Nammude Arogyam November 2017 | Page 78

2008  ]pd¯nd§nb How Doctors Think BWv {Kq]vam³ F¶ Fgp¯p Imcs\ ]qÀWambpw ]pd¯psImïph¶Xv. ... no one can expect a physician to be infallible. Medicine is, at its core, an uncertain science. Every doctor makes mistakes in diagnosis and treatment. But the frequency of these mistakes, and their severity can be reduced by understanding how a doctor thinks and how he or she can think better. CXmWv ]pkvXI¯ns³d cN\bv¡pïmb ImcW sa¶v At±lw ]dbp¶p. ]et¸mgpw tUmÎdpw tcmKnbpambpÅ kw`mj W¯n tcmK \nÀWb ¯n\mhiyambpÅ hnhc iIe§Ä tUmÎÀ¡v In«mdnÃ. ]et¸mgpw \mw ]dbm³ hn«pt]mIp¶Xpw ]dtbï F¶p hnNmcn ¡p¶Xpamb Imcy§fm hmw tcmK\nÀWb¯n\v Ffp¸amhpI. {Kq]vam³ ]dbp¶Xv kabIpdhv hnhc§Ä \evIp¶Xns\ bpw {Kln¡p¶Xns\bpw _m[n¡psa¶mWv. AXpt]mse Xs¶ KthjW¯neqsS¶ t]mse In«p¶ ØnXn hnhc IW¡pIÄ (Big Data) tcmK\nÀWbs¯ _m[n¡p¶p. ]ns¶, sshZyimkv{Xhpw ]Whpw X½nepÅ ]pXnb Iq«psI«pw tcmK\nÀWb s¯bpw tcmKnsbbpw _m[n¡p¶pïv. Hcp tUmÎÀ tcmKn tbmSv tcmKs¯]än am{Xw tNmZn¡p¶ tNmZy§Ä ]qÀWamb tcmKhnhcw 78 \½p-sS B-tcm-Kyw | \hw_À 2017 ]et¸mgpw tUmÎdpw tcmKnbpambpÅ kw`mjW¯n tcmK\nÀWb¯n\mhiy ambpÅ hnhciIe§Ä tUmÎÀ¡v In«mdnÃ. ]et¸mgpw \mw ]dbm³ hn«pt]mIp¶Xpw ]dtb F¶p hnNmcn ¡p¶Xpamb Imcy§fm hmw tcmK\nÀWb¯n\v Ffp¸amhpI. {Kq]vam³ ]dbp¶Xv kabIpdhv hnhc§Ä \evIp¶Xns\ bpw {Kln¡p¶Xns\bpw _m[n¡psa¶mWv. \ÂImdnÃ, adn¨p B kw`mjWw Ipd¨p IpSn "am\pjnI'ambm tcmK\nÀWbw IqSpX icnbmIpsa¶v Groopman Cu ]pkvXI¯n hmZn¡p¶p. 'Emotional dimension of the dialogue' F¶mWv Cu sshImcnI kwthZ\s¯ At±lw hntijn¸n¡p¶Xv. Emotional neutrality Hcp sshZyimkv{XRvP\v `qjWaÃ. Ignhpw (competency) kwthZ\ £aXbpw (communication skills) Hcpan¨p Dïmbm am{Xta tcmKn¡v Bizm khpw tcmK\nÀW¯n \pÅ km[yXbpw Iq-Sp-I -bpÅq. "Competency is not separable from communication skills. It's not a trade off." Hcp \à `njKzc\v AXym hiyw thïp¶ KpW §fpsS Hcp ]«nI Xs¶ {Kq]vams³d ]¡epïv. Ahbn {][m\s¸«h intellect, intuition, attention to detail, active listening, psychological insight F¶nh bmWv. kab¡pdhv th«bmSp ¶ C¶s¯ {]ikvXcmb tUmÎÀamÀ¡v AhcpsS "Nn´' IpäaäXm¡p¶ sX§ns\ F¶v Nn´n ¡m³ t\captïm? IqSp X hnhcw icnbmb Nn´bnte¡v \bn¡p ¶ptïm? Hcp tUmÎdpsS Nn´sb kzm[o\n¡p¶ iànIÄ GsXms¡ bmWv? {Kq]vam³ Xs³d Nn´ GXp Xc¯nemWv amdn sImïncn¡p¶Xv F¶ Xns³d Hcp Ipdn¸v The Anatomy of Hope F¶ ]pkvXI¯ns³d Ah km\w ]dbp¶Xv {i²n¡mw: Patients are awash in a sea of statements about the link between their emotions and their maladies. For years I diverted or dismissed their inquiries because I did not know how to answer. Now my response is formed by the lessons taught to me by my patients and the stirrings of serious science.