physician21

about medical tacts and talents

Archive for the month “December, 2012”

A new Hippocratic oath ~2010AD

* I promise that my medical knowledge will be used to benefit people’s health. Patients are my first concern. I will listen to them, and provide the best care I can. I will be honest, respectful, and compassionate towards all.
* I will do my best to help anyone in medical need, in emergencies. I will make every effort to ensure the rights of all patients are respected, including vulnerable groups who lack means of making their needs known.
* I will exercise my professional judgment, uninfluenced by political or religious pressure, or the age, race, sexual orientation, social class, wealth, or celebrity of my patient. I will not put profit or my own career above my duty to patient.
* I recognize the special value of human life, but I also know that prolonging life is not the only aim of health care. If I agree to perform abortion, I agree it should take place only within an ethical and legal context.
* I will not provide treatments that are pointless or harmful, or which an informed and competent patient refuses. I will help patients find the information and support they want to make decisions on their care.
* I will be as truthful as I can, and respect patients’ decisions, unless that puts others at risk of substantial harm. If I cannot agree with their requests I will explain why.
* If my patient has limited mental awareness, I will still encourage him or her to participate in decisions as much as they feel able. I will do my best to maintain confidentiality about all patients.
* If there are overriding reasons preventing my keeping a patient’s confidentiality I will explain them. I will recognize the limits of my knowledge and seek advice from colleagues as needed.
* I will do my best to keep myself and my colleagues informed of new developments, and ensure that poor standards or bad practices are exposed to those who can improve them.
* I will show respect for all those with whom I work and be ready to share my knowledge by teaching others what I know. I will use my training and professional standing to improve the community in which I work.
* I will respect each of my roles, as expert, communicator, scholar, partner, manager, teacher, professional, and health advocate. I will promote fair use of health resources and try to influence positively those whose policies harm public health.
* I recognize that I have responsibilities to humankind that transcend diktats and orders of States, and which no Legislature can countermand. I will oppose health policies that breach internationally accepted standards of human rights.
* I will learn from my mistakes and seek help from colleagues to promote patient safety. While keeping within this framework, I will not be discouraged by failure, and will try to continue in a spirit of practical and rational optimism.
* While I continue to keep this Oath unviolated, may it be granted to me to enjoy life and the practice of the Art, respected by all, in all times.

We take this oath not because we are doctors but because sooner or later we are all patients. Clause 1 is the central clause. It has a terrible beauty. For many, it is our family that is our main priority. Often we can strike an uneasy compromise with family life.
This page is dedicated to doctors for whom circumstances allow no such compromise: those who have not fled wars, or who have stayed at their posts during epidemics… The above is based on the BMA’s Revised Hippocratic Oath.

Reference: Longmore M, Wilkinson IB, Davidson EH, Foulkes A, Mafi AR: Oxford Handbook Of Clinical Medicine, 8. Edition; A new Hippocratic oath ~2010AD.

Twelve common pits for doctors

common pits for doctors
The relation between the treating doctor and the patient relies basically on mutual trust, respect and dignity. Some psychological element in the response of patient to treatment may be agreed on in this context. However, despite this fundamental requirement for such saintly doctor/patient relation some pits or traps may happen from either side.

Pits from doctor’s side:
1- Patient extortion is a striking sign of corruption when a doctor extorts money or other things from a patient so that the medical service would be provided.
2- Doctor’s egoism may manifest as a doctor cannot tell a patient that he/she does not know how to manage the case or when another more conservative decision has to be made as the case progresses favorably.
3- Defaming other doctors may be immorally made as a habit by some doctors in order to persuade patients to comply with their prescriptions or decisions.
4- Effecting vague symptoms is quite dangerous because many complaints, especially those made by parents in respect to their young sick kids, are exaggerated and need to be tested very carefully.
5- Effecting unclear medical directions given by some senior staff members can expose both patient and young doctor to undesirable and even fatal consequences.
6- Trying insufficiently tested approaches that may be potentially harmful.
7- Reluctance or dispensing with asking for help of other persons, colleagues or more experienced staff members.
8- So-called recommendoma circulates sometimes among doctors, usually as a bad omen, that patients recommended from some medical staff members or personnel would progress unfavorably.
9- Patient’s psychological insult by exaggerating the severity of the case, giving unduly too much medicines or resorting unduly to invasive approaches, e.g. injections.

Pits from patient’s side:
1- Chattering patient is usually a person who is more roaming around his/her luxurious and fulfilled life more than looking for some medical advice.
2- Abusing patient is a person who is trying to trick the doctor for some physical, materialistic or psychological gains.

Pits from both doctor and patient:
1- Driven treatment fault is almost likely to happen when a patient or relative of a patient persuades a doctor to provide some medical service which the doctor accepts on grounds of curiosity and professional itch rather than on scientific and ethical grounds. This problem aggravates in absence of appropriate assistance by other medical staff members.

Suggestion:
The physician has to be keen on having the morals and attitude complying with the highly beneficent message of the medical profession through careful self-judgment and self-criticism and being well acquainted with the relevant ethical and social issues beside the up-to-date available medical knowledge.

Body building

body building

It is not infrequent to liken some human abilities and characters to those of animals. Brave like a lion, sharp sighted like a falcon, honest like a dog, active like a bee, patient like a turtle, fast like a tiger and so on. My idea about body building now does not fall far from this theme. Human body may also arouse thinking of particular animals especially on making proper body building. The trapezius muscle can be likened to some shellfish or a turtle. The deltoid muscle gives a contour like that of a falcon. The pectoralis major raises the breast like that of a lion. The serratus anterior has finger-like processes like opened wing of an eagle, while the latismus dorsi muscles make two pillars resembling an erect and proud cobra. As it may seem now that with body building a human body can represent a full board of brave, graceful and deadly animals. This positive impression about body building would neutralize its mere materialistic aspect, and hence intended abandonment, by many intellectual and sensitive persons. Indeed, as learnt from experience mental and moral powers do need physical power to execute good intentions and moral tasks. As a physician, for example, rescuing badly ill patients may necessitate physical effort comparable to that done by Olympic sportsmen.

Body building requires good and balanced diet including milk, nuts, cereals, vegetables and fruits and regular aerobics. It is also important to adjust the type and quality of the food and exercises to suit the individual’s condition with respect to age and health state.

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