“Empathy requires being attuned to the patient's perspective and understanding how the illness is woven into this particular persons' life. Last--and this is where doctors often stumble--empathy requires being able to communicate all of this to the patient.” EmpathyMedicine Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“In general, empathy is easier the more we can identify with someone. When we can genuinely envision ourselves in a situation, it's possible to intuit what that person's suffering might feel like.” EmpathyMedicine Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“Empathy--the ability to identify with someone else's suffering--is certainly a prerequisite for a genuine apology.” EmpathyMedicineApology Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“Thus, whatever the medical student has been taught, and even genuinely believes, about the ideals of medicine, the primacy of empathy, the value of the doctor-patient relationship--all of this is swamped once he or she steps into the wards. [...] It's no wonder that empathy gets trounced in the actual world of clinical medicine; everything that empathy requires seems to detract from daily survival.” EmpathyMedicine Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“Fear is a primal emotion in medicine. Every doctor can tell you of times when she or he was terrified; most can list more episodes than you might wish to hear. [...] It may be sublimated at times, it may wax and wane, but the fear of harming your patients never departs; it is inextricably linked to the practice of medicine.” EmpathyMedicine Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“But I realized that not only did I need to keep tuning my skills as a doctor, I also had to figure out a way to live with the uncertainty of medicine and its attendant anxiety.” EmpathyMedicine Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“Burnout also leads to a large swath of physicians who aren't as empathetic toward their patients as they could be.” EmpathyMedicineBurnout Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“But while the patient does bear some responsibility, I believe that the onus falls more heavily on the doctor to be attuned to the factors--cultural, ethnic, or just personal style--that influence how patients present their symptoms.” EmpathyMedicine Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“What these older physicians exhibited is termed clinical curiosity. They stroke to understand their patients in order to elucidate the underlying medical conditions. This thoroughness, patience, and dogged curiosity may have been ingrained in them because they trained at a time when they were no rapid CTs or MRIs. But even now, when these diagnostic tools are at their fingertips, these physicians maintain this approach to patients, one that serves to appreciate the dignity and uniqueness of each patient and his or her illness.” EmpathyMedicinePatient Care Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“Grief ate at these doctors, distracting them from both their families and their patients. Many reported withdrawing from emotional involvement with their patients and that their patients had noticed they weren't fully present.” GriefEmpathyMedicineDeath And Dying Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“How the sadness is handled by the physician has a powerful impact on the medical care received by the patients. If the grief is relentlessly suppressed--as in Eva's experience during residency--the result can be a numb physician who is unable to invest in a new patient. This lack of investment can lead to rote medical care--impersonal at best, shoddy at worst. At the other end of the spectrum is the doctor who is inundated with grief and can't function because of the overwhelming sorrow. Burnout is significant in both these cases, and that erodes the quality of medical care.” LossGriefEmpathyMedicineMourning Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“It can be rough going to maintain both composure and empathy in these situations, but a doctor's failure to do that is probably the number one reason why patients feel dissatisfied with their physicians and end up doctor-shopping endlessly.” EmpathyMedicine Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“Hospital life--with its byzantine array of moving parts layered atop the unpredictable rhythms of illness--is a permanent state of flux.” EmpathyMedicineHospital Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“Suddenly, I was plunged back into an avid learning environment, starting at the bottom and working my way painstakingly up the mountain. The thrill of learning and accomplishing stimulated me so much that the work was pleasurable.” EducationLearningHard WorkMedicine Book:What Doctors Feel: How Emotions Affect the Practice of Medicine Source: What Doctors Feel: How Emotions Affect the Practice of Medicine
“Sandeep Jauhar specializes in peeling back the veneer, revealing the discomfiting truths of today’s medical world. He is unafraid to dig deeply and honestly, both within himself and within the medical profession. Doctored raises critical questions that twenty-first-century medicine must answer if it is to meet the needs of its patients as well as of its practitioners.” WorldTodayPatientProfessionMedicalHonestlyUnafraidDig Deep Author:Danielle Ofri
“It's so important that your doctor take a patience's values, not his, into consideration, along with the risks and benefits of treatment when there is a question to a doctor "What would you do?".” ImportantValuesRiskConsideration Author:Danielle Ofri
“Being a doctor, I worry that the patient may be uncomfortable about sharing something. It could be sexual dysfunction, an eating disorder, depression, domestic violence - these are serious topics many people don't want to talk about. I'll try to follow up with questions like: How are things at home? How's work? But we don't always have time to probe. Don't be afraid to bring up the important things going on in your life, even if they don't feel 'medical.' Your doctor would rather know than not know.” PeopleTryingImportantHomeWorryViolenceSeriousEatingPatientUncomfortableDomestic ViolenceEating Disorder Author:Danielle Ofri
“Doctors are taught in medical school that people ususally underreport their alcohol and drug use, so we genreal double the amount we're told. Don't be insulted if your doctor asks follow-up questions about yout drinking. We're trying to be diligent so we don't miss an alcohol or drug disorfer that could be amenable to treatment.” PeopleTryingSchoolMissingDrugDrinkingAlcoholMedicalInsultedMedical School Author:Danielle Ofri
“When a patient tells a doctor that every symptom is the most horrible ever - and the physical exam and labs are normal - we often suspect something psychological is going on. The symptoms aren't fake. They're physical manifestations of anxiety, depression, and stress. So while I'm always on the lookout for a serious underlying disease.” SeriousAnxietyStressPatientHorriblePsychologicalFakeManifestationExam Author:Danielle Ofri