Showing posts with label doctor. Show all posts
Showing posts with label doctor. Show all posts

Sunday, June 28, 2009

Doctor Patient Conversations

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First adventure on the road was at the B--Hospital. A patient asks for some shots to get him through Peru. The doctor glances at a rough spot on the back of the patient’s hand.


“How long have you had this?"
“Two, maybe three months.”
“Not sure if that’s precancerous or cancerous, I’d like a biopsy.”
“What will the biopsy tell you?”
“The architecture of the cells. The structure and the depth of penetration of the growth. Whether it’s just precancerous, so we can just freeze it off with CO2, or if cancerous, determine if it’s aggressive or not. If it’s more aggressive, we must cut deeply, cut out a wider surrounding margin. Lab results will be back next week.”

“I’ll be in New York by then. You can email?”
“Sure. I’ll let you know how quickly you need to act. Different cancers require different treatments. They can’t all be frozen off with dry ice.”

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Voice-over

Doctor-patient consultations start off with the doctor observing and then asking quiet questions. When possible diagnoses are proposed, along with treatments, accompanied by any mention of c--- any patient gets a little apprehensive. Then, roles reverse: it is the patient asking most of the questions.
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Tuesday, July 8, 2008

Ears

Beatrice hears her new friend Anna wants to specialize in medicine.

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Beatrice: It’s hard, getting to be a doctor.

Anna: I can do it.

Beatrice: I know you can study. But the hours, the crises, the commitment… What kind of a doctor?

Anna: Ears.

Beatrice: Hearing?

Anna: It goes back to my childhood. I’m deaf in my left ear.

Beatrice: No. You never said.

Anna: What’s there to say? I sit so people are on my right. I do fine.

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Voiceover

Simple wh- questions can yield surprise answers. At times, exposing some disability.

Yet hardship can be undervalued. Anna has a workaround for her left ear deafness. And it acts as a springboard to a decent career.

I had a friend who consistently pulled only average grades first two years in high school. Then his father died. Six months later my friend was getting top marks in all subjects, and was captain of the school tennis team. He went on to become a doctor, like his father. It was as if the torch had been passed.

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