THE DOCTOR WON’T SEE YOU NOW
http://www.wsj.com/articles/when-doctors-stop-seeing-patients-1462738682
Abraham M. Nussbaum When Doctors Stop ‘Seeing’ Patients
Dr. Nussbaum, the chief education officer at Denver Health, is the author of “The Finest Traditions of My Calling” (Yale University Press, 2016).
Physicians aptly speak of “seeing” patients. After all, medical training is a series of vision lessons. Students look closely at a nameless cadaver and disassemble it until it resembles the pictures in an anatomy text. They watch lectures in which interrelated organ systems are displayed as simple machines.
Often, however, doctors’ vision narrows too far. We begin to see the body as a collection of parts and lose sight of the person before us. Early in my medical training, this way of seeing began intruding on the rest of my life. During movies I imagined the best surgical approach for the actress. I saw friends’ physical imperfections as signs of syndromes.
So I took a leave of absence from med school to study history, literature and theology. The humanities taught me that the questions I was wrestling with are foundational to the history of medicine. In Platonic medicine, a physician sought to diagnose disease as a concrete fact. Hippocrates, who lived around 400 B.C., reoriented doctors toward seeking to understand the beneficial and deleterious forces in a patient’s life and then helping rebalance them in favor of health.
For the past two centuries, physicians have been counseled to pursue something akin to Platonic medicine, to act like scientists. Remarkable technologies—antibiotics, anesthesia, antisepsis—resulted. But physicians also shifted away from the Hippocratic pursuit of understanding patients. Today’s clinics are often alienating, as when a physician spends a checkup gazing into a computer screen. Half of doctors report feeling burned out, and a majority would advise against a medical career. CONCINUE AT SITE
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