One of the aspects of being a patient that many take for granted is their relative anonymity.
In many Canadian provinces, we work in a health "system", which means that in any one geographic area (around 1 million pop) all of the hospitals, long-term care facilities, health service providers, mental health & often public health services are part of the same organization. One organization I worked for had over 20,000 employees.
For patients, this can mean more integrated care, consistent policies & electronic record sharing - kind of like a restaurant chain - you know what you are getting, no matter where you access service.
The downside I have learned happens when you (as a professional) become a patient in your system. Having worked with the vast majority of department directors, managers, vice-presidents, medical officers of health, and specialist physicians, I don't can't just "blend in", I am not invisible.
No matter which site I go to for care, there is a good chance that I am going to run into a colleague. The thought of having to explain my miscarriage, depression, overall illness, resignation and entry in to the PhD program is more than I want to get into with most people. To be candid, I feel like I failed, in that I could no longer keep up with my work demands during the worst of my illness.
Next week I am going to be seeing a specialist in a city about two hours from my home. It's going to be nice to be where nobody knows my name.