Home medical care

To start with, let’s agree about the places where medical care can be given, namely home, social community and a kind of medical service like hospital. The word home – in the broad sense – implies feelings of assurance, safety and comfort and also can lighten the impact of being in need for a certain medical care or having a special health condition. This is why it is important to let every patient to choose where medical care can be given as long as different options are possible. Home medical care would be the preferable option for patients who would need care for long periods and especially for sick elderly people.

Is HMC the trend of medical care in the future? With some reflection we can realize the unique benefits of home medical care for both the patient and the care giver. These include close and sustainable medical observation, good patient/caregiver relationship, accurate and reliable medical notice registration, easy, organized, and responsible communication between medical care givers and patient, and cheap and affordable care packages dependent on time and level of the given care. It is thus obvious that home medical care can entail a few caregivers with different levels of knowledge or specialties and can, therefore, offer best chance for medical care of the patient, from one side, and exchange of knowledge among care givers who would at best communicate timely and speedily through common internet facilities. Such proposed tree of medical care givers in home medical care can also accommodate as many as possible of newly and even older graduated doctors and assistants who otherwise lose much time to find suitable jobs and training opportunities.

The wished advancement of medical care will not be achieved only by investment in medical research seeking for better treatments and diagnostics but also through the establishment of working health care options and resources and readily accessible medical knowledge and training.

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Drastic and devastating

Drastic and devastating

The title of this post presents two important words from the medical dictionary. “drastic” can be first seen in the homeostasis introduction to medical physiology course. It emphasizes the lack of adaptive and accommodative responses to sudden and strong changes in the environment. In such conditions the outcome can be quite damaging or even fatal. The word “devastating” can be found in the pathology essays such as those changes due to severe infections and it usually concerns a local pathological change, e.g. necrosis. Though the two words may originally concern natural events in the environment, they may provide clues to medical care and case evaluation.

In medical practice the care-giver should avoid harsh interventions in terms of course and dose. The treatment may be better doing when it is decent and incremental (opposite to drastic). That view in the medical care – in some situations – entails ‘partial correction’ of the concerned disorder as”rapid*” ‘full correction’ may bring about quite unwanted or even fatal hazard. It is always wise to have an overall vision of the medical case with top-to-bottom estimate so that such extreme flip-flops can be better appreciated and avoided. The treatment should be both problem- and patient-tailored. As the body’s reserves to accommodate changes (temperature, water, food, etc.) is limited and varying from time to time one should be careful not to be too rush or too slow.

By the way, the medical opposite of devastating can be ‘mild’ or ‘trivial’.

Take-home massage:

1- Be decent, systematic, and incremental.

2- Observe well.

3- Be open-minded, generous and evolution-ready.

4- Make your expectations as modest and small as you can.

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* Suggested steps of management could be:

1- Reverse the current event.

2- Restore/establish base line.

3- Treat residual illness.

 

Physician and physical contact

In the medical field ‘physical contact’ usually implies the medically required contact with patients and its aspect of disease communicability. However, this generally perceived view may need some reform to emphasize the two opposite sides, the profits and the risks. Although modern tools of communication could be of great help, they are used only in cases where direct contact of the doctor with patient is instantly not manageable. What kind of blesses a skilful physician can have in his/her attendance! The look; the affection; the touch; the wisdom and the proof. This may refer to the true start of the medical care from mind and not matter, from tact but not tempt, from thoughtfulness and not automaticity. Some people can argue metaphysical working in even lay and plain dealings and for them the medical cases wouldn’t be exceptions. The medical tactfulness can be gained in steps and over time. It comprises emotional, behavioral, ethical and medical progresses. In my opinion, the value of the clever physician lies in the lengthy and subjective path to acquire such collegial attitude and not only the cost and difficulty of the academic courses. Should the physician’s responsible physical contact be rightly and adequately perceived by the patient, this can be a subject of individuals’ variations. For example, rubbing the hairs and cheering up of a child in a medical session may not look well reasoned by the child’s parent(s). Accordingly, the physician may show sympathy and encouragements just as little and sufficient as possible to balance between his/her emotional generosity from one side and the patient’s understanding and conception from the other.

Sexphonia (sexophonia) – an interview –

Sexophonia

Interviewer: Hallo, everybody! Welcome to this episode of “medical views”. Today, we would like to run a conversation about “sexophonia” with the person who coined it. Mr. Physician 21, welcome to our program!

Physician 21: Thank you very much. I am so glad to be here today.

Interviewer: Before discussing your view about sexophonia, let’s start with two questions that seem relevant to this topic: who are you and what is your medical philosophy?

Physician 21: I am a physician by learning and training and interested in languages, cooking and sports. About my medical philosophy, I would say I am a rational and logical person and respect the different medical schools because, in my opinion, they complete one another.

Interviewer: Will you try to present your idea about sexophonia as for the meaning and the resonance?

Physician 21: Well. The idea is about the working and interaction of environment, people and individual (ecology, society and physiology). In my present view, the very variable crosstalk between the individual and the surroundings including people is the factor that would influence one’s health and productivity. In this process, the words sex and creativity may be greatly interchangeable as they may have common routes and paths. Accordingly, I wish that my idea is not seen as one more theory of physical sex centrality but rather a concept that intermingles physical sex and life willingness in one homogenous and consolidated continuum.

Interviewer: I may have got the concept. However, how would you defy the apparent high sexuality-orientation in your idea, for example, if you would agree that a pleasant thing could be described as sexophonic?

Physician 21: Well. Here can be a great deal of misunderstanding and confusion, because the implementation of sexual-orientation should not include undetermined or irresponsible views or talks about sexuality. The latter is being essentially private and personally defined.

Interviewer: Okay. You mean that the abstractive generalization of life willingness under sexophonia does not necessarily mean the demolition of the sensitivity and privacy of the sexuality as a scientific and ethical topic.

Physician 21: That’s it, thank you.

Interviewer: And what about the name?

Physician 21: The name includes the suffix “phonia” which means acoustic. This would be a suitable vehicle for the meaning, because the hearing may be the most important among all the human senses. For example, through the hearing we perceive the tunes and convey the feelings.

Interviewer: Tell us a few examples of the echoes of your view.

Physician 21: Well. The concept of sexophonia may be very relevant in managing diseases. This can be explained as social maneuvers, environmental modifications, learning motivation, etc. The physician should pay attention to such elements that can greatly influence the individual’s willingness to life as quite serious as to common medicines and regimens.

Interviewer: Thank you so much for this interesting information.

Physician 21: Thank you too.

The word cures

the word cures

Has anyone thought ever what the best and cheapest cure could be? I might have got an answer: the word. It is the word that conveys love and respect; the word that spreads hope, light and warmth. Nothing in the world can do all this other than the good word. Should it have to do with pain or with some shortage and stress? Does the situation concern confidence and competence? Or were it a sweeping fear and unbearable doubt? I never wonder when one single word turns all this misery to delight and existence.

As a physician one might ask; what could a word do for an acute appendicitis or a heart attack? The answer, and hence the role of the word, will depend largely on the way one thinks. If one thinks of the blessings of the good word, the urgency of the situation would lessen quite enough so that a typical medical care would be optional or even superfluous. Because such extreme belief and sensitivity are always the exception, in the general practice the role of good word would be confined only to fulfill ethical and moral aspects of the cure art.

What could the word do, on the other hand, when used badly? A bad word might obscure light, steal hope and threaten talent. A bad word might impair and impede the mind, mislead the aims and spoil the potentials. Even, renal colic, stroke or lost temperance, for example, might be precipitated by one bad word said with or without intention. In other words, the cost of word misuse in our life might far exceed the inevitable losses caused by labor, thoughtfulness and care we invest to achieve our existence and satisfaction. That’s why we should train ourselves to best use our word treasure as much as we are keen on taking courses to improve our work and professional skills.

Who believes in the beneficence of word, might look a bit different, because in an increasingly materialized life a brilliantly good word might be overlooked. But when every kind of medicine and manipulation may be insufficient for cure and relief, then one may reconsider the good word as the best and cheapest cure.