Friday, June 10, 2016

Living the oath requires physicians to set boundaries

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“I solemnly pledge to consecrate my life to the service of humanity.”  Standing with my medical school colleagues, we continue: “I will respect and hold the secrets that are confided in me. I will exercise moral integrity.”

I easily agree. But then, “The health of my patient will be my first consideration.”  I’m 40 weeks pregnant, with swollen feet and raging heartburn. My baby kicks wildly. With certainty, I know that living this part of the oath will be much more difficult than saying it.

My first son is born soon afterward, and my thoughts are only for him — this beautiful, completely dependent new life in my arms. Formerly fully capable and competent, brushing my teeth before noon is a huge accomplishment. Days and nights are consumed with breastfeeding and diaper changes. The demand is incompatible with nearly anything else, let alone patient care.

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