Is the Physician Stethoscope Obsolete?

Stethoscope-300x300“Is there a doctor on the plane?”

These were the words that struck me with instantaneous and profound terror.

I was flying Delta Airlines, San Francisco to Atlanta a while ago when I heard this announcement. I have been retired from my neurology practice for almost four years now.  But when no one else answered the call, I realized I was the guy.

So, I sashayed to the back of the plane where a middle-aged Filipino woman was lying on the floor, panting for breath.

I quickly got a medical history from her daughter. (Later in the flight, the daughter began to have similar symptoms as her mom … but that’s another story.) I did my “routine” initial assessment. I accurately concluded that this situation was essentially a case of hyperventilation-anxiety. However, since all the other passengers were gazing back toward us with intense interest, and since the stewardess was hovering over me with such helpful concern, I figured I might as well entertain them all as I reveled in my doctor role. Then in my best Marcus Welby voice, I turned to the stewardess and asked for the Delta Airlines medical bag. Ever so helpful, the stewardess handed me a stethoscope. I patiently and very professionally applied it upon my new patient.  I heard nothing of concern; in fact, I heard nothing much at all, (but I never could hear much from this part of the exam anyway, hence I became a neurologist.) But this did not prevent me from proceeding with my “thorough” examination, listening carefully to the chest and the heart and even the abdomen with that invaluable instrument of inquiry.

I must confess: Even though I heard nothing much, I was feeling pretty damn important wielding that stethoscope. All eyes of the passengers were upon me, and doggone, if I was not feeling like some sort of medical hero. Not only was I giving care to this distressed lady, but I was preventing Delta from making an emergency landing that would have inconvenienced a few hundred of my fellow passengers. Again, like I said, stethoscope in hand, I was beginning to enjoy all the attention. I began to relish (what I fantasized was) my fellow passengers’ silent admiration of my doctoring skills.

Until:

The stewardess, with a concerned and puzzled expression, quietly asked me the following question:

“Excuse me doctor,” she whispered, “but shouldn’t you put the stethoscope in your ears?”

Oops.

Major oops.

Double Major Oops.

My cover was just blown!

And I was looking so darn good!


 

Author

  • Scott-Abramson-MD

    Dr. Scott Abramson practiced Neurology with Kaiser Permanente Northern California for over 40 years.

    For most of those years, Dr. Abramson has been passionately involved in physician communication and physician wellness projects. He has delivered dozens of workshops in this arena and personally coached scores of physicians and staff. He has developed programs on time management, physician communication, marriage in medicine, burnout, the threatened physician, difficult conversations, presentation skills, storytelling, and his two favorites, “The Secret of Happiness” and “What The Great Wisdom of Country Music Can Teach Physicians.” He enjoys giving talks on these and other subjects.

    Dr. Abramson, for over 20 years, wrote a monthly column on communication issues and physician health and wellness issues. Some can be found in video format on this youtube website channel: doctorwisdom.net

    A compilation of these articles has recently been published by Covenant Books, entitled, “Bedside Manners, for Physicians and Everybody Else. What they don’t teach in medical school or any other school.”

    In 1982, Dr. Abramson was awarded the Physician of the Year honor in his medical facility. In 2003 he was given Teaching Excellence Award from Physician Education, and in 2010 was nominated as a Kaiser Hero for his work in regional physician communication.

    To learn more about Dr. Scott Abramson, follow him on Instagram (thedoctorwisdom), visit his website at doctorswisdom.net, or subscribe to his YouTube channel (doctorwisdom.net).

    Physician, Public Speaker and Storyteller

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