Thursday, October 20, 2011

Hi-Story !

Hello....How are you...?


          The art of history taking, an ultra-essential component of any medical consultation, is just an obvious extension of our daily human encounters across the planet - Hello, How are you ? But, in the diseased, deformed and stressed out  world of medicine, it focuses exclusively & extensively with knowing the maximum about an individual, rather than the another who presumable plays the healer. The primary concern here is a process of suffering, that the person being interviewed, may be suffering with.

The art of Communication, verbal or non-verbal, is nowhere put to such a strenuous test, as in these time-constrained, emotionally charged medical encounters or consultations. A physician stands to gain an immense insight into the covert terrain of the sufferer, through this inter-woven art of asking, listening, questioning, answering with or without expressing. This empowers him to optimise and individualise his management strategy for each individual. 
Unfortunately, the few, far-apart but scary medical murderers were immensely gifted in this very subtle skill; which rendered them powerful enough to execute their cruelties with such an uncanny sophistication, that too without being detected for a long time.

With every technological innovation, impatience is automatically being encouraged and nurtured in our practice and our consciousness as well. Sadly, in this modern world dotted with technological eagerness to peep inside the dynamic anatomy, physiology & biochemistry - comes across as a strong challenge to the art of communication that our predecessors had mastered so amazingly well over their training years. 
The patients also these days are also evolving and more inclined to have tests & get scanned to feel much better within themselves than their historical counterparts. The physicians are also demonstrated a similar trend, keeping pace with the technological invasion of medical diagnostic tools, workplace demands and patient satisfaction indices. 

Technological proliferation aimed at easing or expediting a diagnostic challenge was never designed to diminish or replace the role of a physician-centered historical and physical exploration of a sufferer's mental, emotional, physical, and spiritual state of well-being. Optimal use of available technology to ensure a sufferer's well being, is a task hard to learn, retain, recall, practice daily and teach to young trainees with each successive patient encounter, by our generation of practitioners. 



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