The Doctor(Movie) My Essay

The documentary The Waiting Room presents a safety-net hospital located in Oakland, California. In the film, director Peter Nix follows patients, doctors, and staff throughout a typical day. Furthermore, the film displays how the staff is overworked, causing an impact regarding how the American health care system is affecting millions of uninsured patients who try to cope with injury and disease. The film utilizes techniques from the observational mode such as long takes, crisis structure, and documenting unplanned everyday experiences to convey the cruel realities of Americans seeking hope and treatment.

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.

In the “Surgeon as Priest,” Richard Selzer dives into the religious and scientific aspects of being a surgeon. He explores and divides the certain aspects of “healing” into five parts, each section demonstrating the different perspectives on healing (spiritually & scientifically) that eventually builds the metaphorical bridge between surgeon and priest. With the use of figurative language and other rhetorical devises, he connects each section of his essay to show his transformation from a scientific healer to a spiritual healer.

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 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.

"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.

In the next stanza, the poet describes “A figure walking towards cloaked in blue/ Beeping/ Tubes/ Needles.” The poem addresses the routinely and monotonous aspect of being in the hospital for long periods of time. It is a critique of the biomedical model and how the hospital system is created where patients are tended to by multiple doctors, nurses, and allied health professionals. The patients and healthcare professionals are unable to form a relationship that consists of what Kleinman describes as “empathetic witnessing” (Kleinman). Therefore, detachment between patient and health workers is developed and established, to which the patient cannot recognize or know the people assisting them. In addition, Grealy discusses this in her earliest accounts and appointments with doctors. She states that there is a layer of “condescension” and is an “endemic in the medical

All medical providers have a duty to protect the health and dignity of their patients. Even if that is the intention of the provider, specific ethical dilemmas in healthcare may arise making it difficult for the provider to make an ethically appropriate choice. Wit, directed by Mike Nichols, takes the viewer through the healthcare of Dr. Vivian Bearing, an English professor, as she embarks on an eight-month experimental treatment to hopefully cure her stage IV ovarian cancer. As Dr. Bearing undergoes this treatment, ethical issues arise regarding her healthcare that compromises her well-being and dignity. George D. Pozgar points out that ethics is concerned with values relating to human conduct that focuses on the rightness and wrongness of actions, as well as the goodness and badness of motives and ends.1 It is clear in the film that the actions taken by the medical providers, violated ethical principles within the scope of health care such as patient dignity and respect, patient autonomy, and consent to research/treatment.

Dr. Vincent Lam is a profound Canadian physician and writer. Bloodletting and Miraculous Cures is his award winning novel that speaks on the reality of what it’s actually like to be in medical school aiming to be apart of a medical profession and the difficult expectations students must face while still managing to stay sane during those challenging years of their lives. It’s a collection of short stories partly based off of his experiences in the medical field, following the lives of fictional characters Ming, Fitzgerald, Chen, and Sri as they endure medical school and later work as doctors. Dr. Lam does a remarkable job at incorporating unique and compelling characters with intriguing storylines who face common and extraordinary moral dilemmas that seem to shape their overall characters. Lam introduces themes of love, fear, tradition, drugs, death, self doubt, duality, etc.

After a week working in the hospital, I went on home visits with nurses, doctors, nutritionists, psychologists and a monk. The first patient lives in a shabby wooden house. A great contrast could be seen between the room that the patient lives in and the rest of the house. “The patient is diagnosed with prostate cancer with bone metastasis. The room is specially built for him by the hospital and his family. He won’t live long.” A nurse told me. On another visit, I met a man with esophagus cancer.

Selzer’s The Exact Location of the Soul captures the essence of being a physician by using first person point of view, a series of personal anecdotes, and such striking imagery.

On page 99-100 hidden curriculum is defined as “the attitudes and practices that others model, even though they do not explicitly teach them.” In the book Michael Wilkes gives a good quote explaining that even though we are taught and teach about how to be appropriate and respect different cultures, different health practices etc. the moment we are in a situation where a peer disses, or makes fun of a patient everyone kind of falls into it to be part of a so called “club” to fit in. So actually seeing is doing when training these new professionals, and to achieve true change comes from modeling the behavior that we want to see. My interpretation of the term was pretty close to the way the textbook explained it, that when we are in a professional setting even though we are always taught to have these standards on how we communicate things and deal with others we don't always follow that rule and sometimes like to poke fun at the fact to make our colleagues laugh which isn't always the moral thing to do.

Throughout our lives, we are plagued by the notion of ‘ethics’ or morals - the basis of our everyday behavior. The medical field is no exception, with doctors constantly reminded of the ethical duties they must carry out for each of their patients. An example of unethical doctors is demonstrated in Daniel Keyes’s short story, Flowers for Algernon. The story features Charlie Gordon, a man with an intellectual disability who strives to become smarter. He is a candidate for a new surgical procedure that is used to triple one’s intelligence which was directed by Dr. Strauss and Dr. Nemur. Although the procedure holds promise for helping a vast amount of people, Dr. Nemur and Dr. Strauss acted unethically by selecting Charlie to undergo the operation because they did not finish testing the procedure and because Charlie was unable to make a proper decision.

In the movie The Doctor they showed positive professional and negative behaviors. Some of the positive professional things are that Dr. Mackee told his interns to not call someone terminal if they aren’t dying or are already dead. Dr. Mackee talks differently to his patients now that he knows that he has cancer. Dr. Mackee became friends with another cancer patient named June Ellis. Dr. Mackee helps a patient that had a stroke and that has a lisp caused by having the secure and that patient is suing his practice because he blames them for him having the secure but Dr. Mackee sees that he needs help so he goes and tells him that he will have someone come and get Mr. Richards keys out of his car and that Dr. Mackee will have them left at the front desk. Nurse Nancy finally sang when Dr. Mackee went in for his surgery to remove his tumor. Dr. Mackee finally spoke after his surgery and told his wife that he loves her and then they were happy because they didn’t know if he would be able to speak again after having the surgery because the tumor was located in his voice box and they risked losing his vocal cords.

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