Wednesday, January 31, 2007

Ikea Bulb Replacement



What do you expect the doctor when the patient enters the consultation? and what do you expect when the patient enters a doctor's office? If doctor and patient share similar expectations of the clinical encounter, it is very likely to be successful. It is important to know that the doctor was in college, some type of training based on science paradigms currently accepted as a valid medical. Take a look at this training.

What medical students learn.
simplify somewhat, say that in the early years of his career students learn (not without suffering) topics such as Anatomy, Histology, Biochemistry, Physiology, Pathophysiology, Pathology, Pharmacology, and others, through which knowledge is expected to they understand how the human body is made, how it works, as sick and how it interacts with drugs of various kinds. It is curious that despite the vast diversity of human existence, students learn that there are no differences between them. All these subjects are taught as a generalization, it matters little if these beings live closer to the sadness or joy, helplessness or hope. Is mentioned nowhere near Histology (or biochemistry or pathophysiology etc.) Of the sad, or hopeless or happy. For the preclinical level medical knowledge, all agencies are equal. The emotional life leaves no trace in the body. This is learning by default.
In the clinical stage, when students take the last few years, things do not change much. Disease is a matter of interactions between the agency and agents such as viruses, bacteria, parasites, disturbances metabolic mutations, activation of oncogenes, snuff, alcohol, drugs, state of defense systems, type of caloric intake, failure to self-healing mechanisms. Healing on the other hand, is a matter of diagnostics, drugs, surgery, changes in health-related behaviors, regular checks. Again, emotional states, the product of people's lives, not included in the consideration of therapeutic schemes or research protocols. At best administer sedatives, antidepressants.
All this thinking is the product of the paradigms that medical science has on disease and healing that comes from the time of Pasteur.

what we thought.
Based on our clinical experience, the theoretical soundness of our approach, recent scientific publications on intuition of our patients, we think that as gas exchange, cellular metabolism, the potential of oxide Reduction, permeability membranes, the dynamics of receptors and ligands, glomerular filtration and many other biological events, we say that the thrill also an integral part of the biological mechanisms involved in maintaining the balance that enables homesostático health human. Everyday experience confirms that we feel steps behind on a dark street, it changes our biology, by the deadline and not able to keep, change our biology, the view looking out of the love (or loved) changes our biology, the realize that we lost the wallet, change ours biology, to hear a certain song, change our biology. In every interaction there is the thrill that we have a certain type of action. Similarly the background emotions-sadness, frustration, disappointment, hope, optimism, change our biology and literally end up in us incarnate. Our move us towards or away from sick or healing, as this move is.
We need to change the move that leads to illness, is possible to learn. Clearly it is a matter more wisdom than farnacología and we look to put this into action will help improve the clinical outcomes of our professional and certainly can be a powerful tool in preventive medicine.
So the question that inevitably we will make every patient is, "And tell me please how did you spend in life?