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| Subject:
American Medical Mythology
Category: Miscellaneous Asked by: modiano-ga List Price: $20.00 |
Posted:
18 Mar 2005 16:46 PST
Expires: 17 Apr 2005 17:46 PDT Question ID: 496991 |
I'm doing a lecture to foreign-trained doctors in NY talking a medical communication course. One of the students asked me: "What is American ethnicity anyway? No one can tell me?" So it got me thinking about answering his question, for the class, by way of addressing prevailing medical myths, American style. Not ethnic myths, American home-grown myths about medicine. For example, the myth of the individual: "I'm totally in control of my own health." What other myths are out there, and how do they affect patient interaction with doctors? |
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| There is no answer at this time. |
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| Subject:
Re: American Medical Mythology
From: czh-ga on 18 Mar 2005 19:36 PST |
Here are some articles about the myth of the infallibility of doctors. http://www.studentbmj.com/back_issues/1098/data/1098r2.htm Doctors are socialised in medical school and residency to strive for error-free practice, making it difficult to deal with human error when it does occur.[10] This leads to an expectation of perfection that doctors translate into the need to be infallible. Doctors may come to view an error as a failure of character, leading to a reaction of 'How can there be an error without negligence?' http://www.babbitt-johnson.com/doctors_admit.html We have created a myth in our society that doctors are infallible, that they don?t make errors, don?t have to look things up, and have a compendium of knowledge that incorporates every disease, every treatment and every consequence of treatment in their field and know it all by heart! Nothing, of course, could be further from the truth. Doctors do make mistakes, do forget and don?t know everything. http://www.mercola.com/2003/nov/26/death_by_medicine.htm THE FIRST IATROGENIC STUDY Dr. Lucian L. Leape opened medicine?s Pandora?s box in his 1994 JAMA paper, "Error in Medicine".16 He began the paper by reminiscing about Florence Nightingale?s maxim--"first do no harm." But he found evidence of the opposite happening in medicine. He found that Schimmel reported in 1964 that 20 percent of hospital patients suffered iatrogenic injury, with a 20 percent fatality rate. Steel in 1981 reported that 36 percent of hospitalized patients experienced iatrogenesis with a 25 percent fatality rate and adverse drug reactions were involved in 50 percent of the injuries. Bedell in 1991 reported that 64 percent of acute heart attacks in one hospital were preventable and were mostly due to adverse drug reactions. |
| Subject:
Re: American Medical Mythology
From: omnivorous-ga on 19 Mar 2005 07:29 PST |
Modiano -- CZH has given you an excellent start. I might also suggest articles written by Dr. Atul Gawande in the New Yorker Magazine. Gawande has written consistently over the years about the application of modern management methods to medicine, including the "learning" effects of Total Quality Management. Linked is one example: "The Bell Curve" (Dec. 6, 2004) http://www.newyorker.com/online/content/?041206on_onlineonly01 A good place to start is at the New Yorker site, with a site: search in Google: site:www.newyorker.com "Atul Gawande" But note that The New Yorker doesn't have all of its content available at that site. However, if you have access to a good library, one of the fee-based services (Ebsco, Infotrac One File, Proquest) will have full text search capabilities for the magazine. Best regards, Omnivorous-GA |
| Subject:
Re: American Medical Mythology
From: myoarin-ga on 19 Mar 2005 08:24 PST |
czh-ga sure has found the leading myth, but there is nothing especially American about. Germans talk about "Gods in White", the subject has two sides, not only the doctors want to believe they are infallible (and at least in the States they pay for very expensive malpractice insurance because they aren't), also the patients want to think they are, innerly refuse to question that maybe the doctor isn't helping them and that maybe another one could, after they have been in treatment by the first one. |
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