Saturday, August 3, 2024

A Prescription for Physicians: Listen to the Patient’s Story

In "Telltale Hearts," a new memoir, Dr. Dean-David Schillinger traces the links between narrative and well-being.

...One of the chief complaints about physicians these days is that they don't have enough time and they don't really listen. So Dr. Schillinger, a primary care physician at Zuckerberg San Francisco General Hospital and Trauma Center, has written a book about the importance of patients' stories. He writes of the power of narrative to build trust that cuts through the barriers that often separate doctors and patients to ultimately improve care.

"What has increasingly been lost as we advance in our technologies, using electronic health records that make us look at the computer and not at the patient, and becoming more constrained from a time perspective, is the most important and common medical procedure — the medical interview," Dr. Schillinger said told The New York Times.

"A lot of people think that's the doctor peppering the patient with questions, but that's not really how it should go," he added. "It really should be about eliciting the patient's perspective on the experience and their social context."

Science is paramount, he said, but the patient's story is an essential complement. "It's when we separate the two that we get in trouble," Dr. Schillinger said. The book is about what he thinks of as "the alchemy of science and story."
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https://www.nytimes.com/2024/08/03/health/schillinger-telltale-heart.html?smid=em-share

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