{"id":18078,"date":"2019-02-13T12:14:40","date_gmt":"2019-02-13T17:14:40","guid":{"rendered":"http:\/\/thepapergown.zocdoc.com\/?p=18078"},"modified":"2023-03-03T15:47:24","modified_gmt":"2023-03-03T20:47:24","slug":"i-went-to-my-childhood-doctors-funeral","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/patient-stories\/i-went-to-my-childhood-doctors-funeral\/","title":{"rendered":"I Went to My Childhood Doctor&#8217;s Funeral"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">I was mid-allergy attack by the time my mom arrived at my preschool. At 3 years old, I had severe asthma and, like most asthmatics, a host of allergies. The peanut butter cookie I\u2019d unwittingly accepted at lunch turned out to be the perfect catalyst for disaster.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Panicked and hysterical, my mom strapped me into the backseat of the car and called the office of Dennis Cech, a reputable local allergist whom I\u2019d briefly seen once or twice before. The receptionist told her to bring me in immediately, despite their backlog of patients. When we arrived, Dr. Cech administered a few shots, reversing the effects of mounting anaphylactic shock and saving my life.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Following the peanut-butter cookie incident, I began seeing Dr. Cech (pronounced \u201ccheck\u201d) twice a week, every week, for allergy shots and asthma management. I looked forward to each appointment, the start-to-finish process still burned in my mind: There was a waiting-room painting of Warholesque Nike Swooshes. (\u201cChecks.\u201d Get it?) There was doctor-patient small talk \u2014 brief, friendly teasing to ease my needle nerves. There was playtime, courtesy of a collection of Happy Meal toys and Smurf figurines. There was learning; Dr. Cech had this picture of a dust mite that he loved to explain, in exacting detail and with childlike enthusiasm. And there were treats, not at Dr. Cech\u2019s office, but right down the hall, at a snack shop where my mom let me have a bag of Skittles and an orange Sunkist after every appointment. Basically, Dr. Cech\u2019s office felt like home.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To a kid \u2014 especially a terrified, sick kid like me \u2014 a doctor-patient relationship is built on one thing: empathy. Dr. Cech was a master of allergens and asthma, but also of emotions. While I\u2019m sure he saw plenty of allergy-prone kids just like me, he always made me feel like I mattered. My mom and I weren\u2019t just another chart in his files. It\u2019s possible, however, that my affectionate rapport with Dr. Cech was more the exception than the rule.<\/span><\/p>\n<blockquote><p>It\u2019s a testament to Dr. Cech that all those hours I spent getting pricked and inspected ended up in my brain\u2019s \u201chappy childhood moments\u201d file.<\/p><\/blockquote>\n<p><span style=\"font-weight: 400;\">\u201cThere is some research suggesting that patients tend to depersonalize physicians,\u201d said Lauren Howe, a psychologist and postdoctoral researcher in the Mind and Body Lab at Stanford University. According to her work, many people see doctors as \u201cprofessionals who care for a patient,\u201d which makes the formation of a personal relationship with those professionals less appropriate for those patients.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A few<\/span><a href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/1948550615597976\"> <span style=\"font-weight: 400;\">studies<\/span><\/a><span style=\"font-weight: 400;\"> from psychologists at the University of California, Berkeley<\/span><span style=\"font-weight: 400;\">, support the idea that \u201cpeople who really need healthcare tend to forget information about their providers\u2019 personal lives,\u201d such as their marital status. Later studies from the same group even revealed that patients perceived their doctors as \u201cemotionless.\u201d <\/span><\/p>\n<p><span style=\"font-weight: 400;\">But Howe\u2019s own research points to the benefits of treating doctors as more than white coats.\u00a0<\/span><span style=\"font-weight: 400;\">\u201cIn one study,\u201d she said, \u201cwe found that patients who saw a provider as likable and credible showed a greater response to a placebo cream that was placed on their allergic reactions.\u201d\u00a0<\/span>The big idea, Howe explained, is that patients who develop stronger connections with their doctors may respond better to the medical treatment they administer. Based on my own experiences, I believe it.<\/p>\n<hr class=\"squiggle\" \/>\n<p><span style=\"font-weight: 400;\">I continued to get allergy shots well into my 20s. When I left my hometown of Cleveland after college, I found a new allergist in Manhattan. Though experienced and effective, he was no Dr. Cech. Still, I loved going to the doctor.<\/span> <span style=\"font-weight: 400;\">I know that\u2019s not something people say too often.<\/span><\/p>\n<p>Around that time, I began experiencing the first signs of major depressive disorder and generalized anxiety. One thing that always comforted me was a trip to the doctor \u2014 any doctor. My Manhattan allergist\u2019s office didn\u2019t have punny art in the waiting room or Smurf figurines lining the stodgy exam rooms. But it was still a doctor\u2019s office, a place that felt familiar and secure amid a maelstrom of conflicting, confusing emotions. It\u2019s a testament to Dr. Cech that all those hours I spent getting pricked and inspected ended up in my brain\u2019s \u201chappy childhood moments\u201d file.<\/p>\n<p><span style=\"font-weight: 400;\">When I moved back to Cleveland in 2015, my depression followed me home. It was during this period, a particularly rough few months for me, that I heard about Dr. Cech. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">My mom called me, in tears. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cHoney, Dr. Cech passed away last night.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Over the years, every so often, I\u2019ve gotten the news that someone I knew growing up had died. It\u2019s always sad, but usually in that abstract, \u201call death is sad\u201d sort of way. This time, there was nothing abstract about my sadness. I hadn\u2019t seen Dr. Cech since I was in high school. And for the most part, he lived in my memories, alongside former classmates and crushes. But he felt like more than just another person from my past. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">I wept. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">My mom passed along funeral details. We wanted to pay our respects, but we didn\u2019t know the proper etiquette. Do former patients and their parents belong at doctors\u2019 funerals? We weren\u2019t sure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The issue of doctors \u2014 or nurses, therapists or other healthcare providers \u2014 attending patient funerals has been explored as a personal decision and a matter of medical ethics, both in formal <\/span><a href=\"https:\/\/www.sciencedaily.com\/releases\/2016\/09\/160922093328.htm\"><span style=\"font-weight: 400;\">studies<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/well.blogs.nytimes.com\/2011\/02\/17\/a-doctor-at-the-funeral\/\"><span style=\"font-weight: 400;\">op-eds<\/span><\/a><span style=\"font-weight: 400;\">. The opposite situation, of a patient attending a provider\u2019s funeral, hasn\u2019t received the same attention. That\u2019s not surprising, given that doctors deal with patients dying on a regular basis.<\/span><\/p>\n<p>But some of the factors that inform doctors\u2019 behavior around funerals also come up when the tables are turned. Danielle Ofri, an internist and regular\u00a0<i>New York Times\u00a0<\/i>contributor,\u00a0<a href=\"https:\/\/well.blogs.nytimes.com\/2011\/02\/17\/a-doctor-at-the-funeral\/\">wrote about<\/a>\u00a0attending patient funerals. Parts of her essay could apply to either side of the patient-doctor relationship:<\/p>\n<p style=\"padding-left: 30px;\"><i>&#8230; In the clinic, relationships between doctor and patient often last years. They can be tightly knit and heavily nuanced, a rooted connection that feels like family\u2026 Attending funerals holds an unusual place in medicine. On the one hand, a funeral can be an intensely private family experience, uncomfortable for those who are not part of the deceased\u2019s immediate circle. On the other hand, the funeral can be the sunset point in the arc of a doctor-patient relationship.<\/i><\/p>\n<p><span style=\"font-weight: 400;\">Jeff Riskin, my therapist in Cleveland, says the doctor-patient relationship is a delicate balance between detachment and compassion, which both parties must navigate with care and respect. One issue that providers need to consider, but which patients aren\u2019t bound by, is confidentiality.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIn my case, I see a lot of people who tell me things they\u2019re not comfortable telling their family and friends. <\/span><span style=\"font-weight: 400;\">So if I become a friend, or am viewed as a part of their family, that confidentiality is compromised. <\/span><span style=\"font-weight: 400;\">But, in your case \u2014 wanting to attend your doctor\u2019s funeral \u2014 you owned that confidentiality,\u201d he told me. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWhen I pass away \u2014 a very, very long time from now,\u201d Riskin joked, \u201cI would hope you\u2019d feel empowered to make that choice, and that it would be your way of acknowledging our time together was meaningful.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As Dr. Cech\u2019s funeral drew closer, my mother and I made the decision to go. We both felt a need to visit Dr. Cech one last time.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In retirement, as I learned at the funeral, Dr. Cech had let his hair grow well past his shoulders. It was platinum silver and flowing, exactly the hair I would\u2019ve expected from the guy who, chuckling to himself, once explained that his Smurfette figurine was missing an arm because \u201cshe had a rough night with the rest of the Smurfs.\u201d <\/span><\/p>\n<p><span style=\"font-weight: 400;\">I approached Dr. Cech\u2019s wife, Stella, who was also his former receptionist. She used to call him when he was in with us (and other patients, too, I\u2019d assume), and he\u2019d just hang up on her. It was hilarious every time. She made those calls, she told me, to warn Dr. Cech that his appointments were going to back up if he didn\u2019t stop socializing with us. Talking to us. Learning about us. Treating us like more than billable time. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">I mentioned my intention to write this essay, and asked for Stella\u2019s blessing. I told her that I\u2019d do my best to explain how much Dr. Cech affected me, and how important it is for a child to have a good doctor growing up. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThat\u2019s definitely important,\u201d she said with a warm smile. \u201cDr. Cech would agree.\u201d<\/span><\/p>\n<hr \/>\n<h1 class=\"p2\" style=\"text-align: center;\"><span class=\"s1\">Ready to book a doctor&#8217;s appointment? Visit <a href=\"https:\/\/www.zocdoc.com\/\"><span class=\"s2\">Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>I hadn\u2019t seen Dr. Cech since I was in high school, but he felt like more than just another person from my past.<\/p>\n","protected":false},"author":36,"featured_media":18079,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[231],"tags":[8,108,69],"class_list":["post-18078","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patient-stories","tag-allergies","tag-doctors-and-patients","tag-the-psychology-of-being-a-patient","reviewer-dr-nassim-assefi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Are There Etiquette Rules for Attending Your Doctor&#039;s Funeral?<\/title>\n<meta name=\"description\" content=\"I wanted to pay my respects without crossing the boundaries of the doctor-patient relationship.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/patient-stories\/i-went-to-my-childhood-doctors-funeral\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Are There Etiquette Rules for Attending Your Doctor&#039;s Funeral?\" \/>\n<meta property=\"og:description\" content=\"I wanted to pay my respects without crossing the boundaries of the doctor-patient relationship.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.zocdoc.com\/blog\/patient-stories\/i-went-to-my-childhood-doctors-funeral\/\" \/>\n<meta property=\"og:site_name\" content=\"The Paper Gown\" \/>\n<meta property=\"article:published_time\" content=\"2019-02-13T17:14:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-03T20:47:24+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/thepapergown.zocdoc.com\/wp-content\/uploads\/2019\/02\/HeroFuneral2-01.png\" \/>\n\t<meta property=\"og:image:width\" content=\"968\" \/>\n\t<meta property=\"og:image:height\" content=\"452\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Matt Christensen\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Matt Christensen\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/patient-stories\/i-went-to-my-childhood-doctors-funeral\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/patient-stories\/i-went-to-my-childhood-doctors-funeral\/\"},\"author\":{\"name\":\"Matt Christensen\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#\/schema\/person\/cb212725c1b888e665f57081949e99b3\"},\"headline\":\"I Went to My Childhood Doctor&#8217;s Funeral\",\"datePublished\":\"2019-02-13T17:14:40+00:00\",\"dateModified\":\"2023-03-03T20:47:24+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/patient-stories\/i-went-to-my-childhood-doctors-funeral\/\"},\"wordCount\":1452,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/patient-stories\/i-went-to-my-childhood-doctors-funeral\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/thepapergown.zocdoc.com\/wp-content\/uploads\/2019\/02\/HeroFuneral2-01.png\",\"keywords\":[\"Allergies\",\"Doctors &amp; 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