Dr Kerdel-Vegas: ADVICE TO PHYSICIANS

6 05 2013

Francisco Kerdel-Vegas

Francisco.kerdelvegas@gmail.com

www.bitacoramedica.com

 

 

The custom of inviting a character's popularity and authority, alien to medicine, to express freely their ideas about the current state of the profession, it is a healthy habit, wherever it is practised, and if it leads to a better debate, It indicates that it is a topic that deserves to be studied in depth.

 

Such is the case of the words uttered by HRH the Prince of Wales in the past 3 in May of 2012 the Royal College of Obstetricians and Gynaecologists of Britain (published in December of the same year in the journal Journal of the Royal Society of Medicine) where he insists an approach made by him exactly three decades ago (a generation) in a speech pronounced before the British Medical Association, echoed in that of well known fallacy the notion of taking the body as a machine and the disease as the result of a failure of the operation of the same, simplifying and thus assimilating the role of the physician to the mechanic able to repair machine.

 

Point of view held and maintained by the heir to the British Crown reveals its firm position in support of those who believe that there is room for concern about the lack of balance between the human medicine versus the tempting and important advances technology. the lack of a solid training humanist of medical students, they can take you to think that medicine is limited to diagnose and treat diseases, and forget that the patient is a whole body, mind and spirit, and that the true doctor should always bear in mind that the human being's own trilogy, to be able to ideally practice their profession which is said it is the oldest in the world.

 

Highlights Prince Charles in his speech to obstetricians and Gynecologists British - an opportunity to spread their views on the current state of medicine- its consistent position in favor of what it calls integrative health and medicine modern post:

 

"I fear that what was true ago 30 years remains equally true today. Is therefore, for a long time and not without criticism from some sites, I have tried to suggest that it would be beneficial to develop true integrated systems to provide health and care. Or is, not just treat the symptoms of the disease, but actively create health and put the patient at the heart of the process, incorporating fundamental human elements that are the mind, the body and the spirit. to achieve this - and there are many who support it - I would suggest medicine need to sometimes be less literal in its interpretation of the patient's needs and more inclusive in terms of which may require treatment – in other words, Is also vital to understand how symptoms can often just be a metaphor of disease and unhappiness underlying., seems to me, recognize that the treatment can often be effective due to their symbolic significance to the patient, using effects that are currently being understood by the science of the psychoneuroimmunology.

In summary, I suspect that there will be always a fight if we continue with an envelope emphasizing an approach mechanistic and technology. Please do not mistake what I say - the best of the science and technology needs to constantly be controlled and disseminated to obtain its best effect- but, I would suggest, that it wasn't at the expense of the elements humans. they, After all, They provide the rationality of medical and health care going back to our roots."

 

Difficult to disagree with the advice of the Regal character, who sums up in a few words what the great masters of medicine always we taught. only that in our days newspapers and lightning progress of technology make us forget - albeit momentarily- that the patient is not a machine but a human being and should be treated as such. to achieve it, emphasis should be put in the education and training of the physician from the first day of his studies University. for this reason the great responsibility always will fall at the end in medical schools and their teachers.

 

It is convenient and appropriate to repeat over and over again the need to "humanize" the medical practice.


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