Right? They almost never get closer than the length of their stethoscope.
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Right? Like attending physicians have this sort of arm's length relationship for the most part with their patients. And the thing that struck me so much was that when I watched him do that, I realized in the moment that I was shocked because I had never seen an attending physician touch a patient that much. So we told her that she needed to do that and then immediately the attending went over and in a way that's a little bit hard to describe, basically leant over, helped her to sit up and then wrapped his arms physically around her and physically helped to sort of pick her up out of the bed and then steady her onto her feet so that she could then take a few steps and walk around. And we needed to get her up and out of bed because the main task of that day was to encourage her to get up and to walk around. So we went to see a patient one time who had been in the hospital for a long time, had been down in bed, and her muscles had just grown very weak because she had been in bed for so long. So as someone who interacted very directly and physically with patients, I found it really important to to detail my experiences because I didn't see that reflected on the shelves at Barnes and Noble or whatever. Most of them are actually paramedics, though. There's maybe one or two memoirs written by EMTs. Maybe I'll write an essay about it, maybe I'll write something about it, about my experience." You know, there's a lot of pieces out there and books written by physicians. So that was the sort of initial thinking. And you know, I would see someone or have an interaction and think maybe I should write this down. I worked second shift usually and often on the fast track side, but often also on the trauma side.
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A lot of the original scenes date from when I was working in the emergency department, where I would come home from a shift. Maloney: I knew it was a book a long time ago. I'm wondering whether you can briefly tell us the origin of your book, Cost of Living.
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Emily, thank you very much for joining us today to kick us off. Can a stronger understanding of this meaning create better doctors? How can we build healthcare institutions that nurture the doctor patient connection? What can we learn about the human condition from accompanying our patients in times of suffering?Īnd now we welcome Emily. Throughout our medical training and career, we have pondered what makes medicine meaningful. Tyler Johnson, MD: And I'm Tyler Johnson.īair: And you're listening to "The Doctor's Art," a podcast that explores meaning in medicine. should be reformedįollowing is a transcript (note that errors are possible): 2:33 Emily's motivation for writing her recently published book of essays, Cost of Livingġ0:24 How finding herself in suffocating medical debt changed Emily's lifeġ8:20 Why the true costs of medical interventions are impossible to know under the current systemĢ4:43 What drew Emily into the medical profession, despite her negative experiences as a patientģ7:28 Emily's ideas on how healthcare in the U.S.