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Empathy in medicine essay
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Patients have long lamented that their doctors do not truly listen to them. A new emerging discipline, Narrative Medicine, seeks to rectify this problem by teaching both medical students and doctors alike the value of empathy and through the use of literature how to listen, dissect, and reconstruct patient’s narratives. Although Rebecca Elizabeth Garden and Rita Charon, agree on many aspects of Narrative Medicine, Garden tends be more critical and points out more flaws in her work entitled “The Problem of Empathy: Medicine and the Humanities,” whereas Charon cites the numerous benefits of Narrative Medicine in “Narrative Medicine: Honoring the Stories of Illness.” Although Narrative Medicine is beneficial because it allows doctors to develop empathy, one should also realize the many potential pitfalls and complications that arises. In the medical community there appears to be a divide between disease-centered care and patient-centered care. Both Charon and Garden, readily acknowledge this. Charon explains how although doctors can boast in their “impressive technical progress,” and “their ability to eradicate once fatal infections,” doctors often lack the abilities to recognize the pain of their patients and to extend empathy (3). Charon further adds that “medicine practiced without a genuine and obligating awareness of what patients go through [empathy] may fulfill its technical goals, but it is an empty medicine, or, at best, half a medicine” (5). Often, doctors fail to remember that their patients are more than just a person with cancer or a congenital heart defect — they are human, a whole person with dreams, aspirations, and fears. According to Charon, “scientifically competent medicine alone cannot help a patient grapple w... ... middle of paper ... ... opinion of others too empathetic. After tirelessly fighting with an insurer over the phone, Dr. Schiff handed a desperate patient the $3 needed for her pain pills. This is not Dr. Schiff’s first act of kindness. His past “infractions include helping patients get jobs, giving them jobs himself, offering them ride homes, extending the occasional dinner invitation and, yes, once handing over a computer.” Dr. Schiff believes that he is not crossing the border as Dr. Seldin’s borders just contain “technical tasks.” Dr. Schiff draw’s his borders so he can help his’s patient’s health by helping the whole patient. While Charon whole-heartedly endorses Narrative Medicine, and narrative knowledge as the means to radical change of the practice of medicine, Garden takes a few steps back to objectively assess the issue. Garden goes all the way back to the eighteenth century to
I often ask myself, “Can I handle it?” I learned from other doctors that in order to provide the best care, a physician must be able to detach himself or herself from the patient; they say it would be better for both the doctor and the patient. But, with that kind of thinking, the doctor is not fully giving himself to the patient. So, is it right to not fully give oneself to care for the patient? Learning from Patrick Dismuke and those who loved him, it seemed that the hospital was able to care for him best by loving him. Nurse Kay, Patrick’s favorite nurse, not only answered his late night calls, but enjoyed talking with him. This always calmed Patrick down before and/or after surgery. Dr. Aceves was always optimistic and hopeful for the future of Patrick’s health, never giving up on him by pushing for surgery. He did this because he knew Patrick all 16 years and was emotionally attached to the boy, even though Patrick did not feel the same way. Thus, though I can understand that a physician must put a wall between himself or herself and the patient, there should still be a strong connection in which they would do anything for the patient’s comfort and
Dr. Atul Gawande, a Harvard Medical School graduate and writer for The New Yorker, phenomenally illustrates the unknown side of healthcare professions in his book, Complications: A Surgeon’s Notes on an Imperfect Science. By exploring the ethical and analytical aspects of medicine while entertaining readers with relatable anecdotes, Gawande impresses on his audience the importance of recognizing the wonders of the healthcare field, as well as the fallibility of those within it.
This quote centers Henrietta Lacks’ story around the same questions that have driven the Doctoring course: What does it mean to care for others? And how do we ensure that we care for our patients first as people, rather than as a disease? In many ways, Henrietta Lacks’ story is a textbook case in how not to be a good physician. In examining and learning from her story through the lens of Doctoring, we can inform our own practice and
Jamison describes another medical figure in her life that she referred to as Dr. M. Dr. M was Jamison’s primary cardiologist, a figure who is involved in some of the most intimate details of Jamison’s life. However, Jamison describes Dr. M by saying she, “…wasn’t personal at all” (14). Dr. M would actually record personal information about Jamison on a tape recorder, however, Jamison would hear Dr. M referring to her as “patient” instead of by her name. This example demonstrates that Dr. M was indeed putting in the minimal effort needed to keep her clients, however, no additional effort was put into the process of learning about her patients. Jamison says that, “…the methods of her mechanics [were] palpable between us…” (18). Dr. M would not even put any effort into disguising her lack of interest of getting to know Jamison. This atmosphere of apathy that is exuded by Dr. M naturally causes Jamison to retract from Dr. M, which creates an environment that is not good for cultivating
William Carlos Williams’ passion and dedication of medicine can be seen through his literary contributions of short stories and poems. The Doctor Stories use interior monologue in a stream-of-consciousness as a tool to reflect each narrator’s experience and gives insight into the character and his appraisal of each of the situations encountered. It is through this stream-of-consciousness that we come to realize the observational nature of this doctor’s actions and thoughts.
I had the opportunity to read “Doctors” by Anne Sexton. My initial reaction to this text was that the poem is endearing, Sexton truly grasps the nature of not only doctors but also everyone who is involved with the care of a patient, from the doctors and RN’s all the way down to the CNA’s and Dietary Aids. All work with “herbs” whether it be a Doctor giving out painkillers or a Dietary Aid bringing a warm meal with a smile, all factors go into the “gentleness” and “do no harm” so that the patient will get better.
Almost doctors and physicians in the world have worked at a hospital, so they must know many patients’ circumstances. They have to do many medical treatments when the patients come to the emergency room. It looks like horror films with many torture scenes, and the patients have to pay for their pains. The doctors have to give the decisions for every circumstance, so they are very stressful. They just want to die instead of suffering those medical treatments. In that time, the patients’ family just believes in the doctors and tells them to do whatever they can, but the doctors just do something that 's possible. Almost patients have died after that expensive medical treatments, but the doctors still do those medical procedures. That doctors did not have enough confidence to tell the truth to the patients’ families. Other doctors have more confidence, so they explain the health condition to the patients’ families. One time, the author could not save his patient, and the patient had found another doctor to help her. That doctor decided to cut her legs, but the patient still died in fourteen days
Gawande (2002) writes: “As pervasive as medicine has become in modern life, it remains mostly hidden and often misunderstood. We have taken it to be both more perfect than it is and less extraordinary than it can be.” (p. 8) His book explains this idea, that medicine is both over and under-estimated, in three parts: “Fallibility,” “Mystery,” and “Uncertainty.” In each he gives personal stories, exhibiting medicine as an imperfect science.
Throughout the novel, readers were exposed to many factors that engage with a physician’s life. Humans value love, respect and honesty in a relationship. No matter the hardships, a relationship is indeed the resource to overcome a conflict. Conflicts may also arise from the relationship itself, however, it does not mean to give up. Perceptions of others change an individual’s decision-making process and in turn may lead that individual down the wrong road. It is evident on a daily basis that relationships often become obstructed as the desires of an individual becomes conflicted with the perception of culture and family views. "Bloodletting and Miraculous Cures" by Vincent Lam displayed to the reader, in-depth, that life has its struggles. Never give up, because giving up will lead to a dead cause.
Morace, Robert A. “Interpreter of Maladies: Stories.” Magill’s Literary Annual 2000 1999: 198. Literary Reference Center. Web. 6 Apr. 2010. .
Doctors also played a significant role in these stories and poems, and were presented in a different light in each of the works. In some cases they were portrayed as unsympathetic and distant and in others, they were killed trying to save lives. The burden of caregiving was also played a significant role in the stories and poems, as the people caring for the sick also have their share of troubles and pains. Lastly, unlike medical texts, these works of fictions and poetry illustrate that they were able to show the emotional aspect of an illness and how it has an effect on everyone in some way. These literary works illustrate the tolls and burdens that come with both having and caring for illnesses. They also support how doctors should interact with patients, and the ability of fiction and poetry to shed light on topics that a medical text
I had been assigned to a 96 year old patient with a diagnosis of failure to cope. Prior to entering the patient’s room I had made a mental assessment through my personal research and verbal report that he was known to be a non-compliant agitated patient. Although the patient was already labeled as a difficult patient I did not allow this to cloud my own personal judgment when meeting with the patient. While providing morning care I began to engage with the patient through conversation and shortly learned that the patient was still grieving the loss of his wife from 9 years ago, they had been married for 65 years. By showing empathy and listening to the patient explain his story I was able to develop a therapeutic relationship with the patient where trust was built and nursing care was provided efficiently. I wanted to further explore the impact empathy has on nursing care in such setting as acute care, and how vital this is to the human
BACK THIS PART UP WITH FACTS. Dr. Jason Posner, a former student of Professor Bearing, presents as an enthusiastic doctor, driven by his passion for his cancer research. Dr. Posner speaks about his patient as though she is nothing more than an interesting medical case, showing little to no interest of her emotional and psychological wellbeing. In a study on the qualities of a compassionate nurse, Kret (2011) found, “A better understanding of the patient must be reached in order for the nurse to care for the patient in an effective, meaningful way”. Jason’s lack of interest and empathy toward Vivian as a human being greatly affects his ability to foster a therapeutic relationship. Dr. Posner often chats excitedly with his colleagues about Professor Bearing’s medical condition and progress, without speaking to her directly; with the exception of the obligatory “How are you feeling today, Professor Bearing?” (Bosanquet & Nichols, 2001) a question often muttered in passing. Dr. Posner pays no attention to the tone of Vivian’s universal, and often pained response, “Fine.” (Bosanquet & Nichols, 2001). By being unable to identify with his patient and share her experience, Dr. Posner is lacking the key components of empathy. This lack of empathy is impeding the development of a therapeutic relationship between
In “The Empathy Exams,” Leslie Jamison examines the level of empathy and the way to approach it more than by just saying a word or showing some kindness and call it empathy. In the first place, the narrator, as a medical actor, tries to understand the character in the script and grades medical students referring to the trope of expressing empathy to a patient. Then, she delves into the meaning of the word that empathizing is something we perhaps can easily utter, but in fact, it is very complicated to understand other people’s experience and feelings. The last two paragraphs of the essay almost sum up the whole essay by repeating the narrator’s feelings and the process of thinking all the way through her sufferings which make her understand the character in the script, in other words, make her empathize the character of Stephanie Phillips and other people around her, especially Dave, her lover.
Bloodletting & Miraculous Cures examines the connections between the complications of medicine and one’s humanity. The author Vincent Lam does this by crafting a story that explains the emotional and distancing consequences of practicing medicine. Firstly, he achieves this by employing complex medical terminology that readers are unfamiliar with. This creates a feeling of detachment, which is something doctors themselves experience in their profession. Similarly, Lam employs a creative formatting to further to capture this feeling. In the short story “Contract Tracing,” he delivers the plot through files, transcripts and notes. This paints the conflict, reveals details, and adds a much-needed sense of urgency. In “Contract Tracing” by Vincent