When Doctors Become Patients - download pdf or read online

By Robert Klitzman

ISBN-10: 0195327675

ISBN-13: 9780195327670

For plenty of medical professionals, their function as robust healer precludes concepts of ever getting ill themselves. once they do, it initiates a profound shift of awareness-- not just of their experience in their selves, that is constantly sure up with the "invincible health practitioner" function, yet within the method that they view their sufferers and the doctor-patient dating. whereas a few books were written from first-person views on medical professionals who get sick-- through Oliver Sacks between them-- and television indicates like "House" contact at the subject, by no means has there been a "systematic, built-in glance" at what the event is like for medical professionals who fall ill, and what it will possibly educate us approximately our present healthiness care method and extra extensively, the adventure of turning into ailing. The psychiatrist Robert Klitzman right here weaves jointly gripping first-person bills of the event of medical professionals who get sick and notice the opposite aspect of the coin, as a sufferer. The money owed exhibit how dramatic this variation can be-- a religious trip for a few, an intensive switch of identification for others, and for a few a brand new approach of the dangers and advantages of treatments. for many but it eternally alterations the way in which they deal with their very own sufferers. those questions are very important not only on a human curiosity point, yet for what they train us approximately medication in the United States this day. whereas scientific know-how advances, the overall healthiness care method itself has turn into extra advanced and not easy, and physician-patient belief is at an rock bottom. The studies provided listed here are special source that time easy methods to a extra humane destiny.

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I’ll go fill out my own lab slip. But if I don’t do it, they’re not going to miss it. They assume that I’m doing it because they know I can. Yet receiving optimal care may require surrendering a degree of selfreliance and control. This need to yield and cooperate undermines notions, too, of patient self-empowerment. Harry, the internist and war refugee with an MI, drew analogies, describing how being hospitalized in many regards resembled being in the military. I was in the army, which in some ways is similar to being a patient—an outside ‘‘force’’ controls you.

They must then put themselves back together, and end up identifying with fellow doctors. Yet given these defenses, carefully built over years, the eventual loss of this sense of invincibility can prove devastating, undermining prior ‘‘Magic White Coats’’ 35 rationalizations. Now sick, they strongly resist giving up their role as doctor. Jacob, a devout Jewish radiologist with skin cancer, said: A dent in the armor of invulnerability was a surprise, a startling change. I wasn’t expecting it. It changed the whole focus of my life.

But it got worse. So I saw my physician and was diagnosed with leukemia. I was surprised. I had been thinking about what else this could be besides a flu. I was even doing some reading, but I just never used the kind of medical thinking that I might have with somebody else, and said, ‘‘Let’s go through everything: Is it infectious? Autoimmune? ’’ I could have picked up on other clues, but didn’t: I cut myself shaving, and it took a while to stop bleeding. Even after the disease was identified, Jim still doubted it.

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When Doctors Become Patients by Robert Klitzman


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