“Doctors now spend more time with
their computers than at the bedside. That seemed true at both the ICU
and Spaulding. Reading the physicians’ notes in the MGH and
Spaulding records, I found only a few brief descriptions of how I
felt or looked, but there were copious reports of the data from tests
and monitoring devices.”
Massachusetts General Hospital (Photo credit: Wikipedia) |
This is the expression of a faculty
member of Harvard Medical School, Arnold Relman, who got admitted to
the Massachusetts General Hospital after breaking his neck bone and
was carried to the hospital in a bad shape. He spent 10 excruciating
weeks in the hospital to get discharged live. His views published in
the Foxnews that can be accessed here.
The essence of the article is that though there is
expertise, there is no personalized care, both from doctors and
nurses. More attention is paid to investigations, which includes
unnecessary ones also.
Those were the days, when we as medical
students running after teachers to learn some clinical findings.
Teachers also were taking us to patients, “listen one by one, this
is called crepitation.” Now, if a patient of respiratory infection
comes, at least X-Rays chest will be ordered immediately, even
without going for clinical examination; thereafter a battery of
investigations, like CT, MRI, Sputum examination etc..
Nobody denies to order these
investigations, but what matters is that, there should be
investigations just sufficient to support clinical findings reliably
and pin-point the diagnosis.
Another thing he noticed is poor record
keeping and doctor patient relationship. When a doctor holds hand of
a patient and calls by his name to know how he is, that infuses a lot of
confidence in the patient; contrary to the non-touch technique of
examination and ward round.
I was taken aback, when I was told by
some of my doctors that they never write findings of the clinical examination in the case-sheet and do not know, how to write. What can be
more ridiculous than this?
There is definitely a lack of concern for the patients on behalf of the doctors and nurses. Can you do same thing or behave in the same way, if the patient would happen to be your own relatives? Hearts are to change, no amount of force can change it.
There is definitely a lack of concern for the patients on behalf of the doctors and nurses. Can you do same thing or behave in the same way, if the patient would happen to be your own relatives? Hearts are to change, no amount of force can change it.
However, things are taking shape in the
right direction slowly.
Let us hope for the best to come. You
realize it, when you suffer from it.
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