icn¡pw t_m[hm\mIp
¶Xv. At±l¯nsâ
{]tXyIX hmÀUpIfn
eqsS Pq\nbÀ tUmÎÀamcp
ambn " machine -generated
diagnosis ' CÃmsX Xs¶
tcmKnIsf kv]Àin¨pw
AhtcmSp kwhZn¨papÅ
tcmK\nÀWb coXnIfmWv.
" The Stanford 25 ' F¶v
Adnbs¸Sp¶ Cu coXn
Gsd {]ikvXamWv.
tUmÎdpsS kÀKmß
IX shdpw Hcp Hgnhp
hnt\mZambn XpS§nbXÃ.
Hcp kab¯p tPmen¯n
c¡pw am\knI ]ncnapdp
¡hpw A[nIambt¸mÄ
IOWA Writers Workshop CÂ
tNÀ¶v t\Snb kn²nbm
Wv. My Own Coutnry : A
Doctor's Story F¶ BZy
t\mh Cu ]cnioe\
¯n\p ap³]v FgpXnb
XmsW¦nepw tUmÎÀ¡p
\Ã {]ikvXn t\Sn
s¡mSp¯p. FbvUvkv
tcmKnIfpsS thZ\bpw
bmX\bpw Ah tUmÎdn
 Dïm¡nb amä§fpam
Wv ]pkvXI¯nsâ
{]tabw. Cu tcmKw
{KmahmknIfn Dïm
¡p¶ amä§fpw Ahsb
t\m¡n¡mWp¶ A]
cnNnX\pw (]ctZin
BbXpsImïv) kp]cn
NnX\pw (tUmÎdmbXp
sImïv) Bb HcmÄ¡v
DïmIp¶ hyXykvX
A\p`h§sfbpamWv
]pkvXIw ]cnNbs¸Sp
¯p¶Xv. Cu
tcmKnIfpsS A\p
`h§Ä tUmÎdpsS
for me an evolving tension between
two approaches to patients. In the
first way - call it the traditional way
- the body is the text, a text that is
changing and must be frequently
inspected, palpated, percussed, or
auscultated. The other way - call it
the expedient way -- is not formally
taught and the residents seem to
have learned it no matter where ...
they trained. The patient is still at
the center, but more as an icon for
another entity clothed in binary
garments: the "i-patient" .. The
i-patient's blood counts and
emanations aret raced and tended
like a Dow Jones index, and
pop-up flags remind caregivers to
feed or bleed.
tUmÎÀ F{_lmw
hÀKoknsâ Cutting for Stone
F¶ ]pkvXIamWv At±
ls¯ {]ikvXcmb
Fgp¯pImcpsS t{iWnbn
 sImsï¯n¨Xv.
lnt¸m{Iäoknsâ
{]XnÚ ]dbp¶Xv : I will
not use knife, not even for sufferers
from stone, but will withdraw in
favour of such men as are engaged
in this work F¶mWv.
Fgp¯n\p IqSpXÂ
km{µX \ÂIp¶Xmbn
At±lw ]dbp¶pïv .
"I don't think there are are enough
physician - writers frankly. Given
how many of us are privy to so
many of these stories, it is
interesting that theren't more of us
mining this material." F{_
lmw hÀKokv The New
England Journal of Medicine CÂ
FgpXnb Culture Shock - Patient
as Icon , Icon as Patient F¶
teJ\w FÃmhcpw
hmbn¨ncnt¡ïmXmWv .
Ward experience highlighted
ChnsS tÌm¬ F¶Xv
{][m\ IYm]m{X§fpsS
AÑsâ t]cv IqSn Bb
t¸mÄ IqSpXÂ DNnXambn
Imcy§Ä. {]kh¯nÂ
Xs¶ "A½ acn¨p, AÑ
\pw Dt]£n¨p t]mIp¶
cïp ktlmZc·mcpsS
IY ]dbpIbmWv
hÀKokv. Hcp " watchful
outsider ' Bbn \n¶v sImïv
Imcy§Ä t\m¡nImWp
IbmWv tUmÎÀ ChnsS.
Hcp kÀPsâ " cutting '
ssienbn BWv IY
]dbp¶Xv F¶ hnaÀi\w
Dïmbncps¶¦n IqSn
Cu ]pkvXIw Gsd {i²
t\Sn.
\½p-sS B-tcm-Kyw | amÀ¨v 2018 89