It was a busy Monday morning in our primary care practice when a patient of more than 15 years messaged me on the patient portal. She was having frequent high glucose readings and thought she needed to come in to the office to discuss her diabetes care.
“But I only want to see you,” she spelled out clearly.
I am honored by and grateful for her trust, which is one of the most fulfilling aspects of many years in a longitudinal practice. This singular attachment and inflexibility, though, does not always translate well to our current practice model. If I am unable to see her and she declines a visit with one of my colleagues, I worry that a delay could compromise her care. Over time, these situations may also contribute to emotional exhaustion.1
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Millstein JH. I Only Want to See You—A Challenge of Long-term Clinician-Patient Relationships in Team-Based Clinical Care. JAMA Neurol. 2021;78(11):1309–1310. doi:10.1001/jamaneurol.2021.3029
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