tag:blogger.com,1999:blog-32053362.post1873836248165549670..comments2024-03-29T06:37:18.029-04:00Comments on Not Running a Hospital: The Secret Language of DoctorsPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-32053362.post-37622295858457877342015-03-15T12:58:28.500-04:002015-03-15T12:58:28.500-04:00Man improving after intensive medical treatment in...Man improving after intensive medical treatment in ICU.<br /><br />Attending physician: "You had us worried for a while. You look great!<br /><br />Patient: "I can't believe it. I feel so much better. I only have one question."<br /><br />Physician: "Certainly! What's your question?"<br /><br />Patient: "What's a 'Gork?"Peternoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-13459193412834507402015-03-14T13:02:52.141-04:002015-03-14T13:02:52.141-04:00Sounds like a great book! Very astute observation...Sounds like a great book! Very astute observations. I think I'll recommend it to a friend who teaches med students. Examining language tells us so much!! <br /><br />There was a medical sociology book about medical education that explained such language as a way for medical students to cope psychologically with the stress of what they are dealing with. Gallows humor as a defense. For those of us who understand what the issues are, it is painful to hear this kind of language, because we see the callousness of younger colleagues - or older ones - and despair for the profession. But that's just the challenge, I suppose.Bobnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-8519428570305919802015-03-14T11:00:25.290-04:002015-03-14T11:00:25.290-04:00From Facebook:
The professionals that are salivat...From Facebook:<br /><br />The professionals that are salivating ... as he says ... I don't think np's desire such patients as much as they are perhaps better equipped to care for these patients! I get excited when I get consults on patients that the doctors are asking me to manage because they simply have exhausted their tool box ... This is difficult to control symptoms ... and difficult families and psychosocial issues ... as well as undecided families as far as their goals of care. So ... I suppose I salivate at the chance to say -- hey this recommendation is what you need!<br /><br />I should also say that I like being a consultant. I do not wish to take over the hospitalist or pcp role.Serena Curlernoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-41073168253161403752015-03-14T08:30:54.232-04:002015-03-14T08:30:54.232-04:00From Facebook:
But that brings up the question. C...From Facebook:<br /><br />But that brings up the question. Can incentives change something so deeply embedded in culture?Sawad Thotathilnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-39928160983554861302015-03-14T08:13:48.208-04:002015-03-14T08:13:48.208-04:00The actual terms he discussed are readily availabl...The actual terms he discussed are readily available on lots of websites. I think he was trying to explore out the context for them.<br /><br />Quote: "[This] is not an urban dictionary of medical slang. Many such informal collections of terms can be found on the Internet. To present such a glossary is to imply that all doctors speak slang all the time. I have met many colleagues who never use such terms. More important, in my view, slang is not the problem but the symbolic language that reveal much about what ails medical culture and what needs to be fixed."Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-75569494851848671252015-03-14T08:12:58.293-04:002015-03-14T08:12:58.293-04:00From Facebook:
Well if he intended it as an expos...From Facebook:<br /><br />Well if he intended it as an expose, I guess it's effective. Or as a form of 'tough love' to get docs to think about it. But if he wanted to start a discussion a more effective way would have been a Perspectives piece in the NEJM, for instance. I don't think it will enhance trusting relationships between patients and doctors.Beverly Heywood Rogersnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-20303613863529039942015-03-14T07:56:41.221-04:002015-03-14T07:56:41.221-04:00Well, the more informative thing in order to trace...Well, the more informative thing in order to trace the 'brainwashing' would be to ask male and female medical students rather than residents; by then they are already jaded. I remember being very put off by the male residents' comments (there were few female residents back then) on my med school clinical rotations, but before long I had adopted them; how else to survive? This may have happened to the male medical students also, of course.nonlocal MDnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-37177215773873609202015-03-14T07:49:01.637-04:002015-03-14T07:49:01.637-04:00Super point. Noting that there are now many more ...Super point. Noting that there are now many more women in medicine, he proceeds to discuss just that. Excerpts:<br /><br />One of the things I set out to do was to figure out the impact women are having on the use of medical slang and the attitudes behind it. ....<br /><br />Are female doctors less likely than their male counterparts to use slang. Not based on what residents have told me.<br /><br />"I like to thing we are different, but I don't think we really are. I think we don't use as much sexually based slang, but the slang we use is every bit as dark as what the mean use."<br /><br />The reason is that the conditions that give rise to the use of slang have not changed.<br /><br />In my opinion, the culture of medicine is strong enough to resist a major gender shift without changing one iota.Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-10303141160004190852015-03-14T07:43:44.068-04:002015-03-14T07:43:44.068-04:00As I was reading the quote below one word popped i...As I was reading the quote below one word popped into my mind: women.<br /><br />"Better places for undesirable patients, better training and better equipment only go so far. The greater challenge is how to get young doctors to want to treat them. Both medical schools and hospitals need to recruit leaders and other role models who enjoy caring for twenty-first-century patients.'nonlocal MDnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-82481457833402233392015-03-14T07:43:07.823-04:002015-03-14T07:43:07.823-04:00Exactly a point that he makes, Sawad Thotathil. It...Exactly a point that he makes, Sawad Thotathil. It is a shorthand, but unfortunately can encompass a form of diagnostic anchoring--not to mention depersonalization of the patient.Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-65619362087285267522015-03-14T07:42:39.565-04:002015-03-14T07:42:39.565-04:00From Facebook:
The term frequent flier is way to ...From Facebook:<br /><br />The term frequent flier is way to categorize and deflect the responsibility of the system. It is not necessarily something the individual physician prefers but is a product of the culture around himSawad Thotathilnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-2440368226900954282015-03-14T07:42:07.034-04:002015-03-14T07:42:07.034-04:00He says, "My mission is to take you inside th...He says, "My mission is to take you inside the Bunker so that you understand more about our innermost thoughts, attitudes and feelings about modern healthcare."Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-8681698364861253872015-03-14T07:41:44.912-04:002015-03-14T07:41:44.912-04:00From Facebook:
I am kind of curious about his mot...From Facebook:<br /><br />I am kind of curious about his motivation for writing such a book.Beverly Heywood Rogersnoreply@blogger.com