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In this expanded edition, an accomplished physician and teacher of medicine discusses the importance of being a caring doctor, especially now that the focus of medicine is increasingly on technological innovation and health care costs.
With wisdom and compassion, Dr. Jerome Lowenstein tells stories about relationships between medical students and their teachers, physicians and their patients. He reflects on what doctors learn from treating chronic illness; how they respond to patients' needs for reassurance; how they bear the burden of treating patients with life-threatening or degenerative disease; whether the distinction between traditional and "alternative" medical treatment is ultimately beneficial or destructive; and many other issues. Dr. Lowenstein's ruminations on humanistic approaches to learning and practicing medicine will be treasured by physicians, medical students, and patients alike.
Covers the biomolecular revolution, treating chronic illness, AIDS, alternative medicine, etc.
|The midnight meal||1|
|The biomolecular revolution||3|
|Can you teach compassion?||12|
|Coughs, clouds, and ice||20|
|Treating chronic illness||23|
|Patients as teachers||30|
|Reassurance and the warning on the label||35|
|Defending the common cold||40|
|On drawing blood||52|
|The vital signs||56|
|The dummy and the standardized patient||60|
|Holding the blood gas report||65|
|The narrative instinct||69|
|The weight of shared lives : truth telling and family caregiving||76|
|A marriage without divorce||87|
|A critical incident||97|
|The homeless man on morning rounds||100|
|Where have all the giants gone? : reconciling medical education and the traditions of patient care with limitations on resident work hours||120|