Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Humility and humanity is required of us to best respect our patients

Meghana Gadgil, MD
Physician
October 2, 2012
Share
Tweet
Share

Several days ago, I had the opportunity to listen to a lecture by a visiting physician who practices narrative medicine, a medical humanist.  She is well-known for bringing a voice to the interactions between doctor and patient, the healing relationship, the unparalleled bond formed between these two individuals.  In her talk, she spoke of the “turmoil” that ensues when caring for a patient, caused by the interaction of deep concern for the patient’s well-being, years of medical knowledge and experience, humility in the face of illness, the trust of a patient, fear of choosing the wrong path, and shared amazement at the ability of skin and soul to heal.

I had never heard it described that way before.  “Turmoil.”  The advice that is generally given, by those in medical school, courses on doctoring, senior colleagues, your peers, is to be sympathetic and removed.  Complete dissociation from the red-eyed, pale individual pouring her story into your lap, however, is impossible.  The encounters change you, sculpt your responses, awaken you from sleep.  A night spent telling a roomful of family members that their sister will not survive til morning, explaining to a woman that her husband, healthy and playing football with his sons just 6 months ago, is now bedridden, are not carried out by an emotionless machine.  It is the faces, the pressure of cold hands holding mine, and the hoarse “thank you”s that I remember most.  The stern eyes of family who can’t help but blame you for the dissolution of their loved one’s flesh.  The raspy breathing of a man lying with eyes closed between 4 steel enclosures in a white hospital bed – it is their faces and the stories of their failing bodies that stay with me.  The courage of individuals to say “this is enough, please call my family, I need to say goodbye.”

We travel in directed paths around the hospital, young and inexperienced as interns and residents, with clear immediate purpose but hazy long-term understanding.  The nature of hospital work, built of sharply defined short-term goals, intense patient interactions and scuffed Dansko clogs, is both comforting and soul-churning.  It is heartening to see a patient breathe again after the fluid filling his lungs is removed, but the feeling of futility can be consuming when a chronic disease, long uncontrolled, visibly erodes a life in a matter of hours or days.

Cases with the hope for recovery, often seen in the deep and lasting relationships between patient and doctor in outpatient care, may actually cause the greatest inner tumult.  This tornado of thought and emotion may be seen as the mark of a good doctor – caring so much that patients are always on your mind, running late since you take time to fully listen to each person on your overflowing schedule, giving and caring for your patients as if they were members of your family.

To shape these qualities to act as boons rather than paralyzing burdens, however, is a difficult task, and requires help from more experienced peers and mentors.  Our lifelong education should be expanded to include lessons in the humility and humanity required of us to best respect ourselves and our patients.  It is this infrastructure of support that separates those who use this inner turmoil for benefit rather than burnout.

Meghana Gadgil is an internal medicine physician who blogs at Life and Sundry Adventures of a Postdoc Wanderer. 

Prev

Thank you for setting me on the road to practice medicine

October 1, 2012 Kevin 1
…
Next

There is no app for patient engagement

October 2, 2012 Kevin 6
…

Tagged as: Primary Care

Post navigation

< Previous Post
Thank you for setting me on the road to practice medicine
Next Post >
There is no app for patient engagement

ADVERTISEMENT

More in Physician

  • Why Canada is losing its skilled immigrant doctors

    Olumuyiwa Bamgbade, MD
  • Why doctors are reclaiming control from burnout culture

    Maureen Gibbons, MD
  • Why screening for diseases you might have can backfire

    Andy Lazris, MD and Alan Roth, DO
  • Why “do no harm” might be harming modern medicine

    Sabooh S. Mubbashar, MD
  • International doctors blocked by visa delays as U.S. faces physician shortage

    Arthur Lazarus, MD, MBA
  • How I redesigned my life as a physician without abandoning medicine

    Ben Reinking, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Addressing U.S. vaccine inequities in vulnerable communities [PODCAST]

      The Podcast by KevinMD | Podcast
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Addressing U.S. vaccine inequities in vulnerable communities [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Addressing U.S. vaccine inequities in vulnerable communities [PODCAST]

      The Podcast by KevinMD | Podcast
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Addressing U.S. vaccine inequities in vulnerable communities [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...