have a reputation of making bad patients. Many of us even hesitate getting a personal physician. Years ago it was common for doctors to treat themselves and their families. The Latin vocabulary used on prescriptions includes the phrase “Ad Usum Proprium”, which means “For Personal Use”. This is now considered inappropriate, except in emergency situations or for occasional minor illnesses.

When I turned fifty, after years of neglecting my health, I decided to get my own Family Doctor. I thought about it for a long time. I decided not to see one of my partners, but someone in the city 20 miles from here. It should be a physician with more years of experience than I had, not someone who was young and “aggressive”.  In medicine we use that term for doctors who order lots of tests and prescribe multiple medications. My choice of Family Doctor for myself was Wilford Brown, III, MD, a tall, gray haired man with a solid reputation as a thoughtful, conservative clinician.

Our first meeting went well. I told him which things I was interested in looking into and which ones I didn’t worry about. He obliged, did a brief but appropriate physical exam and treated me with utmost respect. If he disagreed with me, he didn’t say so. I really liked him. We had another visit a year later, and I thought things were going well until he told me he was retiring. My heart sank. I asked him if there was another doctor in his office he would recommend for me. He didn’t hesitate before suggesting Dr. John Royson.

My first and only meeting with Dr. Royson did not go well. I sat in a bare exam room, fortunately not bare myself, for an hour. The exam room door was open and I overheard the medical assistant call Dr. Royson on the phone. Her end of the conversation went:

“Hello, Dr. Royson? Did you forget you had office patients today?”

“Yes, for over an hour.”

“So when will you be here?”

I had taken a half-day off, so I declined the assistant’s offer to reschedule the appointment. After another twenty minutes or so Dr. Royson appeared. He was in his early thirties, sported a flat top and didn’t apologize or even mention anything about me waiting almost an hour and a half.

D. Royson seemed a bit flustered about having an older physician for a patient. He mumbled to himself about perhaps checking my prostate etc. The whole visit lasted ten minutes.

I didn’t have to fire Dr. Royson; he left the practice to become a full time Hospitalist, doing what he was doing when he forgot that he had me and other patients to see at the office.

Dr. Royson’s replacement at Cityside Family Practice was another interesting experience. Dr. Joe Washburn looked like he’d rather be surfing, started me on a new blood pressure pill with a prescription good for a whole year and didn’t say a word about how to follow up. I got the impression he was so uncomfortable treating a colleague that he wished I’d go away and do my own follow-up.

Not long ago our clinic had a new patient register. We have a preliminary registration sheet come to the doctors for approval, because we are at near full capacity. This patient  registration sheet caught my eye:

Name: Wilford Brown, III, MD. 

Reason for choosing our practice: Payback.

6 Responses to “The Doctor’s Doctor”


  1. 1 Cindy Carter July 31, 2008 at 3:13 pm

    Saw you recommended on Dr.B’s blog. Enjoy reading your blog. I will say that Doctors aren’t always the friendliest people either. The guy that did my ACL surgery had a horrible bedside manner but was one of the best surgeons. Moral to the story, some times it is better to have a doctor than a friend. But, it is good if you can get both.

  2. 2 steph August 1, 2008 at 2:36 pm

    I find it inexcusable when a doctor fails to apologise to a patient for keeping them waiting a long time.

    Patients are usually very understanding when a doctor runs late because they’re grateful to be seen at all but the delay should always be acknowledged by the doctor before moving on with the consultation.

    I can well imagine how difficult it must be for a doctor to find a physician of their own. I have to say, I like Wilford Brown’s approach :-)

  3. 3 Dragonfly August 2, 2008 at 12:04 am

    Hehe. Not being comfortable with treating a fellow doctor might happen…but is no excuse for poor treatment. Love the blog btw.

  4. 4 hughev August 14, 2008 at 3:44 am

    re wilford brown; now that is a compliment indeed from him.
    retired GP in england

  5. 5 gerridoc May 23, 2010 at 11:23 am

    This is so true! As an internist who has taken care of physicians, they a very challenging patients!!!!


  1. 1 My Senior Colleague « A Country Doctor Writes: Trackback on September 7, 2008 at 9:32 pm

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s




Enter your email address to subscribe to this blog and receive notifications of new posts by email.

Bookmark and Share

Mailbox

contact @ acountrydoctorwrites.com

RSS A Country Doctor Reads:

  • The Difference Between Care and Cure
    My wife ordered a book a few weeks ago by Henri Nouwen, called “Bread for the Journey”. It was published posthumously and contains daily reflections. Nouwen is perhaps best known for his writings about the “wounded healer”. This morning over coffee, Emma asked me to look at today’s reflection, titled “Care, the Source of All […]
  • What Will the Doctor Do?
    In the near future, doctors will be the link between the science and humanity of medicine. They will listen and guide, while computers do the diagnosing… Oncologist James Salwitz writes about the Federal Health IT Strategic Plan in a nice piece on The Health Care Blog: “The doctor will no longer be the final fountain […]
  • The New Paternalism
    Doctors were once accused of being paternalistic. Today there is a new paternalism in health care: insurance companies are more and more heavy-handedly forcing doctors to disregard their own clinical judgment as well as their patients’ wishes by imposing “quality” standards through “pay-for-performance” financial rewards and punishments. Pamela Hartzband and […]
  • More on Bribing Doctors
    The going rate for physician bribery seems to be around $100 per act. In Great Britain it is slightly less, about $88, or £55. In one recent American case, I was offered $100 for putting a hypotensive diabetic patient of mine on an ACE inhibitor (“Incentive, Bribe or Kickback?“) Now my British fellow GPs stand […]
© A Country Doctor Writes 2008-2015. Unauthorized use and/or duplication of this material without express and written permission is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given.