Dr. Gregory House Episode 'Insensitive'

In the episode “Give Peace A Chance” of Grey’s Anatomy, Dr. Derek Shepherd is given an impossible case and has to make a decision to cut out a massive spinal tumor of a lab technician he is familiar with at the hospital. The chief of the hospital and Dr. Shepherd are having a hard time with some of the decisions the chief has recently made regarding the hospital’s merger and this creates conflict further into the episode. A resident doctor in the hospital, Dr. Karev, is having troubles with his cancer wife who has fled and left him with an enormous amount of bills from the hospital for her recent treatments. This episode uses all parts of the rhetorical triangle, but particularly through pathos doctors in the episode are able to heavily connect with the audience.

Atul Gawande in his article “When the Doctor Makes Mistakes” exposes the mystery, uncertainty and fallibility of medicine in true stories that involve real patients. In a society where attorneys protect hospitals and physicians from zealous trials from clients following medical errors, doctors make mistakes is a testimony that Gawande a representative of other doctors speak openly about failures within the medical fields. In this article, Gawande exposes those errors with an intention of showing the entire society and specifically those within the medicine field that when errors are hidden, learning is squelched and those within the system are provided with an opportunity to continue committing the same errors. What you find when you critically analyse Gawande, “When Doctors Make Mistakes essay is how messy and uncertain medicine turns out to be. Throughout the entire article you experience the havoc within the medicine field as the inexperienced doctor misapplies a central line in a patient.

Prominently featured in the mission statements of virtually of every medical school and medical institution in the world is the call for empathetic doctors. These institutions wish to train medical professionals that possess qualities of sympathy and compassion, and hospitals wish to employ health professionals that showcase similar qualities. The reality, however, is starkly different, as physicians, jaded by what they have seen in the medical world, lose the qualities that drove them to medicine in the first place. In Frank Huyler’s “The Blood of Strangers,” a collection of short stories from his time as a physician in the emergency room, Huyler uses the literary techniques of irony and imagery to depict the reality of the world of a medical professional. While Huyler provides several examples of both techniques in his accounts, moments from “A Difference of Opinion” and “The Secret” in particular stand out. Huyler uses irony and imagery in these two pieces to describe how medical professionals have lost their sense of compassion and empathy due to being jaded and desensitized by the awful incidents they have witnessed during their careers.

In the sociology of medicine Parson (1951) regarded medicine as functional in social terms. By tackling the person’s problems in medical terms the tendency towards deviance that was represented by ill health could be safely directed, until they could return to their normal self. (Lawrence 1994: p 64-65: BMJ 2004: Parson cited in Gabe, Bury & Elston 2006, p 127).

All too often in regards to medical treatment, physicians are taught everything known about the scientific approaches to disease but still fail to realize the important details of how the disease impacts the individual. Many physicians do not show empathy to their patients and instead just focus on the current diagnosis and the probable outcome. This creates a divide between patient and provider and can even lead to negative feelings of the patient that far outweigh the diagnosis itself. A feeling of hopelessness and despair may accompany the empty feeling that comes with failing to explore the patient’s perspective on care. In this essay, Parrish states,

"Johns Hopkins patient safety experts have calculated that more than 250,000 deaths per year are due to medical error…" (John Hopkins Medicine). This soaring number has caused medical errors to become the third leading cause of death in the United States. For many people, medicine seems foreign and unknown. People who have lost loved ones due to medical error desperately look for a reason, and many times that blame falls upon doctors. Media has put a negative connotation on doctors as well, causing their reputation to plummet whenever a hospital procedure turns badly. A renown surgeon and author, Atul Gawande, uses his knowledge and experience to give people a new perspective on medicine. In the article "When Doctors Make Mistakes," Gawande uses rhetorical appeals: ethos, pathos, and logos to prove the need for a change in the medical systems and procedures. He analyzes how the public looks at doctors, giving a new perspective to enlighten the reader that even the best doctors can make mistakes.

Many years ago, an epileptic Hmong girl named Lia Lee entered a permanent vegetative state due to cross-cultural misunderstanding between her parents and her doctors. An author named Anne Fadiman documented this case and tried to untangle what exactly went wrong with the situation. Two key players in her narrative were Neil Ernst and Peggy Philp, the main doctors on Lia’s case. As Fadiman describes, “Neil and Peggy liked the Hmong, too, but they did not love them… [W]henever a patient crossed the compliance line, thus sabotaging their ability to be optimally effective doctors, cultural diversity ceased being a delicious spice and became a disagreeable obstacle.” (Fadiman 265) At first glance, this statement seems to implicate Neil and Peggy as morally blameworthy for a failure to be culturally sensitive enough. However, upon further inspection of the rest of the book, it becomes clear that Neil and Peggy’s failure to be more culturally sensitive to their Hmong patients was caused by structural issues in the American biomedical system. To prove this point, this paper will first present a background to Lia’s case, then discuss possibilities for assigning blame to Neil and Peggy, then show evidence for the structural issues in American biomedicine, before finally concluding.

In the world that we live in today, many people would find it difficult to imagine living in a world where medicine and treatment are not readily available. The replacement of religious explanations to medical and scientific explanations has become a means of social control. If a person is in pain, they can easily set up an appointment with a doctor and receive some sort of medical diagnosis. However, there are certain instances where a problem has not been medicalized, or recognized as a medical problem, and their issue will be dismissed completely. The movie One Flew Over the Cuckoo’s Nest delves into the idea of medicalization and how it can be used for the good, or for the bad, in terms of the “sick role.” Medicalization in the

Quality health care is an issue in America for everyone, despite our numerous tests and advances in technology. In his article, “Overkill,” Atul Gawande argues against a common assumption that our healthcare system is the best because of these medical advances. In fact, Gawande claims that our health care provides much unnecessary care that often causes harm and that costs a lot . He follows that claim by redefining “low-value care” as “no-value care” and provides considerable scientific data along with his own experience with his own patients to support his claim. He also states logical reasons by referring to expert authorities who critique our health care by viewing it from an economic perspective: like talking about information asymmetry where a doctor is more informed than the patient, thus the doctor has more power over the patient. All of these emphases strongly defend his controversial claim. But what stands out most is how Gawande uses several stories showing vastly different outcomes, depending on how informed the patient and doctor are including offering non invasive treatments. We need to explore how his unusual storytelling strategy exposes how surgeons and patients should care more about quality than the mere quantity of tests and what alternatives are available to change the unnecessary over testing and over-diagnosis which prevent good health care.

The patient's idea of the physician is in contrast to the narcissistic patient's contempt, and disregard for the physician, who is keeping a sense of superiority over illness. Only the most senior physician in

In conclusion, Person introduces two conflicting opinions of the main message, medical ethics. However, there is a bias towards Jenna’s initial view, and the opinions of Lily and Alleys. Overall, the author uses this book as a way of showing us the ever-more relevant debate of medical ethics, but wants us to make our own decision of what view to

The conceptualisation of medicine as an institution of societal control was first theorised by Parsons (1951), and from this stemmed the notion of the deviant termed illness in which the “sick role” was a legitimised condition. The societal reaction and perspective was deemed a pillar of the emerging social construction of disease and conception of the formalised medical model of disease. Concerns surrounding medicalisation fundamentally stem from the fusion of social and medical concerns wherein the lines between the two are gradually blurred and the the social consequences of the proliferation of disease diagnosis that results from such ambiguities of the social medical model.

a) Describe 2 examples of the healthcare system in the film not being responsive/respectful to the patient. Discuss how this disrespect can negatively impacts health.

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

Imagine you are injured or sick and have sought a doctor’s help. Although you trusted your doctor, something, something seemingly very in control of the doctor, went wrong. You are angry and confused, but also think of the commonality of medical malpractice. So, why do doctors, who are supposed to help, harm? Though many flaws influence it, malpractice can be, and often is unintentional. Most doctors aren’t trained to harm their patients. Inexperience and lack of medical discovery led to unintentional suffering of the patient. Personal flaws, like lack of willingness to abandon previous medical methods and shortcomings in communication also harm patients. Further reasons why doctors harm are socio-medical understandings that breed hate, prejudices stemming from a society’s belief about certain people, such as the medical practice under the Nazi regime. Additionally, displayed in the case of Ignác Semmelweis, judgement of one to oneself can be detrimental to any progress one’s ideas could make. We will examine these concepts through Jerome Groopman’s “Flesh-and-Blood Decision Making”, Sherwin Nuland’s The Doctors’ Plague and Barbara Bachrach’s “In the Name of Public Health”. Those who practice medicine are, unfortunately, unfree from the imperfections that plague all of humanity. Through these intimate and varied faults, doctors do harm.