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Difficult Farewell

Two decades ago my doctor moved from Ontario to the United States. Back then, many Ontario doctors were not happy with the Canadian health care system. Some decided to head south to the United States where they only had to deal with insurance companies.

When the word got out that my doctor was leaving, there was a huge hue and cry in the village and surrounding countryside. There were letters in the local paper. There were personal pleadings to the doctor. But the time approached and we all knew that his decision was final.

Some people in the community organized a farewell evening for the doctor. They rented the church hall and brought in refreshments and a cake. There was a book to be signed to express good wishes. Coffee and tea were organized.

The night of the reception I was astonished to see 50 people at the church door awaiting the start of the event. After the doors were opened, the line kept growing. At an appropriate time there were some speeches from local dignitaries and important people. There were lots of hugs and tears.

All this came back to me as I read the articles and letters about the departure of a doctor from Grey Bruce Health Services. The reactions of people are perfectly normal and expected. We have been here before.

One of the realities of life is that there are certain people with whom we engage our lives deeply. Physicians are one such group of people. Think about it for a minute. We allow our doctors into the closest and most private, intimate moments of our lives.

Doctors can be present at our birth. They monitor and support all our childhood illnesses. They see us through first dates, getting our driver’s license and all the high drama of our teenage years. They attend the birth of our children, the death of our parents and when the time comes, they are present when we reach the end of our own life’s journey.

In the in-between times they see us through illnesses, small and large. They may know secrets we cannot even tell our spouse. In the case of a cancer specialist, they may literally save our lives.

It should come as no surprise, then, what when a doctor leaves a community, we feel anger, hurt and betrayal. This isn’t the way it is supposed to be. We want the relationship to continue. We need that hand to guide us and, perhaps, save our lives. So we look for scapegoats. It might be the Ministry of Health. It could be the local hospital board. Something is wrong with our health care system, which has to be fixed, we think.

None of which is accurate or true.

Why do we think our doctors can’t have the same right as everyone else — the right to move on in their career? Why can’t a doctor move to another province, another community, another hospital? We have no proprietary hold on our doctors.

We do have an emotional relationship with our physicians. It is a relationship which is deeply enmeshed in our own well-being. We somehow think that we need that doctor to hold our hand and sometimes even save us from ourselves.

All of which may be quite human, but is not always healthy.

After my doctor left the community 20 years ago, I did find another doctor. I have, over the years, had good relationships with all my physicians. I’ve survived and done well.

And my doctor who left Canada?

He practised medicine in Kansas, moved to the field of emergency medicine, is close to retirement and has written a couple of books on men’s health care.

Life goes on. Even when a doctor leaves. We can and should offer our thanks to the doctors who care for us. But we can also let them go with our best wishes.

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