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Doody's Review ServiceReviewer: Patricia Wong, MD (Stanford University Medical Center)
Description: Eric Cassell presents a perceptive, insightful discussion on what it means to be ill from a humanity viewpoint. This book should be on the required reading list in psychiatry for medical students. You will discover why your patient will continue to be unwell even though you have made the proper diagnosis and instituted the proper treatment course and the laboratory studies have improved. Learn how to treat the soul and mind, not only the body. Unfortunately, this is not taught in medical school or is taught poorly. Experienced physicians would benefit from reading this book. It explains the difference between being a technician and a really fine doctor.
Purpose: The author's purpose is to educate physicians on alleviating patient suffering through the patient-doctor relationship. The ethical dilemmas physicians are faced with are explored in a soul searching manner. How do you decide to treat a patient when you feel it is "a waste of resources" and "wouldn't make a difference anyway" (i.e,. the patient is going to die irrespective of what will be done). How do you handle and feel about patients refusing your therapy when you are certain they may die if they don't follow your advice? Cassell points out that as technology advances in the medical arena, our ability to treat these kinds of problems is rapidly dwindling.
Audience: The audience is all medical care providers and students.
Features: The doctor-patient relationship is explored, promoting an understanding of disease in the context of how one experiences personal loss and control, framing it in terms of the conflict between the self and the body. Trying to present the patient with choices on sickness, disability, and death that will lead to harmony is as difficult as it sounds. A therapist should accompany every book sold. The history of the evolution of our thinking that saving someone from death and prolonging survival are the most important goals of a caregiver is presented. In the 19th century people commonly died in their 30s or 60s, but when CPR was discovered and antibiotics were developed, a debate emerged whether it was better to let someone go to heaven or stay on earth. This is very interesting stuff. You have to read it!
Assessment: This is one of the best written books of this genre.