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A look at the emotional side of medicine?the shame, fear, anger, anxiety, empathy, and even love that affect patient care
Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life?s most challenging moments. But doctors? emotional responses to the life-and-death dramas of everyday practice have a profound impact on medical care. And while much has ...
A look at the emotional side of medicine—the shame, fear, anger, anxiety, empathy, and even love that affect patient care
Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But doctors’ emotional responses to the life-and-death dramas of everyday practice have a profound impact on medical care. And while much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. In What Doctors Feel, Dr. Danielle Ofri has taken on the task of dissecting the hidden emotional responses of doctors, and how these directly influence patients.
How do the stresses of medical life—from paperwork to grueling hours to lawsuits to facing death—affect the medical care that doctors can offer their patients? Digging deep into the lives of doctors, Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Danielle Ofri offers up an unflinching look at the impact of emotions on health care.
With her renowned eye for dramatic detail, Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients and her forever fear of making another. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. But doctors don’t only feel fear, grief, and frustration. Ofri also reveals that doctors tell bad jokes about “toxic sock syndrome,” cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness. The stories here reveal the undeniable truth that emotions have a distinct effect on how doctors care for their patients. For both clinicians and patients, understanding what doctors feel can make all the difference in giving and getting the best medical care.
"Here is a book that is at once sad and joyful, frightening and thought-provoking. In her lucid and passionate explanations of the important role that emotions play in the practice of medicine and in healing and health, Danielle Ofri tells stories of great importance to both doctors and patients.” —Perri Klass, author of Treatment Kind and Fair: Letters to a Young Doctor
“An invaluable guide for doctors and patients on how to ‘recognize and navigate the emotional subtexts’ of the doctor-patient relationship.” —Kirkus Reviews
“Yet her insightful and invigorating book makes the case that it’s better for patients if a physician’s emotional compass-needle points in a positive direction.” —Booklist (starred review)
“Rich and deeply insightful. . . . A fascinating journey into the heart and mind of a physician struggling to do the best for her patients while navigating an imperfect health care system.” —Boston Globe
“With grace, courage, humility, and compassion, Bellevue Hospital physician Ofri gives voice and color to the heartbreak, stress, and joy that attends medical practice.” —Library Journal
“A fabulous read.” —Greater Good
Posted July 13, 2014
I first read Dr. Ofri's insightful writings in an online article, and I knew I needed to read this book. Dr. Ofri writes openly about the feelings doctors experience, both the joyful positive ones and the shameful negative ones. I felt an immediate connection with the book and with Dr. Ofri, whom I've never met, as like her, I have lived and continue to live in this culture of medicine.
In this book, Dr. Ofri beautifully shares her experiences and those of other doctors as they grow from being medical students (when they were still normal human beings) to being residents (trying so hard to prove themselves worthy of joining the ranks of their mentors and instructors) to independent self-sufficient "real" doctors capable of calling all the shots and saving lives. Throughout these stages, there are overwhelming emotions that are tamped down and minimized, hidden from others, denied even to themselves, and muddled together with experiences that ultimately damage the spirit of the person known as "doctor."
Dr. Ofri also shares the joy we feel when our patients are healthy, when they recover from illness, when they "beat the odds," when they allow us into their lives and hearts so that we may know them and their struggles intimately. She illustrates beautifully the bond between doctor and patient that so many of us yearn to build and rejoice in discovering. She also points out that in most cases our patients are unaware of how their lives and conditions affect us as human beings, how we hope for their sufferings to end, that we pray for them to overcome their struggles and be at peace.
I've learned a lot about my doctor culture by reading this book. I've begun to allow myself to feel more, to share more, to open up more, with myself and others with regard to my experiences in medicine.
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