Louisville Medicine Volume 60, Issue 8 | Page 34

From the Blogosphere A NAIL IN THE PATIENT-PHYSICIAN RELATIONSHIP COFFIN Kathy Neider, MD B renda works as a nurse at the other big health care system in town. She is a bit of a stoic. During our 25+ year relationship there were times I thought she didn’t like me until I realized what a nononsense personality she possesses. Thus it was upsetting to see distress in her face and hear her frustrated tone as she said, “You’ve been my doctor a long time, but I have been told that I can only see doctors in our system for my visits to be covered on my insurance.” This came as no surprise to me. Just a few weeks earlier our hospital president made the same announcement to our employees. It is infuriating to hear relationships destroyed with a flippant “We have good doctors here. There is no reason for our employees to see doctors in other systems.” First of all, a 25-year relationship with someone makes for a damn good reason to continue to see them. And yes, we have great doctors in our system. But sometimes better talent is in another hospital. I want my patient to benefit