Zitat des Tages von Abraham Verghese:
My desire to be a physician had a lot to do with that sense of medicine as a ministry of healing, not just a science. And not even just a science and an art, but also a calling, also a ministry.
What we need in medical schools is not to teach empathy, as much as to preserve it - the process of learning huge volumes of information about disease, of learning a specialized language, can ironically make one lose sight of the patient one came to serve; empathy can be replaced by cynicism.
Lets take away the incentives to do 'to' patients and instead create incentives to do 'for' patients, to be 'with' patients. We don't need to do comparative effectiveness trials to see if that works; we can just ask patients.
The flip side of suicide is that it leaves a lingering question in the minds of the people who survived. It's like a cancer that's metastasized. The suicide is the cancer and the metastasis is all these people saying, Why? Why? Why?
I still find the best way to understand a hospitalized patient whose care I am taking over is not by staring at the computer screen but by going to see the patient; it's only at the bedside that I can figure out what is important.
I'm a proud American - becoming a citizen in 1988 was one of the most profoundly moving occasions in my life; I'm a former Texan and a recent Californian.
You can't show up at the bedside and then turn on your skills. You have to keep your game sharp all the time.
I was taking care of people my age who were dying. The constant feeling, hearing from them, was that life is transient and can end very quickly, so don't postpone your dreams.
Patients know in a heartbeat if they're getting a clumsy exam.
My deceased patients have taught me over the years to believe in the glass half full, to make good use of the time we have, to be generous - that was their lesson for the Uber-mind, and it was free. 'Do that,' they said, 'and then perhaps death shall have no dominion.'
I love to read poetry but I haven't written anything that I'm willing to show anybody.
I write by stealing time. The hours in the day have never felt as if they belonged to me. The greatest number has belonged to my day job as a physician and professor of medicine - eight to 12 hours, and even more in the early days.
We have the sense that medical students come to medicine with a great capacity to understand the suffering of patients. And then by the end of the third year they completely lose that ability, partly because we teach them the specialized language of medicine.
I think legislation needs to put an end to doctors profiting on businesses to which they can funnel patients - that is business, not medicine. If you try to call it medicine, then it is corruption. Without legislation, it will keep happening.
By visiting patients in their home, by helping them come to terms with their illness, I could heal when I could not cure.
As a young physician in the mid-'80s, caring for people who had contracted H.I.V., I lost two of my patients to suicide at a time when the virus was doing very little harm to them. I have always thought of them as having been killed by a metaphor, by the burden of secrecy and shame associated with the disease.
I've never bought this idea of taking a therapeutic distance. If I see a student or house staff cry, I take great faith in that. That's a great person; they're going to be a great doctor.
My sense is that the wonderful technology that we have to visualize the inside of the body often leaves physicians feeling that the exam is a waste of time and so they may shortchange the ritual.
Literature is a beautiful way of keeping the imagination alive, of visiting worlds you would never have time to in your day-to-day life. It keeps you abreast of a wider spectrum of human activities.