Dr. Charon's Narrative Medicine

A doctor’s mind and heart are very much involved in the patient’s road to recovery. Evidence in support of this statement is shown in William Carlos William poem “ The Red Wheelbarrow, and his essay “The Practice.” Also, in Jack Coulehan poems “The Man with Stars Inside Him, The Six Hundred Pound Man,” and the article “What’s a good doctor and how do you make one?” Individually, each reading and poem has expressed doctor’s emotions with their patients, and what characteristics have guided them into becoming a good doctor. The readings are a representation of how doctors are in fact remorseful when it comes to their patients. While reading these articles, I realize that doctors have been restricted to how much emotion they are allowed to show. All doctors have their weaknesses and their strengths, and they should be vocal about them especially when it comes to treating their patients.

Medicine is a science of healing, but also an art. It takes intelligence in the sciences as well as precise skill in the art of medicine to heal successfully. In the Hippocratic Oath, Hippocrates highlights the importance of passing on the tradition of practicing medicine, maintaining respect for patients, and preserving humility within themselves. Modern day practice of this oath involve patient’s stories. Rita Charon in her article “What to do with Stories? The sciences of Narrative Medicine,” explores narrative writing and how to use it as a tool in healing patients. While Charon focuses on the writing of these stories, Atul Gawande’s book Being Mortal reflects on how to make more meaningful endings out of the stories of patients who

When asked what trait a physician bears in the 21st century, most would agree with compassion. Pierre Elias author of the narrative essay, “Insensible Losses: When The Medical Community Forgets The Family”, argues that physicians may be compassionate when it comes to their patients, but “lack a systematic approach to communicating with families when a patient’s health deteriorates unexpectedly, requiring a change in care providers” (Elias 707). Pierre Elias is a medical student from Duke University. He is nearing the end of his clinical rotations when he is forced by his inner moral conscience to deliver difficult news to a patient’s family whom no other physician makes time for.

Almost thirteen years ago, my life changed when my youngest daughter was born with undiagnosed medical problems. The challenge of finding answers consumed my life. My family and I spent a significant amount of time searching for answers in and out of doctor’s offices and hospitals, always by our daughter’s side. Throughout my journey, I was able to learn a lot about the medical profession, including the differences between good and not so good healthcare professionals. We were fortunate to meet a lot of excellent doctor’s, nurses, and support staff, however, we also had our fair share of medical professionals that were not so great. At times our journey was extremely frustrating because we had to depend on medical staff that was uncaring and

The video presented the ethics and boundaries and factors that affect those boundaries such as addiction, abuse, absent role models, and patients assuming the professional shares the same feelings as he or she does. Then the video discusses issues the doctor may incur such as “special treatment” of patients, time management, poor awareness of feelings, and the response to the patient.

Contrary to the belief that medicine should be solely clinical in order to preserve professionalism, narrative medicine is rapidly growing in the medical world and opposes clinical medicine by incorporating feelings and connections. Narrative medicine is the idea that doctors should be empathetic and must learn their patient’s story to build bonds that assist in curing the patient of illness, while supporting them mentally and emotionally. Rita Charon, a distinguished physician and professor at Columbia University, states “narrative medicine proposes an ideal of care and provides the conceptual and practical mean to strive toward that idea” (Charon). Medicine is often a difficult puzzle to solve, but being a genuine, caring human being is not. In his heart gripping book, The Measure of Our Days, Jerome Groopman explores the patient physician relationship giving insightful knowledge on the decision making in diagnosis and in treatment of different patients, but more importantly being a benevolent person. One consistent piece in Groopman’s puzzle of medicine is compassion, as he promotes it in every aspect of his career because it helps the victims of illness and disease understand their ailments, accept their fate, all the while building trust with their physicians. In Groopman’s retelling of his and his patient’s intertwined quest for cures and treatments, he exhibits the necessity of narrative medicine’s transgression into medicine for both physicians and patients.

Melvin Konner, in “Basic Clinical Skills”, uses a first person point of view along with some bits of humor in order to establish a more relatable narrator. He discusses several topics such as the relationship between doctors and their patients, the healthcare given in hospitals, and the role that the physician plays in different contexts of life.

During her career as a pediatric nurse, she became very connected with a patient who happened to be her first death encounter. At the time, the patient was a six-year-old boy who was diagnosed with leukemia. ML said: "When I was caring for this patient, I was a mother myself. Seeing that boy and his family suffer gave me so much heartache… it was hard not to make it personal." The more she worked with this child, she observed the pain and suffering him and his family had to go through. She also learned about him and the family dynamics which enabled ML to help the patient and the family become well involved in understanding one another and guide care towards an agreement that everyone was satisfied with. As I reached for the tissue box to hand it to her, I rephrased the story to confirm the understanding of the story. She nodded and continued on talking about things she has done for the patient. Being a mother and a nurse, she believed in providing this child with what a healthy boy would be doing at his age. ML's strategies involved promoting short physical activities, playing games, and encouraging the parents to participate in such activities if possible; ML wanted to provide a lighter atmosphere around the unit and help the patient disregard the diagnosis even if it was just for a little while. Over the past few months, she continued to assist this patient as his

To say that this incident was the defining moment as to why I chose medicine would be an exaggeration, but it had undoubtedly been an affirmation of my decision. To embark on a career in Medicine was not an easy decision, and it was certainly not something that I had aspired to be from a young age. In fact, it took nearly half a decade of careful consideration and exploration before I reached this conclusion. My motivation to become a doctor stems not only from my love for science, but also from the special connection that is established between a patient and a doctor during diagnosis and consultation. The opportunity for devoting a lifetime to alleviating illnesses stands as my inspiration. I believe that there is no other profession that can be compared to one which utilizes one’s acquired abilities to bring about a more immediate impact on someone’s life, just as this experience had

I embrace the search for the effective, mutual beneficial relationships within medicine that aims to improve the lives of patients and fellow physicians to uncover the body’s complexities that are not always apparent through pure medical intervention. It’s not an endeavor that can be done with haste. Only with deliberate focus and care can I learn how to hone a person’s tale to their own telling and maintain their wellbeing. I look forward to the

Health care providers are nothing short of heroes, yet they remain humble in their abilities. As a volunteer at a senior living facility, I was humbled each and every day by the patients I cared for, however one moment in particular remains clear. Sadly, one lady had not been able to recognize her daughter for quite some time despite our efforts of looking through old photo albums together. The task seemed hopeless, but I felt deep down that she was making progress. One afternoon as the patient’s daughter walked in, the patiet had a quizzical look upon her aging face. “I know you,” she stated confidently as she rose up to embrace her daughter. My heart leapt with pure happiness as I saw tears of joy begin to fall down the daughter’s face. I believe that never losing faith and remaining positive are important aspects in life and especially in medicine. We worked together to reach this special moment and nothing humbled me more than having played a part in

My father spent a greater part a year in a hospital bed while being seen by several doctors for varying reasons in his failing health. It was not until the very end that a doctor, the last to be consulted, came to understand that previous prescribed medication was causing harm from side effects. It was at this point that I changed my opinion about doctors. There was a time that I thought that

A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.

The doctor-patient relationship always has been and will remain an essential basis of care, in which high quality information is gathered and procedures are made as well as provided. This relationship is a critical foundation to medical ethics that all doctors should attempt to follow and live by. Patients must also have confidence in their physicians to trust the solutions and work around created to counter act certain illnesses and disease. Doctor-patient relationships can directly be observed in both the stories and poems of Dr. William Carlos Williams as well as in the clinical tales of Dr. Oliver Sacks. Both of these doctors have very similar and diverse relationships with multiple patients