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- W2001640681 abstract "Joseph Herman's assessment (Dec 12, p 1930)1Herman J The good old days.Lancet. 1998; 352: 1930-1931Summary Full Text Full Text PDF PubMed Scopus (2) Google Scholar is correct. We, who began practice more than 40 years ago, were just as insensitive and inhumane as our current counterparts. In our emergency departments we worried about whether an acutely ill patient was “in our district” and, if not, we sent them to another facility, untreated. We did not ask permission to perform nor did we explain procedures—assuming that the mere act of presentation to us implied consent by the patient. We excluded families from the bedside by rigid visiting hours and typically avoided discussing uncomfortable issues of life and death with them or with the patient. We performed invasive procedures with little evidence to support them, such as open-chest cardiac massage.I, too, remember those halcyon days fondly, because the young always remember the good times and suppress the bad. We snickered at those trained 40 years before us who hadn't a clue about “modern” medicine (in my case they were trained before World War I) —just as current graduates view us. And, yes, my professors throught we were mesmerised by gadgetry. They questioned our humaneness and ethics when we scoffed at their practice of house calls.My guess is that their predecessors looked at them in the same way—when they went into internships with hands-on experience at teaching hospitals instead of reading medicine and doing an apprenticeship with a practitioner. No doubt the next generation of genetically and molecularly focused physician will be excoriated by the current trainees for the same loss of humanity in exactly the same terms.Why? Because no matter how scientific and technological medicine becomes, at its core is that original “healers art” we somehow have incorporated in our psyche; that thing that makes us feel exhilarated when we “sometimes heal and (hopefully) often comfort”; that vulnerability we hide from each other and patients—our feelings—lest the repetitive emotional highs and lows seen in no other profession with such rapidity or profusion overwhelm us.With all the negativism, introspection, economic buffets, gains and losses of respect, triumphs and failures, progress and retreats, this process continues ad infinitum—keeping alive the flame of medicine's art and humanity. Joseph Herman's assessment (Dec 12, p 1930)1Herman J The good old days.Lancet. 1998; 352: 1930-1931Summary Full Text Full Text PDF PubMed Scopus (2) Google Scholar is correct. We, who began practice more than 40 years ago, were just as insensitive and inhumane as our current counterparts. In our emergency departments we worried about whether an acutely ill patient was “in our district” and, if not, we sent them to another facility, untreated. We did not ask permission to perform nor did we explain procedures—assuming that the mere act of presentation to us implied consent by the patient. We excluded families from the bedside by rigid visiting hours and typically avoided discussing uncomfortable issues of life and death with them or with the patient. We performed invasive procedures with little evidence to support them, such as open-chest cardiac massage. I, too, remember those halcyon days fondly, because the young always remember the good times and suppress the bad. We snickered at those trained 40 years before us who hadn't a clue about “modern” medicine (in my case they were trained before World War I) —just as current graduates view us. And, yes, my professors throught we were mesmerised by gadgetry. They questioned our humaneness and ethics when we scoffed at their practice of house calls. My guess is that their predecessors looked at them in the same way—when they went into internships with hands-on experience at teaching hospitals instead of reading medicine and doing an apprenticeship with a practitioner. No doubt the next generation of genetically and molecularly focused physician will be excoriated by the current trainees for the same loss of humanity in exactly the same terms. Why? Because no matter how scientific and technological medicine becomes, at its core is that original “healers art” we somehow have incorporated in our psyche; that thing that makes us feel exhilarated when we “sometimes heal and (hopefully) often comfort”; that vulnerability we hide from each other and patients—our feelings—lest the repetitive emotional highs and lows seen in no other profession with such rapidity or profusion overwhelm us. With all the negativism, introspection, economic buffets, gains and losses of respect, triumphs and failures, progress and retreats, this process continues ad infinitum—keeping alive the flame of medicine's art and humanity." @default.
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- W2001640681 title "The good old days!" @default.
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