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

The soul of our vocation is to heal our patients

Rose Kumar, MD
Physician
June 7, 2013
Share
Tweet
Share

As a medical student nearly two decades ago, I remember how excited I was to begin my rotations on the wards. After two intense years in the classroom, I felt that I had a good fund of knowledge that I could finally apply in a clinical setting. Still, very soon after beginning my ward rotations, I noticed that while I was able to adequately manage my patients’ symptoms, I could only heal them to a limited degree. My team would encourage me to use diagnostic data to uncover why the patients were ill, and they taught me to use the appropriate treatments based only on this information. The patients’ histories were adapted to the SOAP note for the chart. The patients’ stories in their own words was rarely heard.

Much to the dismay of my team, I started asking my patients what they thought brought on their illnesses. The answers I received somewhat surprised me – they were nothing like I expected. While they at times seemed touchy feely to some of my attendings, the responses invariably deepened my understanding of individuals’ experience of illness. Often, what they told me felt more real than what my diagnoses purported.

For example, one woman, whom I’ll call Cindy, was a type 2 diabetic with poorly controlled blood sugars. As we spoke, she shared with me that she felt she did not know how to manage her stress. She said she felt ashamed of this, and would deal with the emotions by self-medicating with comfort foods. Diabetes and obesity were, in other words, a side effect of an entirely changeable behavior pattern. Having learned this, I encouraged her to engage in therapy to heal her relationship with herself and she was able to lose weight and reverse her diabetes.

“Mary,” for her part, came to me for both peri-menopausal symptoms and depression. When I targeted her depression and asked her what she felt was the cause of it, she poured out a story of an unfulfilling marriage in which she felt slightly neglected. Mary said she didn’t have anyone to talk to such that she could figure out what her next step would be. Weeks later, she had taken action in her life and was symptom-free – not just for depression, but also peri-menopause symptoms.

In these cases, the answers that the patients believed were underneath their illnesses carried an opportunity for healing that went far deeper than symptom-management. If I hadn’t asked each of these women what she thought the cause of her illness was, I would have missed the opportunity to connect with and understand her precise experience of it. I would have merely diagnosed and treated, denying my patients the opportunity to partake in their own care, address any lifestyle causes or contributors, and ultimately put themselves on a surer path to wellness.

As physicians, we all probably remember the moment when we decided to enter this vocation. We wanted to heal others and decrease suffering. We had the intelligence to solve highly complex problems. Through our studies, we gained a molecular understanding of pathology and disease. Yet what we were not taught, was how to ask other questions: What do patients think their symptoms mean? Why do they think they are sick? What do they need to feel well? What do they need to feel whole?

These questions do not take much time to ask. But their answers may be the most empowering tool we can give our patients. Further, remembering that in the face of so many challenging problems, we can always make at least a small difference can help us, too, in this sometimes difficult and draining profession. We must remember that the soul of our vocation is to heal our patients. This may be the exact medicine that can also heal us.

Rose Kumar is an internal medicine physician is founder, Ommani Center for Integrative Medicine and blogs at The Doctor Blog. 

Prev

Why I'm skeptical of a test for newly diagnosed prostate cancer

June 7, 2013 Kevin 0
…
Next

MKSAP: 52-year-old man with leg pain and swelling

June 8, 2013 Kevin 0
…

Tagged as: Diabetes, Endocrinology, Primary Care

Post navigation

< Previous Post
Why I'm skeptical of a test for newly diagnosed prostate cancer
Next Post >
MKSAP: 52-year-old man with leg pain and swelling

ADVERTISEMENT

More by Rose Kumar, MD

  • I feel more alone than ever before

    Rose Kumar, MD
  • Physicians suffer the personal toll of corporate medicine

    Rose Kumar, MD

More in Physician

  • How market forces fracture millennial physicians’ careers

    Shannon Meron, MD
  • Unity in primary care: Why I believe physicians and NPs/PAs must work together toward the same goal

    Jerina Gani, MD, MPH
  • Guilty until proven innocent? My experience with a state medical board.

    Jeffrey Hatef, Jr., MD
  • How to balance clinical duties with building a startup

    Arlen Meyers, MD, MBA
  • When life makes you depend on Depends

    Francisco M. Torres, MD
  • Implementing value-based telehealth pain management and substance misuse therapy service

    Olumuyiwa Bamgbade, MD
  • Most Popular

  • Past Week

    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • Physician practice ownership: risks, rewards, and reality

      Paul Morton, CFP | Finance
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Apprenticeship reshapes medical training for confident clinicians

      Claude E. Lett III, PA-C | Conditions
    • How American medicine profits from despair

      Jenny Shields, PhD | Policy
    • How market forces fracture millennial physicians’ careers

      Shannon Meron, MD | Physician
    • What I learned about health care by watching who gets left behind

      Maanyata Mantri | Policy
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • Few people realize this common infection can cause serious complications [PODCAST]

      The Podcast by KevinMD | Podcast

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

View 6 Comments >

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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • Physician practice ownership: risks, rewards, and reality

      Paul Morton, CFP | Finance
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Apprenticeship reshapes medical training for confident clinicians

      Claude E. Lett III, PA-C | Conditions
    • How American medicine profits from despair

      Jenny Shields, PhD | Policy
    • How market forces fracture millennial physicians’ careers

      Shannon Meron, MD | Physician
    • What I learned about health care by watching who gets left behind

      Maanyata Mantri | Policy
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • Few people realize this common infection can cause serious complications [PODCAST]

      The Podcast by KevinMD | Podcast

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

The soul of our vocation is to heal our patients
6 comments

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

Loading Comments...