terça-feira, 29 de setembro de 2009

I believe that the medical professionals are faced with such strong evidence of its shortcomings in the way of dealing with the soul of our patients, we need to change.
There are huge advances in pharmacology and psychotherapeutic techniques that really benefit many people. My greatest concern is with those patients whose distress is not so evident. Their symptoms are not dramatic (as a schizophrenic, for example) but he is mentally ill. They can not say anything directly, be evasive.
Often this type of patient only has complaints about his body, he only realize his body suffering Thus the mental discomfort behind the disease is not seen by the doctor. The doctor can not see because he was not well prepared for it; or because he may be trying to avoid seeing his own suffering and thus become blind to the patient.
Perhaps the doctor has only been trained to think in practical terms and not have much time and inclination to hear about the patient's life, ask about his personal questions, relationships. The doctor do not know how you feel emotionally, how you live ...

Who works with mental health, and those working for health in general, have to think about quality of life. Unfortunately, we do not have a scheme with sufficient medical care and other professionals who could pay more attention to this huge segment of the population which is suffering from subjective discomfort. These patients wind up in the surgeons, specialists in the digestive tract, dermatologists etc.; usually, they pass the exams and from doctor to doctor without improvement or no cure. They also are very expensive for the health system because of this. It would be smarter and more efficiently build a model that would privilege the analysis and treatment of the patient subjectivity. But this model of care is not easy to achieve.
A group of psychiatrists was attempts to sensitize medical cooperatives in Brazil, showing studies which reveal about the savings when the health plan offers adequate emotional support to its users, but it was not able to change his mind. Directors of health, even as doctors, prefers to build hospitals, buy expensive equipment and create more and more impersonal doctor patient relationship.
Is not good for doctors to treat their patients as if they were simply a body, whit these vision we can get only partial and unsatisfactory results. Nor is it good for the patient to be seen as a simply body by the doctor, he will probably feel bad about not being understood.
He may be scared, to lose confidence in doctors and sometimes even go look for ways of treatment that are not correct.
Often the correct treatment is no longer done because the patient has lost faith in medicine.
Medical practice is a fascinating mixture of art and science, and none of these aspects should be neglected. Yes, there is a lot of art, sensitivity and aesthetic sense in medicine.
The human figure is a very complex, extensive.
A person is always full of subtle nuances and possibilities. The body reflects his lights and shadows. Many are its internal paths and detours.
Someone who would like to heal a man need to know an ocean and want to understand it, hear its voice, know what it is desires, the evils that afflict it. It is usually in this internal sea that we try the answers to the ills that afflict the individual.
Some diseases have more closed linked than others with the soul. But all patients, whatever their disease, have a personal history, events of emotion and fantasy. If the doctors have time to know their patients, the medicine will grow much. Our medical practice is also become more pleasant, less mechanical and more creative.

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