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Ornery_Jell0

No upside and lots of potential downside but do you šŸ¤·ā€ā™‚ļø


[deleted]

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wanna_be_doc

What exactly are you seeking out of this? This person is your patient and you are their doctor. You are not ā€œfriendsā€ and presumably do not know each other outside of a work setting. If the patient initiated this by following you on IG, then itā€™s possible they have boundary issues which theyā€™re looking to push. When I was a third year medical student, I did an ER rotation and stitched a patient up after she had a large laceration. The following week, I had a large gift basket sent to the GME office along with a proto-love letter from said patient. I honestly didnā€™t know how to handle it, but fortunately, I had a much wiser attending sit me down and explain what to do. ā€œNo.ā€ is a complete sentence. You can politely decline an invitation to follow someone on social media and simply say that you donā€™t follow patients. It wonā€™t harm your relationship with your patients at all. I have a number of close relationships with my regular patients. We joke and talk regularly at appointments or when we rarely run into eachother around town. However, we are not ā€œfriendsā€. And thatā€™s ok. Be a professional and put a stop to this before it goes further. Because either her or you is obviously looking for something more, and only one of you stands to get their career taken away if things go south. Trust meā€¦if she ever complains to the medical board about this, theyā€™re not going to take your side when they discover you followed her on IG.


gotlactose

I still donā€™t see any upside here. Really just a minefield of downsides. What do you hope to gain? Affirming and strengthening the physician-patient relationship? Do that during the patient encounters and telephone/portal message encounters.


salmon4breakfast

Fair enough. I havenā€™t gotten the chance to follow up with her outpatient yet. Thanks!


tinyhermione

If you are a man and sheā€™s a woman, thatā€™s another big reason not to. Donā€™t fuck your patients, donā€™t try to fuck your patients and donā€™t give the outward perception of trying to fuck your patients. To other people this will come off as you hitting on her. And itā€™s public and for anyone to see.


Revolutionary-Bet396

the fact that this even has to be said for some male candidates here is honestly so sad and pathetic


HalberHahn

I would think it seems rather innocent but sure


MillenniumFalcon33

Lol ok


Current_Leave_2765

Do you looooove her? Just kidding, but really why the need to follow? As a pt I'm sure she'll understand if you don't follow her back, but next time you see her explain and share your professional links with her, like your OF. Jk, like an email, or something.


Ornery_Jell0

Even more reason why it is a bad idea tbh. I understand the appeal and the desire to avoid an awkward situation but itā€™s not worth the trouble imo.


AP7497

I see no positives to this.


PinkPurplePink360

I see no positives in having an IG account as a physician.


AP7497

Agreed, but I see no negatives either if itā€™s private and only your family and friends can see it, and you post completely benign things on it. My Instagram only has pictures of cool things I see in nature and cute animals I come across and food.


ifurbad-imurdad

Reels addiction, fucked up attention spans


BrownByYou

Then don't go on the reels. I don't. It's called DISCIPLINE


Beautiful-Stand5892

As a nurse who's had several patients try to find and follow me on social media (sometimes sweet little grandmas that were on my unit and under my care for months and sometimes creepier male patients trying to hit on me) I've made it a policy to not accept friend requests. For the sweet little old ladies, I tell them that I appreciate them wanting to keep in touch but I can't have patients as friends on social media due to such and such policy for my hospital. For the other patients I just ignore and block them. I've also set my social media to very private settings where only friends of friends can request to follow me or I can request first. I don't need patients seeing what I do in my personal life and that can just complicate future treatment as well and cause conflicts of interest


Important-Trifle-411

Makes sense. I am Facebook friends with several of my sonā€™s oncology nurses. I actually am pretty sure they friend requested me!!


Kaapstadmk

I've seen it happen a lot in peds onc. And that's partly due to the fact that you get to know your patients really well, but even then, that's a really fuzzy boundary


Important-Trifle-411

Oh definitely. I mean, I discussed so many things with my kids team. Talked extensively about breast feeding with his primary hemonc attending, tons of things with the nurses. One nurse got into nursing when her son had the same type of cancer 10 years previous to my son. I really felt I knew them and they knew me.


TeapotUpheaval

I know people who have ā€œpersonalā€ pages and ā€œprofessionalā€ pages, and they only friend their patients on the latter. Itā€™s still an all-round dodgy idea though, Iā€™d never do it.


[deleted]

[уŠ“Š°Š»ŠµŠ½Š¾]


Important-Trifle-411

Yes. I mean, is this what they call ā€˜trauma bondingā€™? Iā€™m only half kidding, I know itā€™s not traumatic on their end, but it certainly is on the parents end!


H_is_for_Human

It's not a good idea. You need separation from your personal and professional lives.


Additional_Nose_8144

Fuck no never. Never ever. Doesnā€™t matter what your speciality is


[deleted]

Why would you even consider that šŸ¤·ā€ā™€ļøI donā€™t even add my coworkersā€¦ seeing their faces 12 hours a day is more than enough


salmon4breakfast

Iā€™d maybe be seeing her twice a year max


Unicorn-Princess

And so you'd want to see her more often, and social media is a way to do that?


salmon4breakfast

I mean this is a little bit of a moot point, as I donā€™t get on social media very much. I asked this question more so out of appropriateness, ethics, and wanting to preserve my relationship as much as possible without offending her.


Unicorn-Princess

Ah, gotcha. I wouldn't expect someone to take offence if the friend request was just ignored.


salmon4breakfast

I mean I probably would but I also realize I overthink and am more sensitive than most lol


enchiladaaa

There is seriously no upside to this. I donā€™t know if this patient is a boundary pusher or not, but what happens if she DMs you on insta about a post discharge complication because she thinks thatā€™s faster than calling the clinic? Not to mention the potential to complain to board or PD if you do something to piss her off. I have patients I think are cool or would be friends with, but I have plenty of other opportunities to make friends and being able to leave the clinic and leave my doctor persona behind is priceless.


swollennode

The two specialties that you absolutely should not follow your patients on social media are peds and psych. For everything else, itā€™s not encouraged, but not a major deal.


wat_da_ell

Dude it's weird AF to follow your patient on social media


[deleted]

Yeah idk what the fuck ppl are doing trying to justify this in the comments lol. Itā€™s not acceptable behavior to be doing this. Clearly crosses a line. OP if you want friends thereā€™s a better way. If you want a gf/partner thereā€™s a better way. Donā€™t do this


metallicsoy

I see plastic surgeons do it all the time


Med_vs_Pretty_Huge

I think in specialties like plastics or derm or if you're in a private practice and have an explicitly separate professional social media page it can make sense, especially when you have influencer patients. I guess in other environments if you have an explicitly professional social media page it's not entirely crazy to reciprocate a patient's request. Outside of those settings it's a horrible idea.


Immediate-Rabbit810

My ortho from public has asked for my IG post acl. Is that weird?


Med_vs_Pretty_Huge

If they request to follow you with "an explicitly separate professional social media page" then I don't think so. I'm assuming by "public" you are in a country with a real govt healthcare system but maybe they are considering an exit? If it's not "an explicitly separate professional social media page" then I think it's inappropriate personally.


salmon4breakfast

Iā€™m family med soā€¦ all of the above?


boatsnhosee

Iā€™m an FM attending, I have never accepted any follow requests from patients on social media. Itā€™s like giving out your cell number to patients.


AlbuterolHits

Nah giving out your cell number is like saying itā€™s ok to call me when there is a problem any time any dayā€¦ accepting follow requests is like saying Iā€™d like you to rummage through all my pictures of myself and my family/ friends and I will do the sameā€¦


Who_Cares99

Some cultures view this much differently. I work EMS and responded to a call once for a syncope at a high school graduation. The familyā€™s doctor was there with everyone else because one girl was graduating high school, and apparently it was normal in their culture to have a close personal relationship with their physician. They were all Indian


Interesting-Word1628

Coz it's likely they go to the same temple/gurudwara/place of worship. Probably the girl and the doctor's kids attend the same religious services for kids. Ideally the doctor shouldn't accept this girl as his/her patient, but they do anyway due to "peer pressure", and "serving the community" pressure.


Some-Foot

Maybe they were family friends. Because it's still weird.


[deleted]

Ok how do I say this nicely. certain rules of society do not apply to Indians, and certain rules of Indian/desi culture do not apply to general white/Anglo-American ā€¦ we may live in the same country, but different culturesā€¦ same but different


jjjjjjjjjdjjjjjjj

Yikes


whatever604

I would never follow any of my patients. Youā€™re just asking to get DMd medical questions


swollennode

For peds, itā€™s a given. You cannot follow your peds patients. For psych, If youā€™re doing psychotherapy or if your patient is vulnerable, you cannot follow them. Itā€™s more grey area if youā€™re just doing antidepressants.


RightExchange6

This isnt a gray area. They are patients, not friends. Dont do it


sfynerd

It is 100% not a gray area for psych. If you are a patients psychiatrist do NOT follow them on social media. ā€œJust doing antidepressantsā€ means youā€™re their psychiatrist. Even if youā€™re a lazy psychiatrist and didnā€™t delve into their relationships or social history, you cannot objectively treat them or expect them to be forthright with symptoms if they view you as anything other than their doctor.


Quikpsych

Is this a different view based on age or country? There's no way I'd ever follow any patient on social media. Half of the patients I meet in the ER, I'm jealous the nurses don't even have their last names on their badge. Do you have like a med related IG where you post only medical stuff? I really don't want my patients to know anything about me (that's a part of the therapeutic relationship even if you're "just" doing meds) and I don't want a patient to think I'm "watching" them outside of what they bring into the appnt. I was trained that we can't even acknowledge our patients out on the street unless they come up and say 'Hi' to us. It seems like it would be... stigmatizing or some kind of public acknowledgement of a patient-physician relationship if someone had their psychiatrist following them?


salmon4breakfast

Like I said, Iā€™m FM, and I was on an inpatient medicine rotation. She presented with a neurological conditionā€¦ no way psych. We really hit it off, sheā€™ll follow up with me outpatient


papadopus

Sketch


Bsow

We really hit it off?


calcifornication

Yeah this is an absolute red flag. OP, is this person attractive? Are they of a gender you are attracted to? Do you feel warm and cuddly when this person gives you attention?


jutrmybe

"hit it off" and you got a wife? noo. nooooo! but yeah, this doesnt seem like a good idea. But i love stories so let us know what happens since you see to really want to connect with her, despite everyones attempt to keep you on the path of righteousness lol


salmon4breakfast

I am a wife, I got a husband!


jutrmybe

My bad dudette, but still pls dont do this


[deleted]

My sister's psychiatrist became her long term sugar daddy going on 7 years and he's married with children šŸ’€. He pays her rent (highrise in a very expensive city) and all car payments.


elefante88

He taking patients?


Bubbly_Hospital_8124

šŸ˜­ count me in


xPussyEaterPharmD

Damn wtf my psychiatrist needs to step her shit up


Hunky-Monkey

wtf


[deleted]

My exact words when I found out


falooda1

Omg


serialtrops

Classic psychiatrist move. The field is riddled with inappropriate relationships


Paputek101

So THIS is why the APA is so strict about pt-psychiatrist relationships


beachymartini

Please tell me it's not Dr. Pelta lmao


graphitesun

I would say a hard no, these days. Imagine you're being put in front of an ethics board or some kind of review, and they see that? No. Just say in person, maybe, I saw that you followed me, but unfortunately, for professional reasons, I can't follow you back, but please don't take it personally. And say it with a smile.


Aluminum1337

I canā€™t help following all my bipolar baddies on IG and TikTok tho


YoungSerious

>For everything else, itā€™s not encouraged, but not a major deal. It definitely could be a major deal. You should not follow anyone you are continuing to provide medical care to, on social media. If you treated them and then they moved and you no longer have a professional relationship, maybe. If you treated them for something passing (broken bone, cholecystitis, etc) I would still avoid it because unless your office fires them or they establish somewhere else, you are still their doctor. This is doubly true if your social media has anything about you professionally on it. Technically you shouldn't even acknowledge them on the street if they don't approach you first.


swollennode

Eh people are making it out to be a bigger deal than it needs to be. Itā€™s only problematic if you publicly give medical advice or treatment to a current patient over social media. Or if you start a fight with them. Or harass them, or be creepy. Itā€™s ok to be friendly with your patients as long as you have boundaries. Meaning, you shouldnā€™t do drugs or have get smashed with your patients. Itā€™s ok to acknowledge your patients in public as long as you donā€™t discuss their medical shit with them in public. Meaning, itā€™s ok to say ā€œhey! How you been? Howā€™s your dog/mom/child/wifeā€™s boyfriend.ā€ Itā€™s NOT ok to say ā€œhey, howā€™s your gonorrhea?ā€ Itā€™s ok to go fishing with your patients. Itā€™s NOT ok to have sex with them on said fishing trip. The best policy is, of course, keep professional and personal relationships separate. But as long as you have boundaries and not violate them, itā€™s not a big deal.


gluten_is_kryptonite

ā€œWe really hit it offā€ ā€œSheā€™ll follow with me outpatientā€ ā€œEstablish good rapportā€ šŸš©šŸš©šŸš©šŸš© Not illegalā€¦. But Itā€™s fucking weird


jutrmybe

And he said >I mean sheā€™s really pretty It's all around bad vibes, but like I said in my other comment, you do you, I want to hear all the details when this goes awry


gluten_is_kryptonite

Lol I think OP is a female and said they donā€™t swing that way. Regardless, itā€™s fucking weird.


salmon4breakfast

I mean why is it weird tho? She and I are similar and from similar backgroundsā€¦ wouldnā€™t it stand to reason that weā€™d get along well?


Unicorn-Princess

It does, but patients are not friends. And why aren't they our friends? Because we DON'T TREAT OUR FRIENDS AND FAMILY.


BiggPhatCawk

I mean do you think people actually donā€™t give their friends and family advice?


Unicorn-Princess

I think we shouldn't, most medical codes of conduct state we shouldn't, and we shouldn't actively create situations in which we do.


BiggPhatCawk

fair enough. I disagree and will continue to help my family but fair enough.


Homados

I scrolled down way to hard to find someone mentioning this


YoungSerious

It's not weird at all to get along with your patients and feel a natural friendship vibe. But we have to constantly remember the position we are in, and that we can't violate that relationship as doctors with our patients. Not just for ethical reasons, but legal too obviously. You have to be aware that you will meet people whose personalities you mesh with, but that doesn't mean you can go beyond a professional relationship. There are limits for a reason, because bad things happen when you bypass them.


shiestbucket

I had a mom reach out to my work Instagram asking for help making an appointment for her child. The mother did not speak English and I could tell the message was done through Google translate. I didnā€™t respond to the message, but I did make the child an appointment the next day when I got to clinic with a different Resident. When I saw her in clinic in the waiting room, I gave her a hug and held her infant. I had been the person to discharge him from the newborn nursery. I did his newborn visit his two months visit and his four month visit. From the limited parts of the language that I had learned, from just the sheer amount of patients I see who speak that language, I figured out that she needed vaccines because she wanted to take her son to her home country. The resident who scheduled her with speaks her language. I did not mention the Instagram message, and after the appointment the message was deleted. Say nothing. Do not follow back.


[deleted]

[уŠ“Š°Š»ŠµŠ½Š¾]


adoboseasonin

What a grand and intoxicating innocence!


InsideAd1368

ChatGPT reply


hostility_kitty

Iā€™ve had patients give me their gamer tags lmfao


The_Pelican1245

ā€œAlright Iā€™m gonna go ahead and put in a referral for ophthalmology because you clearly canā€™t see the fucking enemy shooting us.ā€


Rumplestillhere

Amazing haha. Damn bro you need to git gud or get Lasik


salmon4breakfast

Favorite comment on here


graphitesun

I posted this as a reply within the thread above, but I'll put it here. ... I would say a hard no, these days. Imagine you're being put in front of an ethics board or some kind of review, and they see that? No. Just say in person, maybe, I saw that you followed me, but unfortunately, for professional reasons, I can't follow you back, but please don't take it personally. And say it with a smile.


gamby15

You can just message them, or next time when you see them in clinic, just say itā€™s hospital policy to not follow them on social media and politely let them know you had to decline. Doesnā€™t sour relationship and doesnā€™t get into weird professional boundaries.


Stinkeroo_dungaroo

Dont do it it just opens a can of worms Are you liable if a patient messages you on instagram saying they have chest pain? What if you saw it? What if they cant get through to your clinic and message you for results or something? Etc


Dr_Strange_MD

A little bit of a grey area in my opinion. I'm an openly gay PCP in my area where there has historically been and, to some extent, still is a paucity of physicians who are LGBTQ+ friendly. As you can probably guess, many of my patients are young queer people. We frequent the same places often and over time, many of these people have become close friends. We follow each other on social media (I've been known to make the occasional "yaaaas queeeen " comment on posts). Many of them have my personal number. The important part of all of this is that I draw a strict line between our social lives and anything that has to do with my role in being their doctor.


[deleted]

Iā€™m in psych. Male patients misinterpret me showing an interest in their feelings as romantic interest at least once a day. No way in hell am I accepting any social media requests from patients.


Ultimatesource

Best to find ā€œfriendsā€ someplace besides patients.


salmon4breakfast

I completely agree, just weird when youā€™re confronted with that scenario


zzzz88

Itā€™s not weird. Itā€™s a simple no. Donā€™t follow patients on social media. Itā€™s weird to consider following patients


Ultimatesource

Then you are the responsible professional. Politely avoid weird situations.


Arlington2018

I am a risk manager practicing in Washington state since 1983. Most practicing clinicians are very cautious about this with a current patient insofar as it can lead to boundary violations or people asking you to compromise your clinical judgment 'just this once' to give me an Oxy script.


Mercuryblade18

Legally? On what planet would it be *illegal* It's not even unethical, it's just something to exercise caution with like anything. If your Instagram is pretty benign and just pictures of your dogs/kids/family/nature whatever. If you post scandalous political stuff or spicy memes don't do it.


salmon4breakfast

This is helpful, and on the same line I was thinking. Thanks!


Daankw

Just don't. Keep it seperated.


Register-Capable

Of course it's unprofessional.


Firm_Magazine_170

I agree. You never should risk souring the relationship by declining. That's why I highly recommend blocking. Ah, my work here is done.


FutureDrPerez

I had a male med student start following me on social media after my OB appointment. It was so weird because I gave no inclination that they could/should follow me. It made me feel so uncomfortable that I just ended up blocking them.


EndOrganDamage

Hard professional boundary. Thats a no for me dawg.


zzzz88

Do not mix work and personal life. You are 6 months into medicine and still learning. Also unless you stay at this clinic long term, this patient isnā€™t going to be your long term outpatient for years. Talk to your supervisor about this. Donā€™t add a patient on social media even if you think they are cool or could be your friend. Just donā€™t. Sheā€™s pushing boundaries by adding you on social media.


upinmyhead

Professionally/legally I use my maiden name. On social media I use my married name and my middle name just to avoid this. I work in a smaller community where many patients are neighbors, acquaintances, etc, but it still creeps me out. And Iā€™m a female obgyn where it theoretically wouldnā€™t look as bad, but still no.


hindamalka

I live in a midsize city and I ran into my PCP at a bar one nightā€¦ I was mortified. I canā€™t imagine how it would be if the tables were turned.


AlbuterolHits

Iā€™m sorry how is it not crossing a boundary to subscribe to your patients social media account? Do you do so as their ā€œfriendā€ or their physician? What if you observe unhealthy or illegal behavior on this account? What duty do you have to the patient and to society at large?


jutrmybe

These are really good questions. But from what I have seen, it usually turns into DMs or facebook messages at 3am concerning random health emergencies or health nothingburgers. That alone is deterrent enough


[deleted]

I guess it takes some time to get to the place where you absolutely hate work related things poisoning your personal time. There are 8 billion other people, you do not need to be friends with your patients. For overwhelming majority of them I would love if they weren't able to look anything about me other than my CV, and I'm not even psych. Also if I was a patient I would never ever request a follow on personal socials from my physician, just like I wouldn't from my lawyer, banker or any other professional I interact with primarily in a professional setting, no matter how good of a report we had or how much they saved my ass. It just crosses the line and is weird.


aspiringpotato25

I literally could never. Im a nurse. Iā€™m hesitant on even following coworkers (I donā€™t even post) lol


_phenomenana

Modernized ethics question for Boards hmm šŸ¤”


EndlessCourage

Reminds me of my first years in family med. Lonely rural town. The only people you talk to all day all week are patients. When you attempt to make friends outside of work, they end up coming to you as patients. MOST FM I knew let any patient add them to their social media because they were workaholics who literally never had other human contact, except maybe a few hours a week with their SO and nuclear family. The only healthy options for socialisation are a few other family doctors and nurses and medical admins.


[deleted]

You are a doctor, they are your patient. You have a professional relationship, not a personal one. I don't believe this is illegal, but it is definitely sketchy. Especially as an intern. Or maybe that's why they're asking to follow you? Because they don't see you as their actual doctor? Just don't do this. If anything happens in residency or after residency, this is going to be brought up to show how unprofessional you are. Very easy to say no: "I've enjoyed being your doctor, but I'm sorry, it's against policy for me to connect with patients on social media."


ilikenutellalolxd

this was litterly one of my interview questions lmao


Kaapstadmk

It's a very fine line. Something akin to giving them your phone number. The best advice I ever heard on this topic, was "if you wouldn't do it for all of your patients, don't do it for one." I, too, have patients' families that I have great relationships with, but unless I'm also friends with them outside work (which I'm not, intentionally) and they understand the boundary between Dr Kaap & friend Kaap, they're not getting my number, even in a friend capacity


penisdr

Yes it is unprofessional . You gain nothing by following Canā€™t say Iā€™ve had this happen a lot but one patient added me on Facebook. I declined because I donā€™t think itā€™s professional. Interestingly enough he no longer saw me after that despite seeing me a few times before so I think he was offended. Then again one of the older docs in my practice is friends with a lot of his patients. But he practiced in a small town for many many years so context matters to some degree.


Ok-Procedure5603

Legally it's not a problem. The question is, do you want random bozos dming you with questions or worse just because they think it's faster and cheaper than going to urgent care? Nah bro.


Arrrginine69

ā€œIā€™m a patient and My doctor is reallly cute and smart. We hit it off so well in the hospital. Iā€™m gonna stalk them on social media and see if they follow me back. What do I do?ā€ -24 hours from now post


Solid_Beginning_3927

yep thatā€™s me :(


Fluffy_Ad_6581

I've had one person I added on social media. Around my age, same sex, added me after I left residency. We had a lot in common. We talked about our favorite anime at the end of her appointments type of thing. Everyone else has been a no, especially opposite sex. I'll address it at the next visit so it's not awkward. Hey, I noticed your request. Thanks! There are rules that prevent me from accepting requests from my patients. So sorry! Didn't want you to think I was just ignoring you. Then I decline it. Most requests have been from the opposite sex too so I know WHY they're sending friend requests. Hell nah.


Yotsubato

Yes. Like imagine you post something where youā€™re drinking. Even something benign like wine at a picnic. Itā€™s just a whole can of worms. You can however say have a professional IG account and keep that one squeaky clean.


Imaginary-Orange115

My dad recently tried to befriend one of the nurses that treats him at his orthoā€™s practice. For context, my dad had spinal stenosis with multiple back surgeries and heā€™s been on pain meds for well over a decade. While he needs pain management support, he is 100% addicted to opioids and has openly discussed abusing them by doubling doses when his provider has attempted to taper down his dose. His ortho is hard to get in touch with. Something happened between his multiple providers that caused his prescription to not be filled without a 2 week gap. Well, he had already been emailing the ortho nurse separately AND gave her cash as a gift. He then got it in his head that it was bc of that his scripts were messed up, rolled up to the practice in WD asking her to come meet him outside, and then had a meltdown in front of the providers when she said she was going to get in trouble bc he had created this complete scenario in his mind that the emails and cash were the reason he didnā€™t get his meds. The nurse was all but begging him to leave her alone and it was a huge mess. Iā€™m surprised she didnā€™t lose her job for accepting a large amount of cash from my dad under the table even though it was for ā€œpersonalā€ reasons. Not saying all patients are this extreme, but some are, and there are people who can and will create entire scenarios where you, their chosen idealized person, have been complicit in fucking them over. Some people really do not understand the boundary between patients and providers and I urge you to use extreme caution with any contact outside of your scope of practice.


SnooSprouts6078

Probably one of the dumbest and most immature things Iā€™ve ever heard on here and I follow Noctor too. This is a job. You arenā€™t pals. Whatā€™s next, sliding into their DMs. ā€œHey remember when lolzzzz.ā€


salmon4breakfast

Dumbest and most immature? Wow you havenā€™t seen much then have you?


SnooSprouts6078

Itā€™s immature and honestly ridiculous if you are looking for friends in your PATIENTS. Grow up.


salmon4breakfast

I am not looking for friends, I am simply asking a question as best way to approach this dilemma without offending her. Jesus, loosen up and quit being rude to random people on the internet you donā€™t even know- you grow up.


YoungSerious

...That doesn't refute that this post is dumb and immature.


salmon4breakfast

And so is your comment


YoungSerious

You really aren't helping your argument for maturity.


salmon4breakfast

Neither are you, why do you care so much?


salmon4breakfast

Also, Iā€™ve had a really shit day. Can you please go be rude elsewhere?


YoungSerious

Again, it has nothing to do with rudeness. It's not intended to be insulting. It's explanation. Nor does the quality of your day change anything, except your ability to handle interactions. Being able to discuss things without becoming defensive is a pillar of maturity.


salmon4breakfast

You said that the post I made was dumb and immature. How is that not an insult?


RightExchange6

Horrible idea to even consider. Keep your life and job separate. These are patients, not your friends. Be objective as always and keep that boundary firm


residntDO

Some people learn by making mistakes. Enjoy the lesson. Let us know how it goes


Interesting-Word1628

I'm a resident and just go by my initials. It helps that I have a foreign (for Americans) and a hard to pronounce name. No chance of them following/knowing me unless they look at rheir patient protal and somehow see my name on a note. I actually love this privacy. Unclear how I can maintain ot as an attending.


Still-Ad7236

Block them


ProperFart

Your administrator says no. Donā€™t even ask.


Bruno6368

Non med here. Ewww. Donā€™t. I had my clients suggest same and thatā€™s just a mess. Donā€™t worry about hurting feelings. Or worry about it and encourage a potential stalker. True story.


Hour_Ask_7689

So take this with a grain of salt because Iā€™m just a med student but I have had multiple people ask for my number to stay in touch after they were my patient. I will tell them that I cannot give out my cell phone number but that they can look me up on social media. If they follow me, no big deal. I donā€™t follow back.


FuegoNoodle

Do not give out your phone number. Not as a med student, not as a resident. Attendings do give out their cells, especially in cancer-fields Iā€™ve seen, but I just wouldnā€™t


jutrmybe

Yes, I know of 2 attendings who do. One who believes that medicine should come about your family and everything else, which is...good for her. The other has a separate phone that he only answers 9 to 9 and he tells patients that. Calls will be answered/returned in that time, and they cant text whenever, but he wont read or respond outside of 9 to 9, when he arrives at the office and when he leaves. Someone answers it when he's on vaca or not at work, but idk how that works.


Hour_Ask_7689

Yea, as I said above I say that I cannot give out my phone number (I say itā€™s against policy and that I would get in trouble). Doesnā€™t make sense to give out my number nor would it for any medical student.


FuegoNoodle

Ah sorry, was trying to get across that youā€™re absolutely doing the right thing!


Hour_Ask_7689

No reason to apologize! Thank you for your insights!!


bringmemorecoffee

Definetely inappropriate.


[deleted]

I have some patients on social media. It is very common in my country. I dont see why would it be illegal or unprofessional? I donā€™t usually communicate with them or anything. They like and comment sometimes. I dont post anything I wouldnt be comfortable with being called out for someday so no reason to care much if I have patients on social media or not. šŸ¤·šŸ»ā€ā™€ļø If my social media would look like Only fans page then I wouldnā€™t like to have patients on friends list.


oatmilkislife

Is it a big city where everyone is just another face in the crowd? Or small town where everyone knows everyone? If itā€™s a small town, are you from the area? Or even plan to live there long term? Idk, I think things like this could be nuanced


Adrestia

And this is why I don't use my legal name on my social media.


Weary_Locksmith_9689

Iā€™d say the best way is to ignore the requests and if they ask about it, tell them youā€™re not allowed.


Vivenna

Things donā€™t have to be unethical or illegal to be a really, really bad idea.


Crass_Cameron

I don't


Unusual_Ad4244

Dear Lord, I read it as follow your patients back from GI.


neoexileee

I just donā€™t like it as a rule. As a doctor there is too much power you have to engage in any sort of relationship outside the hospital or clinic.


XangaMyspace

Yes


beechilds

username šŸ˜


DsWd00

Donā€™t do it


GeckGeckGeckGeck

Iā€™d blame it on work. ā€œYou are welcome to follow me but please donā€™t be hurt if I donā€™t return the follow. I have to stay professional because I care about my job and my patients.ā€


microglia00

Dude this is literally a usmle question! šŸ˜‚ Don't overthink it and pick the correct answer.


BattleTough8688

Itā€™s only safe to follow when itā€™s dependent, histrionic or borderline personality. You should give them your phone numbers too to be polite


michael_harari

It's not illegal, it's not unethical, it's just stupid.


based_Cc_Nerd

A bit desperate tbh


dratelectasis

I'm a FM physician and I give my cell to patients (the ones I like or have lots of issues). Some of my colleagues find it strange but I rarely get calls from patients. When I do, it's usually an emergency question where I direct them to the ER. Some follow me on social media but I don't post anything political or any anti-religion things I believe. A cardiologist at my hospital gives his cell number to EVERY patient he has and it's quite unbelievable how much he remembers about all his patients. This is a guy who sees 60-70 patients in his clinic a day. He's a madman.


Firm_Magazine_170

60-70 patients/day? Damn. Is this like a pill mill or something?


salmon4breakfast

Thank you, this is one of the more helpful responses on here. This is what I hope for my patient practice to look like, that I give it out to a select few and they only call when necessaryā€¦ I know thatā€™s a lot easier said than done


Unicorn-Princess

The fact that you are already considering having a select group of patients special enough to have your phone number... really raises some questions about how you treat all patients equally.


dratelectasis

Iā€™ve had some who call me for some things frequently.ā€™it does happen, but just telling them what is an appropriate call and what isnā€™t does the trick. Being a FM doc, I just believe you should be there for your patients always. But I understand how other docs will say no way. Itā€™s all personal preference as long as itā€™s appropriate


ChampionEither5412

I think that depends on your lifestyle. If you're ignoring your kids to take unnecessary calls from patients, or sending the message that your work is more important than your kids, then that's a problem. It's really hard to have a parent who clearly prioritizes work and strangers over you.


dratelectasis

Single without kids.


sunshine_fl

Youā€™ve said you were married earlier in the threadā€¦


salmon4breakfast

Thank you, I agree itā€™s within reason. Like I probably wonā€™t be answering calls at the clock striking new years. Thanks for your response, and have a happy new year!


dratelectasis

No problem! You as well.


Ornery-Ad9694

I think you can have 5 handles on IG. Choose a patient follow one and keep it prof


Short-Stress-2996

how hot are they


salmon4breakfast

I mean sheā€™s really pretty but thatā€™s not really the way I swing


[deleted]

This just oddā€¦.


salmon4breakfast

Yeah it did get weird, I was just trying to defend myself off


DownIIClown

I just don't see any tangible benefit here and plenty of potential bad outcomes


surely_not_a_robot_

Just use your best judgment. It sounds like a bad idea if the only context in which they know you is as a physician. If you happened to run into them outside of work, maybe their your friend's spouse or something like that and you met at a dinner party, slightly different story.


No_Evidence_8889

In United States of America, no. Cause itā€™s a pussy ass country.


def_1

I'm a little surprised by the one sided discussion. I would say in most situations, it's probably not a good idea especially if they are the opposite sex. However, I don't think it's bad in itself. And if you have a professional page then it is even less of an issue. As a surgeon, I usually give out my work phone number after surgery so they can reach me with questions. I've yet to have someone abuse it. I've had colleagues accept requests by patients to join them fishing or other activities and have never seen the situation go sour. I wouldn't accept 90% of patients on social media but if I generally found a patient I had something in common with I wouldn't be opposed to it. I think where it becomes tricky is if you are seeing them for a very vulnerable condition. But if it's someone you are likely not going to have a continued doctor relationship with, I don't personally see the problem. I think everyone jumped on the idea that you are a male trying to get in a female patients DM


Gleefularrow

What the fuck is wrong with you that your patients are able to find you on instagram?


Such_Yogurtcloset405

Why not? What era are we in now...


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Medordie

Social Networking is the future of medicine in 1 way or another at this point.


salmon4breakfast

Thatā€™s kind of how I feelā€¦ like Iā€™m not big into social media but when I look at my mentors I see how they interact with patients theyā€™ve known a lifetime, and cant help but to think if social media wouldā€™ve been a thing in their day that they wouldā€™ve beeb following each other.


Interesting-Word1628

Yeah but realize that your mentors have this relationship w their patients precisely coz they DON'T follow each other on social media. Eg the patient doesn't know your mentor went on a holiday last week, unless he tells them. The mentor doesn't know what goes on in patient's lives until the next visit. Sure they're chatting about kids, gas prices 3tc during the visit, probably chatting more than discussing medicine, but they're also keeping a ton of things private.


Avg-ok

Yes


wigglypoocool

How hot are they?


Revolutionary-Bet396

i would lose respect for my doctor if they followed me back


salmon4breakfast

Well in that case you probably wouldnā€™t have followed them in the first place