We’ll be chopping your leg off today  

In Room 342, the patient, ‘Tony’, was facing one of the most difficult challenges of his life – the amputation of his lower leg. My colleague, Dr. Lee (a Hospitalist) describes how his interactions with Tony caused a total shift on his perspective of patient communication.

I did my best to help Tony understand why his leg could not be saved. This was a non-healing, infected leg ulcer that had persisted for three years despite treatment. He didn’t want to hear the news, and I felt real empathy for him.  I described how diabetes, hypertension, and obesity played their role. We went through the lab results, X-rays, CT and MRI images. Eventually, Tony accepted the inevitability of amputation and signed the consent forms. But I failed to connect with him on a personal level.”

On the morning of the surgery, in comes Dr. Davis from Infectious Diseases. Without any introduction, he walks straight over to Tony and slapping his hands together, announced,

 "Well, we’ll be chopping your leg off today!”

Unexpectedly, Tony grinned and instantly replied,

"Yeah man, it sucks! Ha, I'll be called a peg-leg!" 

(Dr. Lee) “To me, Dr. Davis’s approach was inconceivable! And yet there was an immediate connection. It led them into a deep and meaningful conversation.” 

This true story (names changed) reveals a fundamental truth about human connection in healthcare: Dr. Davis reached rapport in seconds, in a way that Dr. Lee couldn’t after three days of careful consultation.

Dr. Lee was technically perfect — methodical, logical, and thorough. But Dr. Davis instinctively met the patient on his own emotional wavelength, to acknowledge the gravity of the situation while finding room for levity and creating an instant bond. 

The difference wasn't in medical expertise or time spent, but in perception and communication style. One doctor spoke the language of medicine, the other spoke the language of human experience. Both are valuable, both are necessary, but they reached the patient in profoundly different ways. Medical communication isn't one-size-fits-all. It's in the words we choose and the trust we build, one conversation at a time.

#PatientExperience #MedicalCommunication #PhysicianCommunication #HealthcareConsulting #PatientCenteredCare #ClinicalExcellence #MedicalEducation #HealthcareQuality

As interpreted by PCM

Click here for an explanation of the Process Communication Model®

Dr. Lee‘s strongest perception and communication style is Thoughts, as evidenced by his gathering data, thinking about it, analyzing it, connecting it, and drawing logical conclusions. This indicates that Thinker is the strongest type in his personality structure.

Dr. Davis and Tony make contact with the world through unfiltered likes and dislikes and interact with humor. This indicated that Rebel is the strongest type in their personality structure.

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Gurdev Singh

Through workshops and personal coaching, Gurdev Singh, MD creates safe spaces for genuine transformation of interpersonal communication, leading to more meaningful connections helping individuals and organizations achieve lasting positive change in all their relationships.

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