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Communication and Doctor patient relationship

Internship began with great zeal for the new work.  A new responsibility was being handed to fresh intern doctors who passed the Final MBBS exam. Being in a transition period, from a student to professional health care provider, is a difficult yet interesting phase of life. Getting to interact with patient and being an important part in the disease management process is something that one can be proud of. This event took place when I was working as an intern during the first month of my internship. I was supposed to be responsible for the history taking and daily clinical progress of the patient in the beds I was assigned. I had been looking after the patient for about a week.  I took the history, clinically evaluated the case, presented the case to the Doctors during the rounds, followed the progress and explained about the disease process and treatment the patient was getting. The patient recovered well .At the time of discharge the patient literally was in tears and thanked me for my services during the stay in the hospital. That was something I hadn’t expected. It gave me a new energy and enthusiasm for the new work. I hadn’t done anything new to the patient. I was polite and just did what I supposed to do as an intern. And now whenever the patient has to come to the hospital, the patient finds me in whatsoever department I am in and takes my advice. It’s the small things that we do that matters. There are quite a few such patients that I have encountered during these six months working as an intern. It has taught me one thing that communication and politeness are also essential factors in a doctor-patient relationship.

 Doctor- patient relationship and communication is a vital thing the importance which still needs to be strengthened in the developing countries. Lack of communication has lead to many violent riots in the hospitals, blaming doctors for the medical negligence, which could have been essentially prevented had there been proper communication beforehand. Patient counseling and communication and letting patient know about the disease process, complications, and treatment options available before hand or at least during the treatment process is something that needs to be strengthened and focused on, especially in the developing nations like Nepal. And not to forget, it’s not just the drugs that cure.

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Saurab wrote:
This is a real good article, and might just be an eye opener to many doctors who have forgotten their basics or they are busy enough to give a smile to a patient or talk few words with them.

8/2/2011 4:43 PM GMT on bmj.com
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mad100 wrote:
this is the reason why medicine is more than a science. However, it takes a long time and persistence to learn the art of medicine. slog on....
9/2/2011 5:46 PM GMT on bmj.com
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Madhu wrote:
certainly, I second to your opinion.. communication between doctor-patient is very important, especially in the current scenario when many young patients approach you with a lot of health queries from various sources like internet. good job hemant. this blog ought to be a good eye opener to many of our medical fraternity
11/2/2011 12:58 PM GMT on bmj.com
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hemant wrote:
Thanks for the response everyone. Its good to learn that you appreciated it. Definitely every doctor must think about it.
12/2/2011 5:30 AM GMT on bmj.com
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Hemant, I am certain that your communication with the patient went beyond politeness. Even social graces can be delivered with insincerity. You most certainly offered a healthy dose of respect to your patient. Respect should be a part of every treatment protocol. Keep up the good work.
18/2/2011 1:00 PM GMT on bmj.com
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suzy johnston wrote:
Good communication is not just essential in all area of medicine: it is absolutely vital in psychiatry as it is the main tool for diagnosing the condition/symptoms. And lack of trust in a patient is often a part of the symptoms - especially with the likes of psychosis amd paranoia. It took me a long time (years) to actually say what was going on in my head - the bad evil thoughts and stuff - but once I did the team changed my treatment and support - giving me the tools to manage and challenge the pychosis and improve my insight - CBT and just talking it through with me regularly to reinforce my insight if I was having a 'bad or doubting patch' etc. Living with and managing a mental illness is an ongoing learning process for both the patient and the doctors involved and communication is the key. Twenty years on, managing recovery and we are still learning.
19/2/2011 5:33 PM GMT on bmj.com
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cazmundo wrote:
What a refreshing article, communication is so often overlooked and is part of what medicine is. If only everyone was as aware of its necessity.
19/2/2011 7:22 PM GMT on bmj.com
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suzy johnston wrote:
:31 AM on February 20, 2011 This comment has been removed from our system. This comment is hidden because you have chosen to ignore suzy johnston. Show DetailsHide Details I do hope everyone when they see a patient remembers that there can be more going on than is realised - that is - the main issue might not the obvious one. It is important to remember that most patients see their gp or present at their A & E or ER on other issues - perhaps self harm, od, suicide attempt etc etc - and so the issues of any mental distress, psychiatric symptoms should be considered and included. Always consider - why or what was the cause of this? and don't dismiss such events lightly. I have heard too many horror stories over the years of people being sent home without consideration being given to their mental state - often due to a lack of cummunication or insight. And communication is about listening too.
20/2/2011 11:59 AM GMT on bmj.com
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hemant wrote:
thank u all for such a wonderful comments.............
21/2/2011 12:05 PM GMT on bmj.com
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sameer wrote:
well doctor patient relationship is mandatory,although illiterate people often don't understand what their doctors tell them,and some also make their own meanings but still its much important
17/3/2011 12:33 PM GMT on bmj.com
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