 [ Symptoms ] i am due for my next round of chemotherapy but just learned i have neutropenia what is this and what does it mean [ Disease ] i think the patient has a right to expect attentive post operative care and post operative care with a lot of forethought meaning that the doctor is prepared me for what to expect so i am not worried and second has given me all the things i need to provide my own home care everything from little creams for the skin to dressing supplies to pain pills to sleeping pills to anti bruising pills not just say we will see you in a week good bye in other words you have got to counsel the patient and then i believe to best serve that patient give them what they need do not say here is a prescription if you have some pain and then the patient is family has to stand in line at a drugstore at 3 in the morning because all of a sudden they are uncomfortable no the better practices give the patient a kit a bag that has in it everything that they would be expected to need and if the patient said you know unfortunately i have got a history of having nausea after i have had previous procedures we do not want them to have nausea we do not want them to have vomiting because that can interfere with their comfort and also even has a bearing on the outcome so you prescribe an anti nausea medication and say guess what we are going to give this to you even before you go to sleep for the surgery in other words always thinking ahead what to expect and convenience and service to the patient why should the family have to worry about the pain medicine no this is all laid out ahead of time and when the consultation takes place issues of pain and pain control should come up so we are prepared 11 we ask the patient have you ever have surgery yes did you have any problems with surgery did you have pain did you have nausea did you have vomiting that is the time for these things to come out and when the patient says let me tell you something i took tylenol with codeine and i felt terrible i was nauseated it did not agree with my stomach well we are not going to use tylenol with codeine we are going to prepare and we will have a substitute in the bag ready for them so they do not have to worry about it so i think the patient is entitled to as much as attention to detail after the surgery as they are during the surgery where every stitch should be put in with attention to detail this is all about detail if a doctor is not detail oriented and compulsive probably will not have as gratifying a career