I’ve made a medical discovery, so listen up doctors! It is called tough cookie syndrome. It goes something like this for me, but feel free to adapt to your own patients’ particular circumstances.
Patient doesn’t feel well so you, the kindly general practitioner, start the diagnostic process. A scan or two here, a blood test or ten there. A specialist or two gets invited into the mix. Way too many tests come back positive. In the meantime the patient (that’s me in this case) is trying to lead a normal life: work, look after the family, balance the budget now ballooning with medical bills. You tell the patient to take three days off; patient says two will be plenty – then ends up crashing out of a meeting on day three. Yes, I know you have patients to whom you suggest three days rest and they plead for four. Those patients don’t have tough cookie syndrome. I’ve realised I often tell the doctors “I’m fine” when they ask how I am. Of course I’m not “fine”! That’s why I’m there!