In the essay Defending My Life, author Geov Parrish tells the narrative of his personal experience with the medical field and healthcare industry regarding life-saving organ transplants in which he underwent. Throughout his narrative he brings up many key issues present in current day medicine that relate well to our BEST medical curriculum. The first issue involves behaviorial aspects of medicine and the importance of the patient’s perspective in care. The next issue involves the social and ethical dilemmas relating to the cost of healthcare and adequate access to proper care. 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,
“ My involvement began just over 10 years ago, when a nephrologist with the bedside manner of a gargoyle sat at her desk, eyes fixed absently on some point high on the opposite wall, casually told me that I was likely to be dead in a year or two or
I continued to watch and listen, hearing doctors yelling for anodynes to relieve any sort of pain a patient was feeling, and residents running like animals trying to find something to ease the pain, like anesthesia. I began to get tired of all the crazy in the operating room, so I decided to head to the waiting room, where all sorts of people come trying to find answers to relieve their pain. Usually, the people who sit in the waiting room don’t have any sort of life threatening disease, even though they think they do. I sat on an open chair next to a table. On the table was a book titled, “The Book of Pathology”, with the subtitle “All You’ll Ever Need to Know About Disease”. I flipped through, and after about a minute of trying to read, I realized a book on the cause and effects of disease wasn’t the most interesting subject for a 15-year-old. I picked up a gossip magazine and decided that this was the more interesting choice of reading. Reading in awe of the breakup between Ben Affleck and Jennifer Garner, I began to hear someone talking. The only person near me was a man with a puppet on his hand that was sleeping. I went back to reading, thinking nothing of it. A minute later I heard someone talking but still, the only person next to me was the man with a
In his article “Whose Body Is It, Anyway?”—appearing in the New Yorker in October 1994—Dr. Atul Gawande highlights the complexities of the doctor-patient relationship vis-à-vis patient autonomy and decision-making. Dr. Gawande explains that a respect for patient autonomy (i.e., allowing patients to choose between courses of treatment, therefore directly influencing their health outcome) is the “new normal” for medical practitioners. However, Gawande also contends that there are times when patients are better served by a voluntary relinquishment of that autonomy.
Defined by a physician’s understanding of their patient’s perspective, physician empathy enhances a patient’s perception of being helped, improves patient feelings of empowerment, and increases patient perceptions of a social support network. (source 4) Studies have shown that when physicians are running low on empathy, patients take significantly longer to recover from illnesses and become less likely to follow treatment recommendations, suggesting an inverse relationship between the prevalence of burnout and measures of patient satisfaction with medical care. (source 5) Decreased feelings of empathy and a diminished relationship between the doctor and the patient has also been proven to lead to patient neglect in which healthcare staff fail to maintain the standards of optimal patient care. Such findings highlight the importance of burnout to leaders of the medical field and to administrators that have responsibility for the workplace environment. (source
For as long as I could remember, I have seen my father rushing to the hospital in a white coat, answering pagers in the middle of important family conversations and attending night calls even in the most terrible weather. I had always wondered; what could be so important that it belittles every other responsibility in his life. It was only after many years of anguish and protests that it finally made sense to me. This defining moment of realization occurred when I first met a patient in his office. I saw how the gratitude in the patient’s eyes can provide a sense of fulfillment that triumphs all other feelings in the universe. It was human life that was most important. Being a doctor does not make you a mere healer but also gives you the responsibility of a caregiver. I had never felt more proud of my father and that was the day I felt the urge to relive this feeling many times over. It was there in that moment that I decided to pursue a career in medicine.
A patient is a human being. Illness disturbs biological, social, psychological elements that make the patient human. It is not enough to centre and diagnoses and decisions on scientific data and empirical fact; medicine is about much more. The focus of this paper is to make the argument that the practice of medicine is a discipline that requires human empathy as well as scientific data and empirical fact to establish diagnoses with emphasis on five components of the physician-patient relationship: patient’s experience of illness, physician-patient communication, and proficiency of end of life care, medical ethics and spiritual growth. This position will be supported through the film “Wit (Nichols & Brokaw, 2002)” through the character Vivian Bearing 's revelation that illustrates a patient’s struggle with death and in the process exposes the distinction between medicine and science.
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.
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.
Khan’s purpose in writing this essay is to inform her audience about the process of an organ transplant. Even though she does not describe every action that the doctors are preforming, she is displaying the general process of it all. Rhetorical appeal is shown in vigorous amounts throughout this essay. In all of paragraph eight, ethos is being displayed such as, “To let and organ reach a state where the only solution is to cut it out is not progress; it’s a failure of medicine,” says pathologist Neil Theise of the NYU. Neil Theise of NYU is a credible source which attracts the
Sometimes physicians go so far as to make patients feel belittled and helpless. Patients, in turn, are relatively passive and accommodating, at least while they are with their doctors"(du Pre 53).
I will be reviewing “Emerging Perspectives in Transplantation: Organ Donation Among Health Care Providers: Is Giving and Receiving Similar”, which analyzes the connection between the attitudes of health care providers toward receiving and donating an organ and how this varies among the different health care practitioners. Health care providers regularly encourage organ donation because they know the benefits that can derive from doing so. However, they also know the complications that can come from donating and receiving and organ such as future lifelong health problems, and a decreased life span. This article is very intriguing because it really makes me wonder about how people working in the medical field feel about organ transplantation
In sum, my prior studies that have included some of the topics listed for this course include medical ethics, philosophy of life and death, and transplantation ethics. My clinical experience comes from volunteering at Texas Children’s Hospital and as a befriender at UnityPoint Health-Trinity Hospital. As a volunteer at Texas Children’s, I played with child patients in the floor playroom and in their rooms. As a befriender at UnityPoint Health-Trinity,
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.
Ethics, in medicine, is described as applying one’s morals and values to healthcare decisions (Fremgen 2012). It requires a critical-thinking approach that examines important considerations such as fairness for all patients, the impact of the decision on society and the future repercussions of the decision (Fremgen 2012). According to Fremgen (2012), bioethics concerns ethical issues discussed in the perspective of advanced medical technology. Goldman and Schafer (2012) state bioethical issues that arise in medical practice include antibiotics, dialysis, transplantation, intensive care units, issues of genetics, reproductive choices and termination of care. In clinical practice the most common issues revolve around informed consent, termination of life-sustaining treatments, euthanasia and physician-assisted suicide, and conflicts of interest (Goldman, Schafer 2012).
At the age of two, a young boy named Jason became seriously ill from a heart condition. With the many hospital visits and meetings with doctors, Jason’s family knew he would need a new heart, but they also knew it would not be easy to attain. After being on the transplant waiting list for more than a year, Jason finally received a heart at the age of five. Jason’s parents were ecstatic stating, “The new heart not only gave our son a chance to live, it changed our lives forever” (OneLegacy, 2017). With the help of a giving donor, Jason was given a second chance at life, something many individuals in his situation do not get. The gap between organs needed and organs being donated is alarmingly huge in today’s society. Organ donation is a big issue and there is not just one way to solve it. To some, the problem can be solved by simply thinking morally and choosing to help those around you. To others, the problem lies within the care from medical staff. In order to get these issues across, Snyder, Van Assche et al., and Kluge, authors of pieces within the ethical discipline use anecdotal evidence to persuade an audience to think morally about organ donation. In contrast, Berntzen & Bjørke and Jacoby et al., authors of articles within the psychology discipline, use testimonial evidence to express to the audience that an issue with the organ donation process comes from the treatment of patients from medical staff. Both disciplines acknowledge organ donation as an issue, but using
This explains the beginning of my life all the way to the end of my life. My life from the beginning was very fun as I grew up living with my mom’s friend and my friend. But there were a lot of fights and I was very hyper back then. I have ADHD so back then when I was little; I was very hyper and wouldn't stop moving around the place. I always was annoying back then and never seemed to get my homework done at school.