Why are patients called patients?

by Dr Anne Malatt, Ophthalmologist, MBBS, MS, FRANZCO, FRACS, Australia

Why are patients called patients?

Most practitioners call their customers clients, but doctors call theirs patients.

Why is that?

Is it because they spend so much time waiting patiently for care – that waiting to see a doctor or waiting for a hospital procedure is an exercise in learning to be patient?

…………

The definition of ‘patient’ is:

  1. able to accept or tolerate delays, problems, or suffering without becoming annoyed or anxious (the adjective)
  2. a person receiving or registered to receive medical treatment (the noun)

The word comes from the Latin word ‘patient’, meaning ‘suffering’. (1)

Whereas a ‘client’ is defined as:

  1. a person or organisation using the services of a lawyer or other professional person or company.
  2. a person being dealt with by social or medical services.

Interestingly, the word ‘client’ comes from the Latin ‘cluere’, meaning ‘hear or obey’. The term originally denoted a person under the protection and patronage of another. (2)

…………

I am a doctor, and I have not been a patient person. The irony of this is not lost on me!

I do try and keep to time during my working day, but people have a habit of not fitting into boxes, including my 10-15 minute time slots, and I am often running up to half an hour late, and sometimes longer.

I provide a lovely waiting room, with comfortable chairs, relaxing music, current magazines, fun books to read, and pleasant attentive staff, but I still keep people waiting in the waiting room.

Every now and again I run on time, or even early, and almost always when this happens, my next patient is running late and I have to wait for them. And do you think I enjoy that?!

 …………

Recently my husband had minor surgery. I drove him to the hospital and waited patiently for him, for several hours. It was a lovely experience. I prepared myself for the day, bringing food and drink and something to do and, as I was expecting to wait, I had made no other plans for the rest of the day and had nowhere else I needed to be.

Because I allowed time and space for waiting, I did not find it a pressure, a burden, an imposition, and did not feel at all frustrated or cross. In fact, I even had a nap in a very comfy chair.

I also prepare in this way when I go to visit the doctor for myself. I expect to wait (we can rail against it, but we know it will happen) and I prepare accordingly. I do not schedule another appointment for at least two hours, and I bring food, drink and something to do while I am waiting. In fact, I take the opportunity to have time and space to be with me, and to catch up on things I have not had time to do. I look forward to and enjoy the opportunity and sometimes even just sit and wait, enjoying doing nothing, just being.

Perhaps the doctor’s waiting room would have a different feeling, if we realised why it was called that, and prepared for and enjoyed waiting there!

 …………

There is a way to be a patient, that minimises our suffering, and increases our ability to accept or tolerate delays, without becoming annoyed or anxious. That way includes preparing ourselves for the likely possibility of waiting, and developing understanding. The doctor is not in her room filing her fingernails, but seeing other patients just like us who are in need of care, sometimes with complex and difficult problems that take time to sort out, and she may have had to fit someone in who was in urgent need of care. The doctor is caring for a whole community of people, of which we are a part, and when our turn comes, she will devote the same level of care and attention to us.

I, for one, would much rather be a ‘patient’ than a ‘client’. I have never been one for ‘hearing and obeying’ (my parents and husband will testify to that!) and I don’t really want to be ‘dealt with by social or medical services’.

So I shall continue to be a patient, and to wait patiently for the great care my doctors and all the medical staff provide.

References:
(1) http://www.oxforddictionaries.com/definition/english/patient
(2) http://www.oxforddictionaries.com/definition/english/client

958 thoughts on “Why are patients called patients?

  1. Anne I loved your preparation knowing you would be waiting, so supported yourself with food and drink, something to consider the next time I head to the surgery for a visit.

    I’m not the biggest fan in being kept waiting at the doctor’s surgery, and on many occasions, I have been kept waiting for two hours before I could see them. Usually because I have walked into the surgery reluctantly for not wanting to see them on the first place, and with an impatient attitude. That doesn’t help either. I’ve observed when I go prepared, I am attended to earlier!..

    I know I need to change my awareness and appreciation of this, and like you said, ‘the doctor is not in her room filing her fingernails’… I need to learn to be a patient, patient, after all the doctors are doing their best to provide a service and my attitude doesn’t help either.

    Thank you for bringing this to my awareness.

  2. Feeling how part of waiting patiently is being prepared to take responsibility for being there in the first place and not feeling a victim of circumstances. This completely changes the experience and we can approach any consultation in equality so that both parties are both working to resolve whatever the issue is.

  3. Maybe the question should be not to do with our patience but rather our impatience and why are we this way when as you share we can so easily change it just though a simple choice.

    1. Vicky, it is true that we can easily change by a simple choice we make and I have felt the difference when this has occurred. The doctor is different with you and you are different with yourself too, by simply choosing to surrender to what is occurring for all and in that moment, things flow differently.

  4. Being patient, for me, definitely has the association of surrender and for a long time I considered that to be ‘giving-up’. However, although it can be that I have come to relate to surrender as being connecting to, a ‘giving-in’, to my inner-knowing and thereby deepening my relationship to God and that is spacious joyous and loving.

    1. Interesting how ‘surrender’ is another word that has negative connotations for so many but is actually beautiful to experience as I have recently when going through a period of ill health and feeling the support that I have been surrounded by since becoming willing to surrender to all that the experience is offering me.

      1. When we surrender with the positive understanding it opens the door to far more than we can ever imagine and then we experience the magic of God.

  5. Being patient is an invitation to surrender in the ‘much more’ that there is always within and around us

  6. It’s interesting that when I went to see my doctor some years ago and I was offered options for treatment and I wanted more tests he reminded me that I was the client. It was the first time I had heard a doctor refer to a patient as a client and I must admit it felt very equalising at the time.

  7. I love that patience comes from being more understanding, rather than discipline or dissociation, which sometimes felt like I had to employ.

  8. There is so much grace and wisdom in this article. The difference between affording myself the space to wait – be patient – or get caught up in time and my created pressures, is absolutely enormous and very much felt in my body.

  9. Our lack of patience in being a patient is very telling of our relationship with time, and potentially why we are sick in the first place – could it not be an inconvenience but a moment of grace and part of the overall “stop” of getting sick.

  10. I’ve spent a fair bit of time in waiting rooms with my now deceased mother, and although she didn’t enjoy the waiting around and would get tired, she would generally put up with it in a quiet manner with the odd sign and huff and puff. I saw it as an opportunity to spend more time with her outside of the house and a way to get to meet other people, but unfortunately, not everyone had that approach and would complain so loudly that the staff could not but hear. It can’t be easy to be on the receiving end of disgruntled patients.

  11. I enjoy waiting patiently be it at a doctor’s or dentist’s surgery or a train station as it is an opportunity to observe those around you and very often an opportunity to connect and talk to someone you have not met previously.

    1. I agree – if we consider things an opportunity instead of an inconvenience – it opens up our day to be a great experience regardless of the circumstances.

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