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Wednesday, October 23, 2013

medical moments 7---the two sides of pain

                                                             He didnt protest . He didnt even  wince . But he gave me a sad look which i still remember .  Though 99 percent of the sadness was at the world and himself as he was just out of a failed suicidal attempt the remaining 1 percent was because of me .  A well built youngster of around 18-20 years that didnt help because i was trying to take his blood sample for the third time . And being my first  attempt in the procedure i failed . But that day i decided i will not contribute to pain of a patient to the best of my ability .

Though never interested in invasive procedures blood sample taking including that made me keenly interested in taking a deep interest in skill development just to avoid paining the patient . And maybe that failed first attempt helped me to do the procedures assigned to me including lumbar puncture and suturing with as much patient comfort as possible . My skill improved tremendously at these minor procedures by the end of housesurgeoncy .

Fast backward many decades . I was a small boy eating as much chocolates as any other . And soon the time came to get a tooth pulled out . I still remember the day because i saw heaven on that day . It took me years later to realise that the anaesthetic hadnt fully taken effect on that day and the dentist was a little early in pulling the tooth . He was a nice man but didnt check whether the anaesthetic had fully taken effect . And like many i too developed a dentist phobia after that . But years later i realised that some doctors are more tuned to patients pain than others .   And like i wrote yesterday on choosing a doctor its important that you should choose a doctor/dentist who is as interested in curing you as in doing the procedure with minimal pain .
"Please lift your finger if you have pain " shows the ability to empathise with you in addition to the medical knowledge .

Though these days the public often quote Hippocratic oath without even reading about it when questioning doctors ethics,  in one aspect i think Hippocrates can be quoted

One of his sayings : "Cure sometimes, treat often, comfort always.".   And though as discussed in medical moments 6 , this comforting by words depends on patients expectations also which can vary , the comfort by minimising pain to the least is a realistic expectation in these days of good anaesthesia . And yes , if your doctor or dentist is insensitive to your pain , dont complain that ALL doctors are bad but look for another good doctor .  (there are many out there these days ... )  

Comments welcome and share it if you like ...



2 comments:

  1. Pain...is the worst thing one has to face post surgery esp. after the sedation effect goes down and put alone inside one corner of the operation theatre. a little care and support every patient expects from the medical staff but denied usually. remember ,how much i have to cry loud to get the attention of the nurses .cannot forget it ever in life.

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  2. though partly driven by competition these days in better hospitals patients pain is given importance ... things r changing but i still cant find a website where honest feedback is given by patients on their hospital experience .. high time somebody starts it ...

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