It is when we do something unique or beyond our usual duties that events are made more memorable for both physicians and for patients. And it is the times when we are most busy that these opportunities usually present themselves. Taking some extra time to do something special for a patient can bring a rich flavor to what can become a menu of one bland experience after another.

Suggesting to a family to cut a lock of hair when someone dies is a nice gesture. They might not think of it until it is too late. Offering to call the parent of a college student who is away from home can go a long way to easing everyone’s anxiety. Just sitting down, holding the hand of an elderly person, and having a conversation about what they did for a living can make their week.

Patients and their families may seem wrapped up in their problems but they do pay attention to what we do. They appreciate it when we ask if there is anything we can get them. They won’t tell you but they will tell a family member or friend of your caring demeanor. They really like it when we fluff their pillow or bring a warm blanket and tuck it in around them. Some doctors may say such things are beneath them and they have more important things to do.

I say these are essential offerings in our interactions with patients. Anything we do that causes the patient to hold us in higher regard is well worth the little bit of extra time.

A traditional lament of emergency physicians is that we have no pre-established rapport with our patients. This is true but it is not an excuse for failing to do a few simple things to establish trust with our patients. When we act relaxed even though we are rushed, practice common social courtesies, and actively listen to our patients, they will notice and in turn this will lead to trust.

You may not get immediate feedback but your efforts will not be wasted. You will know that you have done a good job in the past when the lady you saw for biliary colic returns with an ankle sprain and smiles when she sees you. “I think you took care of me before I had my gallbladder removed,” she says. “I’m all better now!”