Postby shooraijin » Mon Aug 15, 2005 7:32 am
Actually, I'm embroiled in a forgiveness versus efficacy issue right now as we speak.
One of our classmates in residency flaked in a huge way last year. She slept through calls, leaving work for others, or didn't show up for them, leaving others to pick up the slack (and received nothing for it). She came in late, didn't do her work, got yelled at by attendings. As her officemate, most days of the week I wanted to have her strung up from the ceiling. She saw me saying grace once, and I never heard the end of it; I never brought up politics either, but during the Bush-Kerry election, she literally gave me a letter saying "Friends don't let friends vote [whatever my political party is]" despite my never saying that was my affiliation.
Eventually, the answer came out when she walked by the addiction medicine MD one morning post call bleary-eyed and disoriented. He took one look at her and ordered a urine drug screen on the spot. It was positive.
She's been out since then for about nine months in recovery programs and this is actually her second offense for drugs and alcohol, we learned. The medical board has reissued her license, but under significant restrictions and with supervision required. During this time, myself and the other chief resident simply altered the schedule and worked with one less resident.
Now, she's coming back on a reduced schedule. And while I forgive her (admittedly grudgingly) for belittling me in the office for my personal convictions, as the co-chief resident I do not want to be put in a position of having to depend on her again to hold her side of the load up. That means more work for us if she were to flake, and most of the attendings won't work with her anymore anyway. The difference between forgiveness and trust is a very fine line, and right now I'm trying very hard to walk it.
Christ probably would have trusted her, or at least would have seen where she was at and made His decision. I wish I had that kind of crystal ball before I write her into a position where she would need to be relied on again. Forgiveness is easy to say. Functional trust is hard.
"you're a doctor.... and 27 years.... so...doctor + 27 years = HATORI SOHMA" - RoyalWing, when I was 27
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