When Doctors Become Patients


Book Description

For many doctors, their role as powerful healer precludes thoughts of ever getting sick themselves. When they do, it initiates a profound shift of awareness-- not only in their sense of their selves, which is invariably bound up with the "invincible doctor" role, but in the way that they view their patients and the doctor-patient relationship. While some books have been written from first-person perspectives on doctors who get sick-- by Oliver Sacks among them-- and TV shows like "House" touch on the topic, never has there been a "systematic, integrated look" at what the experience is like for doctors who get sick, and what it can teach us about our current health care system and more broadly, the experience of becoming ill.The psychiatrist Robert Klitzman here weaves together gripping first-person accounts of the experience of doctors who fall ill and see the other side of the coin, as a patient. The accounts reveal how dramatic this transformation can be-- a spiritual journey for some, a radical change of identity for others, and for some a new way of looking at the risks and benefits of treatment options. For most however it forever changes the way they treat their own patients. These questions are important not just on a human interest level, but for what they teach us about medicine in America today. While medical technology advances, the health care system itself has become more complex and frustrating, and physician-patient trust is at an all-time low. The experiences offered here are unique resource that point the way to a more humane future.




The Doctor, His Patient and the Illness


Book Description

First published in 1957, with a slight update in 1964, this text remains one of the standard works on the doctor patient relationship (largely as found in general practice). This edition provides a descriptive analysis of the doctor-patient relationship, with practical advice on the potential and limits to the doctors involvement with the patient.




The Patient Will See You Now


Book Description

The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.




Doctor, Your Patient Will See You Now


Book Description

The state of health care in this country is routinely discussed in the media, at the office, and around the kitchen table. Yet as consumers of medical care, Americans often blindly accept medical advice that may or may not be relevant or even appropriate. Doctor, Your Patient Will See You Now is meant to turn on its head the old notion that medical care is dictated by the doctors who offer advice. Today, it's all about the patients who receive it. Bias, financial incentives, and preventable medical error are common to the point of inevitability and have proven resistant to reform. Patients increasingly and correctly feel that they are on their own in a large, bewildering, impersonal, and dangerous medical system. Offering an insider's perspective, Dr. Kussin provides the tools readers need to make informed decisions about their care, as well as the confidence to question their doctor's advice, seek out additional information, and discern the best path for their care. With this book, readers learn how to maintain a professional approach that, rather than straining the doctor-patient relationship, makes it stronger and more cooperative.




The Doctor and His Patient


Book Description




As I Live and Breathe


Book Description

“A gorgeously written primer for anyone who has ever been (or ever will be) a patient . . . The book soars.” —The San Diego Union-Tribune Jamie Weisman was a patient long before she was a doctor. She was born with a rare defect in her immune system that leaves her prey to a range of ailments and crises and that, because it is treatable but not curable, will keep her a patient for life. In this probing and inspiring book, she brings her sojourns on both sides of the doctor-patient divide to bear on the issues of the flesh that preoccupy us all. It is a worthy addition to the best that has been written about our physical selves, a meditation on our extraordinary powers of healing and the limitations that leave intact the miracle and tragedy of being.




The Cancer Experience


Book Description

Navigating the tumultuous waters of cancer treatment and decision making is difficult for all patients. It is also difficult for doctors and other medical personnel. This books deals with a variety of emotion-related and ethics issues that form much of the basis of the world of cancer related medicine: the responsibilities of the physician relative to truth, full disclosure, patient autonomy, death and dying, physician assisted suicide, and suicide in general among cancer patients. These and many other matters are discussed using real stories from the author’s extensive personal career in working with cancer patients and their families. This is not a book on treating cancer, but instead is a work that seeks to stimulate a dialog about these issues as well as the spiritual aspects of hope and other factors relating to the plight of cancer patients and their families. Written for health care professionals and cancer victims and their families alike, the core of the book centers around questions of medical ethics, doctor-patient relationships, decision making during cancer treatment (from medical and patient points of view). Given the emotional commitment and energy level required to work with cancer patients in a moral and ethical manner, medical students and residents will ask themselves: do I really want to be a cancer physician? Can I handle the ups and downs of treating people who may (or may not) be destined to fight and lose the battle against this strong nemesis? How will I answer the tough questions regarding medical approaches to cancer? How will I respond to patients who indicate a desire to commit suicide or request my help in doing so? What can I tell families whose loved one is choosing treatments that will not help and will deteriorate his quality of life? Basing his responses on the Oath of Hippocrates, the author illustrates how adaptable this oath actually is when considering the secular society in which we function. The Cancer Experience instructs doctors, medical students, and health care workers involved in cancer care on the proper role of medicine, the role of the doctor, and the opportunities for connecting with patients as they help them make decisions regarding treatment and end of life issues. It helps patients understand the issues facing doctors as they assist them, care for them, and try to maintain both close personal relationships but enough emotional and professional distance in order to protect themselves from the stress and strain when medicine fails and patients must face the hardest choices. Here the author promotes a return to traditional medical values that promote closer doctor-patient relationships in an effort to promote trust, civility, and partnership.




The Intelligent Patient's Guide to the Doctor-Patient Relationship


Book Description

Do you feel that your doctor doesn't pay attention to what you say? Does your doctor cut you off when you try to explain how you feel? Do you think your doctor could remember your name without referring to your chart? Does your doctor seem to be in such a hurry that you don't even get a chance to ask your most important questions? Do you spend more time waiting than actually talking to your doctor? Do you understand what your doctor says? At one time or another, we have all had these complaints. This book will teach you how to ask the right questions, understand the answers, and show you how to take more control of your visits to the doctor and your own health. This is the first book in which communication pioneer Barbara M. Korsch, M.D., reveals what she has learned about the doctor-patient relationship dilemma during almost half a century of investigation. In clear, simple language, Dr. Korsch answers most of our common questions: How do I know when I'm sick enough to go to the doctor? How do I know if it's serious enough to go to the emergency room? What do I do if I can't follow the advice my doctor gives me? She walks us through a typical visit to the doctor, showing us how to prepare ourselves so we don't forget the question that has been worrying us for weeks as soon as we walk through the doctor's door. She gives important tips on how to survive the dreaded hospital experience. And she offers insight into the doctor's side of the relationship, showing how doctors are trained to be task-oriented and how their natural human sympathy is discouraged throughout their careers. Finally, she offers patients useful strategies for humanizing the relationship. Korsch's helpful, commonsense recommendations are extensively illustrated with real-life doctor-patient conversations which she recorded on audio and video tape over the course of the last thirty years. She was one of the first medical professionals to emphasize the importance of teaching doctors how to talk to patients as part of their medical training. She serves as consultant and lecturer to medical schools, hospitals, and medical practices throughout the world to help the next generation of doctors communicate with their patients. Above all, after years of research, she has found abundant evidence that the relationship patients form with their doctors directly determines the quality of the care they receive. This is a vital book for anyone who is concerned about their health and who wants to take control of their medical care. So much depends upon asking the right questions and on finding a doctor who will listen to you. This book gives you the tools and the confidence to do just that.




Seeing Patients


Book Description

"A powerful and extraordinarily important book." --James P. Comer, MD "A marvelous personal journey that illuminates what it means to care for people of all races, religions, and cultures. The story of this man becomes the aspiration of all those who seek to minister not only to the body but also to the soul." --Jerome Groopman, MD, author of How Doctors Think Growing up in Jim Crow-era Tennessee and training and teaching in overwhelmingly white medical institutions, Gus White witnessed firsthand how prejudice works in the world of medicine. While race relations have changed dramatically since then, old ways of thinking die hard. In this blend of memoir and manifesto, Dr. White draws on his experience as a resident at Stanford Medical School, a combat surgeon in Vietnam, and head orthopedic surgeon at one of Harvard's top teaching hospitals to make sense of the unconscious bias that riddles medical care, and to explore how we can do better in a diverse twenty-first-century America. "Gus White is many things--trailblazing physician, gifted surgeon, and freedom fighter. Seeing Patients demonstrates to the world what many of us already knew--that he is also a compelling storyteller. This powerful memoir weaves personal experience and scientific research to reveal how the enduring legacy of social inequality shapes America's medical field. For medical practitioners and patients alike, Dr. White offers both diagnosis and prescription." --Jonathan L. Walton, Plummer Professor of Christian Morals, Harvard University "A tour de force--a compelling story about race, health, and conquering inequality in medical care...Dr. White has a uniquely perceptive lens with which to see and understand unconscious bias in health care...His journey is so absorbing that you will not be able to put this book down." --Charles J. Ogletree, Jr., author of All Deliberate Speed




What Doctors Feel


Book Description

“A fascinating journey into the heart and mind of a physician” that explores the doctor-patient relationship, the flaws in our health care system, and how doctors’ emotions impact medical care (Boston Globe) While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care. Digging deep into the lives of doctors, Dr. Danielle Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Ofri offers up an unflinching look at the impact of emotions on health care. Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. Ofri also reveals that doctors cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness.