THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills &...
Transcript of THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills &...
![Page 1: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/1.jpg)
THE ART OF MEDICINETHE ART OF MEDICINE
Beyond Pills and Beyond Pills and InjectionsInjections
![Page 2: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/2.jpg)
MOUNT KALIMANJAROEAST AFRICA
![Page 3: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/3.jpg)
![Page 4: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/4.jpg)
![Page 5: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/5.jpg)
![Page 6: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/6.jpg)
Milk from its source – FRESH
![Page 7: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/7.jpg)
![Page 8: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/8.jpg)
In Lion Country…with Masai
![Page 9: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/9.jpg)
![Page 10: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/10.jpg)
![Page 11: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/11.jpg)
Better to light a candle than curse the darkness
![Page 12: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/12.jpg)
HYPROCRATISHYPROCRATIS
““Life is short, ART (Medicine) is Life is short, ART (Medicine) is Long.Long.
The Occasion Fleeting; The Occasion Fleeting; experience fallacious, experience fallacious, judgementjudgement difficultdifficult……..””
![Page 13: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/13.jpg)
THE CHALLENGETHE CHALLENGE
Keep the Art of Medicine in facing challengesKeep the Art of Medicine in facing challenges
of:of:
1)1) Technological advancesTechnological advances
2)2) Business & Economic metamorphosisBusiness & Economic metamorphosis
3)3) Service qualityService quality
![Page 14: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/14.jpg)
SAVING NEMOSAVING NEMONNot just Science of Technology, but art of ot just Science of Technology, but art of healing.healing.
EEnhancing a continuous learning nhancing a continuous learning environment with humility and environment with humility and perseverance.perseverance.
MMonitoring professionalism & ethical onitoring professionalism & ethical practice in a business world.practice in a business world.
OOn achieving a total holistic care.n achieving a total holistic care.
![Page 15: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/15.jpg)
““Faster, Better and Faster, Better and CheaperCheaper……..”” War Cry in War Cry in
Health CareHealth Care
ProfessionalismProfessionalism……....
Ethical IssuesEthical Issues……....
![Page 16: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/16.jpg)
Dream the impossible dream,
“Idealism” need to be tampered with reality
![Page 17: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/17.jpg)
LEWIS THOMAS (1913LEWIS THOMAS (1913--1993)1993)(President, MSK Cancer Centre;(President, MSK Cancer Centre;Dean, Medical Schools):Dean, Medical Schools):
““Doctoring is NOT training to lookDoctoring is NOT training to lookat machines,at machines,……..””
““Return to the caring of Return to the caring of sick peoplesick people…”…”
(Local Experience NUS Lecturer)(Local Experience NUS Lecturer)
![Page 18: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/18.jpg)
““We must be master of modern We must be master of modern technology and not its slavetechnology and not its slave””
Listening to the 9Listening to the 9thth SymphonySymphony––Medical Watcher Medusa and Medical Watcher Medusa and the Snail.the Snail.
The Lives of a Cell.The Lives of a Cell.
LEWIS THOMASLEWIS THOMAS ::
![Page 19: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/19.jpg)
Surgeons must be careful when Surgeons must be careful when they take the knife.they take the knife.
Underneath the fine incision,Underneath the fine incision,
stir the culprit called LIFEstir the culprit called LIFE
![Page 20: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/20.jpg)
““Practice of Practice of Medicine is an ART Medicine is an ART
not a Trade,not a Trade,A calling, not a A calling, not a business business ……”……”
WILLIAM OSLERWILLIAM OSLER
![Page 21: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/21.jpg)
THE CHALLENGE TODAY:THE CHALLENGE TODAY:
Keeping Keeping ProfessionalismProfessionalism
alive in the changing alive in the changing world of Businessworld of Business
![Page 22: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/22.jpg)
EXAMPLEEXAMPLE
Rehabilitation CareRehabilitation Care
Singapore MedicineSingapore Medicine
Block Block buggetingbuggeting & mean testing& mean testing
![Page 23: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/23.jpg)
‘‘Dehumanization of Patient Dehumanization of Patient CareCare’’
Mistake the disease for theMistake the disease for theHuman BeingHuman Being
![Page 24: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/24.jpg)
WILLIAM OSLERWILLIAM OSLER
““Practice of Medicine is an ART Practice of Medicine is an ART based on Science.based on Science.””
““Understanding Science of Understanding Science of Practice, upholding the Art of Practice, upholding the Art of Healing.Healing.””
![Page 25: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/25.jpg)
TEACHING BY EXAMPLESTEACHING BY EXAMPLES
““Walk not in front of me Walk not in front of me –– may lead may lead me astrayme astray
Walk not behind me Walk not behind me –– I may show I may show you a wrong pathyou a wrong path
Walk with me Walk with me –– we will learn we will learn togethertogether””
![Page 26: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/26.jpg)
PROFESSIONALISM AND PROFESSIONALISM AND ETHICSETHICS
Difficult to quantifyChallenging to teachEssential to practise
![Page 27: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/27.jpg)
PATIENTSPATIENTS’’ TRUST & HOPETRUST & HOPE““Other Refuge have I noneOther Refuge have I none--
Hangs my helpless self on you.Hangs my helpless self on you.
Leave, leave me not alone.Leave, leave me not alone.
Still support and comfort me.Still support and comfort me.
All my trust on you I stayed.All my trust on you I stayed.
All my hope from you I long.All my hope from you I long.
Cover my defenseless head, with the Cover my defenseless head, with the shadow of your wingshadow of your wing””
![Page 28: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/28.jpg)
PHYSICIAN PROFESSIONAL CHARTERPHYSICIAN PROFESSIONAL CHARTER1)1) Commitment to PatientCommitment to Patient
1)1) Professional competenceProfessional competence2)2) Quality and CareQuality and Care3)3) Scientific knowledge (EBM)Scientific knowledge (EBM)4)4) CommunicationCommunication
2)2) Ethical Commitment to patientEthical Commitment to patient1)1) Honesty with patientHonesty with patient2)2) ConfidentialityConfidentiality3)3) Maintaining trustMaintaining trust
3)3) Commitment to SocietyCommitment to Society1)1) Just distribution of finite Just distribution of finite
resourcesresources2)2) Improving access to careImproving access to care
![Page 29: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/29.jpg)
TRANSLATED INTO ACTIONTRANSLATED INTO ACTION1)1) SkillsSkills
2)2) AttitudesAttitudes
3)3) Honesty; AltruismHonesty; Altruism
4)4) Service to othersService to others
5)5) Professional Professional CodesCodes
6)6) JusticeJustice
7)7) Respect for othersRespect for others
8)8) Self regulationSelf regulation
9)9) CommunicationCommunication
10)10) ConfidentialityConfidentiality
![Page 30: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/30.jpg)
PRACTICISING THE GENTLE ART PRACTICISING THE GENTLE ART OF MEDICINEOF MEDICINE
(Towards Total Holistic Care)(Towards Total Holistic Care)Beyond pills & injectionsBeyond pills & injections
4 4 ‘‘CC’’ssCommunication SkillCommunication Skill
CommitmentCommitment
CompassionCompassion
Common SenseCommon Sense
![Page 31: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/31.jpg)
COMMITMENTCOMMITMENT
to our duties
to our colleagues
to the Profession
to CME, CPD, etc… etc…
![Page 32: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/32.jpg)
SERVICE QUALITYSERVICE QUALITY
eg. of Ritz Hotel
Ford motors
![Page 33: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/33.jpg)
ARISTOTLE:ARISTOTLE:““The half life of knowledge is The half life of knowledge is
5 to 7 years5 to 7 years””
-- learning is a dynamic processlearning is a dynamic process
LEARNING & TEACHING / LEARNING & TEACHING / RESEARCHRESEARCH
![Page 34: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/34.jpg)
‘‘Be more impressed by how Be more impressed by how much you have to learn then by much you have to learn then by
how much you knowhow much you know’’
Prof Claude OrganProf Claude Organ
![Page 35: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/35.jpg)
““Everyone that I meet is my Everyone that I meet is my superior in some way. In that superior in some way. In that
I learn of himI learn of him””
EmersonEmerson
![Page 36: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/36.jpg)
Humility is a humble pie Humility is a humble pie –– eat iteat it
It is palatable It is palatable
![Page 37: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/37.jpg)
33RDRD C C -- COMPASSIONCOMPASSION
Compassion is a quality that cannot Compassion is a quality that cannot be measured and yet without it, one be measured and yet without it, one can never truly be a doctor, nurse or can never truly be a doctor, nurse or healthcare worker. It is compassion healthcare worker. It is compassion that drives us to take up the noble art that drives us to take up the noble art of healing. It is compassion that of healing. It is compassion that motivates us to serve our fellow motivates us to serve our fellow human being in pain.human being in pain.
![Page 38: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/38.jpg)
COMPASSIONCOMPASSIONIt is a matter of the It is a matter of the
MYOCARDIUMMYOCARDIUM
““ The heart of The heart of Healthcare Healthcare
Education is the Education is the Education of the Education of the
Heart. Heart. ””
![Page 39: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/39.jpg)
Years of clinical exposure sometimes Years of clinical exposure sometimes numbs our hearts and hardens our souls. numbs our hearts and hardens our souls.
Let us lubricate it with compassion, so Let us lubricate it with compassion, so that we may never mistaken the disease that we may never mistaken the disease
for the patient. Let us treat the patient as for the patient. Let us treat the patient as a whole being, where illness is only a a whole being, where illness is only a
transient episode, and let us never forget.transient episode, and let us never forget.
““Not all disease can be treated , but all Not all disease can be treated , but all patients can be given carepatients can be given care……..””
![Page 40: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/40.jpg)
INTELLIGENCEINTELLIGENCEmakes you a Nurse, a Doctor, a makes you a Nurse, a Doctor, a
Healthcare SpecialistHealthcare Specialist
COMPASSION COMPASSION makes you a Healermakes you a Healer
![Page 41: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/41.jpg)
Cancer might rob you of that blissful Cancer might rob you of that blissful ignorance that once led you to ignorance that once led you to believe that tomorrow stretches believe that tomorrow stretches forever. In exchange, you are granted forever. In exchange, you are granted the vision to see each day as a the vision to see each day as a precious gift, to be used wisely and precious gift, to be used wisely and richlyrichly……
No one can take that awayNo one can take that away
![Page 42: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/42.jpg)
A patient dying of cancer needs above all, someone A patient dying of cancer needs above all, someone to listen and understand how he feels. Those who to listen and understand how he feels. Those who stay away from the patients because they feel they stay away from the patients because they feel they can bring nothing but the lack of understanding can bring nothing but the lack of understanding should realize that it is our desire to try to should realize that it is our desire to try to understand and not the success in doing so that understand and not the success in doing so that eases the loneliness that is so hard to bear.eases the loneliness that is so hard to bear.
Cicely SaundersCicely Saunders
(TCL)
![Page 43: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/43.jpg)
TREAT THE PATIENT AS A TREAT THE PATIENT AS A HUMAN BEINGHUMAN BEINGBe a listenerBe a listener
ListenListen
ListenListen
ListenListen
(e.g. Boy with FB, 12 complaints wd)
![Page 44: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/44.jpg)
MIND YOUR LANGUAGEMIND YOUR LANGUAGE
BE HUMBLE, HONESTBE HUMBLE, HONESTMean what you sayMean what you saySay what you meanSay what you mean
But donBut don’’t say it meant say it mean
(Patients with colostomy, thyroid)
![Page 45: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/45.jpg)
WALLS have EARSWALLS have EARSand they and they DODO HEARHEAR
in OT observe decorumin OT observe decorum
(GIT & GB)
![Page 46: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/46.jpg)
44THTH C C –– COMMON SENSECOMMON SENSE
Common Sense is not always Common Sense is not always commoncommon
![Page 47: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/47.jpg)
No man is an islandNo man is an island……
![Page 48: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/48.jpg)
We are all islands;We are all islands;
Islands of ignoranceIslands of ignorance
Separated by Separated by
Seas of misunderstandingSeas of misunderstanding
(Sheep vs friendship)
![Page 49: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/49.jpg)
To build BRIDGES
not WALLS
STONES
![Page 50: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/50.jpg)
WILLIAM OSLERWILLIAM OSLER : : 3 IDEALS3 IDEALS
MY PATIENTS first (Patient MY PATIENTS first (Patient Centered Professionalism)Centered Professionalism)
Respect my Professional Respect my Professional Brethren Brethren
Humble in my achievement. Humble in my achievement. Value my friends.Value my friends.
![Page 51: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/51.jpg)
DR WONG H S:DR WONG H S:
““In search of Modern Day Role ModelIn search of Modern Day Role Model””
He is the oneHe is the one
““Never say Never say ‘‘nono’’ to a patient in need.to a patient in need.””
““A Simple Village Doctor A Simple Village Doctor –– But a GIANT But a GIANT in Art of Medicinein Art of Medicine””
![Page 52: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/52.jpg)
““ I believe most doctors still believe I believe most doctors still believe healthcare in whatever form is a healthcare in whatever form is a calling dedicated to the service of calling dedicated to the service of humanity. It is of vital humanity. It is of vital importance that this attitude be importance that this attitude be retained and passed on to our retained and passed on to our successors.successors.””
-- Dr Wong H SDr Wong H S
![Page 53: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/53.jpg)
Dr Benjamin Chew
![Page 54: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/54.jpg)
That fatherly smile, the gentle touchThat fatherly smile, the gentle touch
Prof Lim PinProf Lim Pin
““Never too young or too old. Never too young or too old.
Life begins after 60 ..Life begins after 60 ..”” and beyondand beyond
Prof Prof ShamugaratnamShamugaratnam
MODERN DAY LIVING ROLE MODEL
![Page 55: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/55.jpg)
BEGINNING OF A JOURNEYBEGINNING OF A JOURNEYMany rivers to be crossedMany rivers to be crossed
Mountains to be climbedMountains to be climbed
Obstacles to be overcomeObstacles to be overcome
Journey is demanding, challenging and Journey is demanding, challenging and excitingexciting
![Page 56: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/56.jpg)
IF YOU EVER FALTER, RISE UP AGAINIF YOU EVER FALTER, RISE UP AGAIN
In lifeIn life
““Not how often you fallNot how often you fall
But how quick you stand up again But how quick you stand up again …… ……that determines Successthat determines Success””
![Page 57: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/57.jpg)
A Song Of LoveA Song Of Love
A Song for EternityA Song for Eternity
![Page 58: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/58.jpg)
Yesterday is but a dreamYesterday is but a dreamTomorrow is only a visionTomorrow is only a vision
Today well livedToday well livedMakes every yesterday a dream of Makes every yesterday a dream of
happiness happiness And every tomorrow a vision of And every tomorrow a vision of
hopehope
![Page 59: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/59.jpg)
““Ask, my dear people,Ask, my dear people,
Not what medicine and healthcare Not what medicine and healthcare can give us, but what we can do can give us, but what we can do
for our people for our people
–– through Healthcare Servicesthrough Healthcare Services””
![Page 60: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/60.jpg)
So go forth , my friends and serveSo go forth , my friends and serve
““In the service of medicineIn the service of medicine
The sky has no limitsThe sky has no limits””
![Page 61: THE ART OF MEDICINE … · “Doctoring is NOT training to look at machines, ... Beyond pills & injections 4 ‘C’s ... WALLS have EARS and they DO HEAR in OT observe decorum (GIT](https://reader035.fdocuments.us/reader035/viewer/2022070919/5fb873e12daffd057e09d75d/html5/thumbnails/61.jpg)
THE THE ENDEND