At±lw hnfn¡p¶p.
"Health illiteracy" F¶
KW¯n s]« BfpIfpw
Dïv. AhÀ¡v "KqKnÄ
hnhcw' am{Xw ImWpw.
acp¶ns\bpw ip{ipjbpw
Ipdn¨pÅ B[nImcn
Iamb Adnhv ImWpIbp
anÃ.
C¯c¯nepÅ Bfp
IÄ [mcmfambpÅXp
sImïv tUmÎÀamÀ
tcmK\nÀWbw \S¯p
¶Xn\p ap¼v Xs¶ tcmKn
taÂ]dª hn`mK§fnÂ
GXn s]Sp¶p F¶p
IpSn AdntbïXpïv
F¶v At±lw Xsâ Your
Medical Mind(2012) F¶
{KÙ¯n ]d-bp¶p. 'A
journey into the minds of patients'
F¶mWv {Kq]vam³ CXn
s\ Ipdn¨v ]dbp¶Xv.
Cu ]pkv-XI¯nse
BZy`mK¯ns³d
ioÀjIw Where Am I in the
Numbers F-¶mWv.
CXnepÅ Susan Powell F¶
kwibmephmb
tcmKnbv¡v sImfsÌ
tdmÄ Afhv IqSpXem
sW¶pw lrZbmLmXw
hcm\pÅ km²yX IpSp
XemsW¶pw tUmÎÀ
]dªn«pw AhÀ Ìmän³
Sm_v-eäv Ign¡m³ hnk
½Xn¡p¶p. CXns³d
ImcWadnbm³ tUmÎÀ
amcpsS Nn´IÄ tcmKnI
fpsS a\kneqsSbpw IpSn
IS¯n hntSïXpïv F¶v
{Kq-]vam³ ]-d-bp-¶pïv. ("..
to better understand why patients
choose as they do, (doctors)
needed to first understand the on
slim of our own views aboutt
reatment and how they evolved.")
Akp-Je£W§Ä
Im F´p sN¿W
sa¶dnbm¯hsc
"decisional conflict' DÅhÀ
F¶mWv {Kq]vam³
hnfn¡p¶Xv. GXkpJ
ambmepw acp¶v- Ign
¡m³ aSn¡p¶hsc
"doubters" F¶pw FÃm
sSÌpIfpw kab¯-v-
Xs¶ FSp¯v AXnÂ
ImWp¶ ^ea\pkcn¨v
acp¶p Ign¨v -Pohn¡p
¶hsc "believers" F¶pw
At±lw hnfn¡p¶p.
Mesothelioma F¶ tcmKw
_m[n¨v Ahi\mIpt¼m
gpw Stephen Jay Gould F¶
{]apJ imkv{X Fgp¯p
Imc³ "tail of the curve"
Fs¶mcp kn²m´s¯
Ipdn¨p ]dbmdpïmbncp
¶psh¶v {Kq]vam³ ]dbp
¶p. Cu kn²m´w a\p
jys³d hyXykvXamb
hyànXzs¯ Ipdn¨pw
AXn\v tcmKt¯mSpÅ
_Ôs¯ Ipdn¨pamWv
]dbp¶Xv : the remarkable
variabiltiy of all living beings and
a similar diverstiy in how disease
and its treatment play out in any
individual.
tcmKImcW§fnepw
NnInÕbnepw Hmtcm
a\pjycpsS PohnX
coXnb\pkcn¨p DïmIm
hp¶ hyXykvXXbmWv
{Kq]vams³d Cã
{]-tabw. To be sure, scientific
advances are unpredictable. Many
fail, but a few succeed. For me, that
uncertaitny was a basic for treating
patients with severe illness in an
intensive and sustained way,
struggling to keep them alive until
better therapies arrive. Cu
{]Xymi {Kq]vam³ F¶
Fgp¯pImcs\bpw
{]nb¦c\mIp¶p.
In our role as doctors, our aim
is to help our patients understand
what makes sense for them, what
treatments are right given their
individual values and goals. We
(should be) especially mindful not
to impose our preferences about
our own health on our patients.
Jerome Groopaman FgpXnb
Your Medical Mind : How to decide
what is right for you(2012)
tUmÎÀamcpw tcmKnIfpw
tcmKanÃm¯hcpw hmbn¨n
cnt¡ï {KÙamWv.
\½p-sS B-tcm-Kyw | \hw_À 2017 77