Operating-room errors hold a special terror for patients, if only because they seem like the most avoidable kind of complications. The occasional horror stories of patients who have the wrong leg removed or the wrong knee replaced generate the most headlines, as do tales of patients whose identities are mixed up entirely.
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.
I wasn't afraid of treating Ebola patients in the isolation unit. That was the safest job. But seeing patients in the clinic, seeing patients in the emergency room, being in the community - those things gave me pause.
I am a spiritual person. I'm a Catholic. I treat my patients, the dead patients, as live patients. I believe there is life after death. And I talk to my patients. I talk to them, not loudly but quietly in my heart when I look at them. Before I do an autopsy, I must have a visual contact with the face.
Whenever you see shrinks on television, they're so clearly written by patients. They're either idealized or they're demonized or they love their patients. All they ever think about is their patients.
There are several patients - there are thousands of patients, tens of thousands of patients, that carry either a stimulator in the brain or in the periphery, in the inner ear, to restore neurological functions or to control diseases like Parkinson's disease.
Patients want to be seen as people. For me, the person's life comes first; the disease is simply one aspect of it, which I can guide my patients to use as a redirection in their lives. When doctors look at their patients, however, they are trained to see only the disease.
Patients are patients because they are out of rapport with their own unconscious... Patients are people who have had too much programming - so much outside programming that they have lost touch with their inner selves.
If there is one lesson that I have learned during my life as an analyst, it is the lesson that what my patients tell me is likely to be true - that many times when I believed that I was right and my patients were wrong, it turned out, though often only after a prolonged search, that my rightness was superficial whereas their rightness was profound.
There is an enormous amount of options that a physician can provide today, right down from curing patients, treating patients, or providing patients with psychic solace or pain relief. So, in fact, the gamut of medical intervention is enormous.
Please, let patients help improve healthcare. Let patients help steer our decisions, strategic and practical. Let patients help define what value in medicine is.
When I taught writing classes to psychiatric patients, I met people whose stories of manic highs and immobilizing lows appeared to be textbook descriptions of classic bipolar disorder. I met other patients who had been diagnosed with myriad disorders. No doctor seemed to agree about what they actually suffered from.
Treating only terminal cancer patients, the Rand (anti-cancer) vaccine produced objective improvement in 35% of 600 patients while another 30% demonstrated subjective improvement. FDA stopped the vaccine's use in a federal court hearing where neither the cancer patients nor their doctors were allowed to testify.
Some patients do seem to have some kind of post-infection meltdown. They don't still have an infection any more in any sense that we understand infection. But someone is going to have to explain these patients to me someday.
The rhythm of music is very, very important for people with Parkinson's. But it's also very important with other sorts of patients, such as patients with Tourette's syndrome. Music helps them bring their impulses and tics under control. There is even a whole percussion orchestra made up exclusively of Tourette's patients.
The USDHEW calculates that 7% of all patients suffer compensable injuries while hospitalized .....One out of every five patients admitted to a typical research hospital acquires an iatrogenic (Caused by the treatment process) disease, one case in thirty leading to death. Half of these episodes result from complications of drug therapy; amazingly, one in ten come from diagnostic procedures.
My vantage point on the world is the operating room where I see my patients.