Friday, April 21, 2017

empathy exams

" A month later, Dr. M. bent over the operating table and apologized. ' I'm sorry for my tone on the phone,' she said. 'When you called about your abortion. I didn't understand what you were asking.' It was an apology whose logic I didn't entirely follow. (Didn't understand what you were asking?) It was an apology that had been prompted. At some point my mother had called Dr. m. to discuss my upcoming procedure-and had mentioned I'd been upset by our conversation."
A prompted apology leaves the recipient feeling underwhelmed. Apologies should be genuine and come from the heart, not just because you feel guilty. If a provider doesn't understand what a patient is asking or why, they need to ask more questions about the subject. Maybe she was concerned about having two medical procedures so close together or if her heart condition would be an issue with the anesthesia used in the abortion process. It is important for a provider to understand what their patient needs and explain important information until it is understand.
This passage reminded me of a time I was about to have an emergency procedure that I felt needed to wait or be done a different way. The doctor Snapped at me when I was very emotional that this was what needed to be done and will need to be done right now. no questions asked! He later apologized for his abrupt behavior and that there just wasn't time to explain everything to me with what was hanging in the balance.

Sunday, April 2, 2017

dont know much about history

Antibiotic resistance has caused difficulty treating even basic illnesses such as ear infection. Doctors are relating this to over use of common medications Amoxicillin, Penicillin and others like Augmentin. Before there was an understanding of this concept, patient were treated very loosely with these medication for even common colds. Also with the introduction of antibiotics to modern medicine, patients began to request them for every sniffle. With overuse, bacteria has developed a "thick skin" making it more difficult for antibiotics to penetrate and destroy them. Superbacteria is a product of this overuse. In addition to resistance, many patients have developed antibiotic allergies. This can eliminate a whole category of medication. Such Amoxicillin. If you are allergic to Amoxicillin, you are unable to be treated with Augmentin- a cousin to Amoxicillin. There is not enough funding to support research to develop a new generation of antibiotics. So even though there has been some break through research on components of breastmilk being able to be used for a new generation of antibiotics, researchers are unable to get past the preliminary discovery. Other researchers have discovered sources in soil of the Amazon that may be used as well.
The first antibiotic was discovered in 1933. Not much has changed since then. This is a problem we need to solve to stay ahead of the ever changing germs.