ABSTRACT
Vicki knew something was physically wrong with her, but she didn’t know how wrong. The numerous doctors she presented her symptoms to seemed unconcerned, and she reported that several were even abruptly dismissive of her. She assumed the unwelcome reactions she received from her doctors were probably because her patient file was so thick and included an extensive history of mental health issues. The doctors reasoned, and apparently more than one even said it to her directly, that anyone with such an accumulation of hospitalizations and doctor visits, most of them psychiatric, must be a deeply troubled woman. Presumably, she must be prone to exaggeration at least, or may be a frustrating and time-consuming hypochondriac, or perhaps is even delusional. She rationally countered, “But even hypochondriacs get sick!” and asked for appropriate medical tests. By the time she was finally diagnosed with terminal cancer, it was too late for her to be heard. The cancer had already spread throughout her body and was in her brain, bones, lungs, and adrenals. She was told she had a very short time left to live, probably just weeks. There were no apologies or expressions of regret from her dismissive doctors. All healthcare providers strive to do the best for their patients, but, in Vicki’s case, some unfortunate assumptions steered presumably well-meaning physicians away from listening to their patient with tragic consequences. We all make mistakes, but Vicki’s case highlights how important it is not only to listen but to truly hear as well.
