Quotes & Sayings About Patients And Doctors

There was something infinitely impressive about the man, tall, slender, gray-haired, blue-eyed, soft-spoken. He had the looks of the doctors one read about in women's novels. There was something so basically kind and gentle about him, yet something powerful as well. The aura of a highly trained racehorse always straining at the reins, aching to go faster, farther ... to do more ... to fight time ... to conquer odds beyond hope ... to steal back just one life ... one man ... one woman ... one child ... one more. And often he won. Often. But not always. And that irked him. More than that, it pained him. It was the cause for the lines beside his eyes, the sorrow one saw deep within him. It wasn't enough that he wrought miracles almost daily. He wanted more than that, better odds, he wanted to save them all, and there was no way he could. — Danielle Steel

The doctor begins to lose freedoms; it's like telling a lie, and one leads to another. First you decide that the doctor can have so many patients. They are equally divided among the various doctors by the government. But then the doctors aren't equally divided geographically, so a doctor decides he wants to practice in one town and the government has to say to him you can't live in that town, they already have enough doctors. You have to go someplace else. And from here it is only a short step to dictating where he will go. — Ronald Reagan

Pay-for-procedure or fee-for-service reimbursement rewards doctors and hospitals for volume - not keeping patients healthy or being efficiency. Pay-for-Performance is clearly one tool that can change the incentives to reward quality. — Ron Wyden

It is believed by experienced doctors that the heat which oozes out of the hand, on being applied to the sick, is highly salutary. It has often appeared, while I have been soothing my patients, as if there was a singular property in my hands to pull and draw away from the affected parts aches and diverse impurities, by laying my hand upon the place, and extending my fingers toward it. Thus it is known to some of the learned that health may be implanted in the sick by certain gestures, and by contact, as some diseases may be communicated from one to another. — Hippocrates

women were considered instinctual nurses in this generation - the field had received exciting publicity during the Spanish-American War when an Army Nursing Corps had served overseas in the Philippines. Clara Weeks-Shaw, the author of a popular textbook on nursing, promoted the field as "a new activity for women - congenial, honorable and remunerative and with permanent value to them in the common experience of domestic life."3 In readable language, Weeks-Shaw presented nursing as an artful balance between self-reliance and submission. Overall its practices were an extension of maternity, requiring the classic female behaviors of cheerfulness (to the patients) and obedience (to the doctors). "Never leave a doctor alone with a gynecology patient except at his request," went one injunction. — Jean H. Baker

I only worked theater jobs, but they were all really silly when I first graduated. I was a line monitor at 'Spamalot,' which means I got there at 8 A.M. and told people how much the tickets were for standing room. I was an NYU Medical School fake patient, to teach doctors how to talk to patients. — Lauren Worsham

There are two things panic patients hate to do. They hate to take medication - and they hate to go to doctors. They hate to come to grips. — Earl Campbell

The ideal of free medical services collided against the reality of human behaviour, certainly in Singapore. My first lesson came from government clinics and hospitals. When doctors prescribed free antibiotics, patients took their tablet or capsules for two days, did not feel better, and threw away the balance. They then consulted private doctors, paid for their antibiotics, completed the course, and recovered. — William A. Haseltine

A study led by the Harvard researcher Nicholas Christakis asked the doctors of almost five hundred terminally ill patients to estimate how long they thought their patient would survive, and then followed the patients. Sixty-three per cent of doctors overestimated survival time. Just seventeen per cent underestimated it. The average estimate was five hundred and thirty per cent too high. And, the better the doctors knew their patients, the more likely they were to err. — Atul Gawande

make use of some such alarm signals as mad-doctors adopt in dealing with their distracted patients; as by beating several times on a glass with the blade of a knife, fixing them at the same time with a sharp word and a compelling glance, violent methods which the said doctors are apt to bring with them into their everyday life among the sane, either from force of professional habit or because they think the whole world a trifle mad. Their — Marcel Proust

The newspapers recommended preparations which hastened the growth of the beard, and twenty-four- and twenty-five-year-old doctors, who had just finished their examinations, wore mighty beards and gold spectacles even if their eyes did not need them, so that they could make an impression of "experience" upon their first patients. — Stefan Zweig

Today we have a health insurance industry where the first and foremost goal is to maximize profits for shareholders and CEOs, not to cover patients who have fallen ill or to compensate doctors and hospitals for their services. It is an industry that is increasingly concentrated and where Americans are paying more to receive less. — Dianne Feinstein

The young doctor should look about early for an avocation, a pastime, that will take him away from patients, pills, and potions ... — William Osler

I truly feel the best doctors are ones who are criticized by nurses, patients and family. They do not make excuses and learn from their mistakes. — Bernie Siegel

you come to rely, more than anything else, on first sight. You walk into the room and you think, sick or not sick. Not sick goes home as fast as possible. Sick, you watch. You draw blood, you order X rays, you give them fluids. You are careful, because a little bell went off in your head when you walked into the room and saw them. — Frank Huyler

Corunda Base Hospital itself continued to function on doctors, nurses, domestic staff, food preparers, and ancillary staff in the same old way, so that the patients lived (or died) in relative ignorance of the drama going on at an executive level. Indeed, it was a rare patient even knew that a hospital had executives. — Colleen McCullough

Because of the war on drugs, pain patients are treated with skepticism and pain doctors live in fear of being prosecuted for overprescribing. The end result is that addicts still get their opioids without much trouble, while genuine patients often can't find treatment. Those who do must typically be tracked in a database and must schedule frequent, expensive doctor visits for surveillance like urine testing. — Maia Szalavitz

As many citizens can attest, the U.S. is a great place to get sick, but a terrible place to stay well. This requires a shift in the way both doctors and patients approach health maintenance and disease prevention. — Rob Wittman

If you think you can just go out and ask all the doctors in the world about what the did to all the patients and you think we can connect that into something useful, go talk to someone who has done that because we can't. — James Heywood

This skewing of physicians' thinking leads to poor care. What is remarkable is not merely the consequences of a doctor's negative emotions. Despite research showing that most patients pickup on the physician's negativity, few of them understand its effect on their medical care and rarely change doctors because of it. — Jerome Groopman

Reluctant doctors like to believe that they haven't much influence over their patients, but that is clearly not the case. Several studies have found that when doctors genuinely encouraged women to have VBACs, most of them did, and when they said nothing or acted neutral, most women didn't. Finally, when obstetricians discouraged VBAC in women who wanted to try it, none of them did. — Henci Goer

I think doctors care very deeply about their patients, but when they organize into the AMA, their responsibility is to the welfare of doctors, and quite often, these lobbying groups are the only ones that are heard in the state capitols and in the capitol of our country. — Jimmy Carter

Doctors put a wall up between themselves and their patients; nurses broke it down. — Jodi Picoult

[the doctor] clicked by mistake on the notes of a patient she'd got to know well - too well. The unfortunate Mrs. Swayne had become unhealthily doctor-dependent. But had she grasped the nettle? Had she actually finally and against all predictions left the country? — Jane Wilson-Howarth

Recent evidence in the field of cardiology has shown that the nature of a patient's emotional ties drastically affects whether or not this patient will get heart disease. Experiments have shown that a patient's blood chemistry changes when that patient has a bitter thought. Doctors are now including, in their treatment of heart patients, training in becoming more loving and trusting. A person's ability to love and connect with others lays the foundation for both psychological and physical health. This research illustrates that when we are in a — Henry Cloud

Part of my training was learning how to refer patients to cardiologists for heart problems, gastroenterologists for stomach issues, and rheumatologists for joint pain. Given that most physicians were trained this way, it's no wonder that the average Medicare patient has six doctors and is on five different medications. — Mark Hyman

I guessed that he was one of those ambitious young physicians who more and more fill the profession, opportunists with a fashionable hoodlum image, openly hostile to their patients. My brief stay at the hospital had already convinced me that the medical profession was an open door to anyone nursing a grudge against the human race. — J.G. Ballard

"Religion" can no more be equated with what goes on in churches than "education" can be reduced to what happens in schools or "health care" restricted to what doctors do to patients in clinics. The vast majority of healing and learning goes on among parents and children and families and friends, far from the portals of any school or hospital. The same is true for religion. It is going on around us all the time. Religion is larger and more pervasive than churches. — Harvey Cox

An oncology ward is a battlefield, and there are definite hierarchies of command. The patients, they're the ones doing the tour of duty. The doctors breeze in and out like conquering heroes, but they need to read your child's chart to remember where they've left off from the previous visit. It is the nurses who are the seasoned sergeants
the ones who are there when your baby is shaking with such a high fever she needs to be bathed in ice, the ones who can teach you how to flush a central venous catheter, or suggest which patient floor might still have Popsicles left to be stolen, or tell you which dry cleaners know how to remove the stains of blood and chemotherapies from clothing. The nurses know the name of your daughter's stuffed walrus and show her how to make tissue paper flowers to twine around her IV stand. The doctors may be mapping out the war games, but it is the nurses who make the conflict bearable. — Jodi Picoult

Our principal claim here is that patients and doctors should be free to make their own agreements about that right. If patients want to waive the right to sue, they should be allowed to do exactly that. This increase in freedom is likely to help doctors and patients alike, and to make a valuable, even if modest, contribution to the health care problem. — Richard H. Thaler

I am in a profession that has succeeded because of its ability to fix. If your problem is fixable, we know just what to do. But if it's not? The fact that we have had no adequate answers to this question is troubling and has caused callousness, inhumanity, and extraordinary suffering. — Atul Gawande

There's a great deal of suspicion and misunderstanding about IT among practicing doctors. One hears things like, 'I don't want to be turned into a data entry clerk, and I don't want some machine between me and my patients.' — Mitch Kapor

Also problematic is the Christian Right's blocking of legislation that would otherwise give people options to reduce or end their pain and suffering. It opposes medicinal marijuana for the terminally ill and calls for prosecuting doctors who euthanize terminally ill patients at the patients' requests. — Kimberly Blaker

Doctors are not servants of their patients, they are traders like everyone else in a free society and they should bear that title proudly considering the crucial importance of the services they offer. — Ayn Rand

Mental illness is a real thing. It has real material consequences for people who suffer from it and at the time even the most biological finding reflects social context in very important ways, and so I think psychiatry is better off looking both at biology and at social context and really trying to think of the relationship between these and I think doctors and patients are better off that way. — Jonathan Michel Metzl

A man cannot be a good doctor and keep telephoning his broker between patients nor a good lawyer with his eye on the ticker. — Walter Lippmann

The job of doctors is to supply up-to-date knowledge and skills. The job of patients is to supply the decisions. — Atul Gawande

You don't have to spend much time with the elderly or those with terminal illness to see how often medicine fails the people it is supposed to help. The waning days of our lives are given over to treatments that addle our brains and sap our bodies for a sliver's chance of benefit. They are spent in institutions - nursing homes and intensive care units - where regimented, anonymous routines cut us off from all the things that matter to us in life. Our reluctance to honestly examine the experience of aging and dying has increased the harm we inflict on people and denied them the basic comforts they most need. — Atul Gawande

The doctor drummed the fingers of his left hand on the edge of the table, a strange gesture which suggested, Isabel thought, an impatient temperment. Perhaps he had been obliged to listen too long to those whom he did not consider his intellectual equal, exhausted patients with long-running complaints, unable to put their views succinctly. Some doctors could become like that, she thought, just as some lawyers could; prolonged exposure to flawed humanity could create a sense of superiority if one was not careful
and perhaps he was not. — Alexander McCall Smith

My readiness to admit to my fallibility is perhaps rather English, but I hope that the problems I describe will be familiar to doctors and patients everywhere. — Henry Marsh

Within every patient there resides a doctor, and we as physicians are at our best when we we put our patients in touch with the doctor inside themselves. — Albert Schweitzer

We want progress in medicine to be clear and unequivocal, but of course it rarely is. Every new treatment has gaping unknowns - for both patients and society - and it can be hard to decide what do do about them. — Atul Gawande

Compassionate doctors sometimes lie to patients about the severity of their condition, and it is not always wrong to do so. — Richard Dawkins

The important question isn't how to keep bad physicians from harming patient; it's how to keep good physicians from harming patients. Medical malpractice suits are a remarkably ineffective remedy.
(In reference to a Harvard Medical Practice Study) ... fewer than 2 percent of the patients who had received substandard care ever filed suit. Conversely, only a small minority among patients who did sue had in fact been victims of negligent care. And a patient's likelihood of winning a suit depended primarily on how poor his or her outcome was, regardless of whether that outcome was caused by disease or unavoidable risks of care. The deeper problem with medical malpractice is that by demonizing errors they prevent doctors from acknowledging & discussing them publicly. The tort system makes adversaries of patient & physician, and pushes each other to offer a heavily slanted version of events.
— Atul Gawande

Supported by digital data, new data-driven tools, and payment policies that reward improving the quality and value of care, doctors, hospitals, patients, and entrepreneurs across the nation are demonstrating that smarter, better, more accessible, and more proactive care is the best way to improve quality and control health care costs. — Todd Park

The health care establishment is structured to profit from chemical and surgical intervention. Diet still takes the back seat to drugs and surgery. One criticism that is constantly leveled at the dietary argument is that patients will not make such fundamental changes. One doctor charges that Dr. Esselstyn's patients change their eating habits simply because of Esselstyn's "zealous belief."47 This criticism is not only wrong and insulting to patients; it is also self-fulfilling. If doctors do not believe that patients will change their diets, they will neglect to talk about diet, or will do it in an off-handed, disparaging way. — T. Colin Campbell

Many different relationships among patients, doctors, and drugs are possible and desirable. As in so many other areas of life, the Internet encourages experimentation. Questionnaire-based pharmacies operate between the traditional prescription and over-the-counter models. — Virginia Postrel

We see it in attempts on Capitol Hill to impose gag rules on rules on doctors on what they can say to their patients about family planning. And we certainly see it now with an effort by the government to tap our phones; invade our medical records, credit information, library records and the most sensitive personal information in the name of national security. — Dick Durbin

It's like doctors can't save all their patients, but, on balance, Bain under Gov. Romney created well over 100,000 jobs, which is certainly more than has been created in the Obama administration because we're down over 500,000 over the last three-and-a-half years. — Jim Talent

I think doctors are really suffering now. They're suffering in the sense that they feel torn between serving their patients in the best way they can and dealing with all of requirements of the insurance companies and the HMOs and the hassles and the paper work and the increasing pressures to do less and less for their patients. — Marcia Angell

Where there were once several competing approaches to medicine, there is now only one that matters to most hospitals, insurers, and the vast majority of the public. One that has been shaped to a great degree by the successful development of potent cures that followed the discovery of sulfa drugs. Aspiring caregivers today are chosen as much (or more) for their scientific abilities, their talent for mastering these manifold technological and pharmaceutical advances as for their interpersonal skills. A century ago most physicians were careful, conservative observers who provided comfort to patients and their families. Today they act: They prescribe, they treat, they cure. They routinely perform what were once considered miracles. The result, in the view of some, has been a shift in the profession from caregiver to technician. The powerful new drugs changed how care was given as well as who gave it. — Thomas Hager

The virus transformed the hospital at Maridi into a morgue. As it jumped from bed to bed, killing patients left and right, doctors began to notice signs of mental derangement, psychosis, depersonalization, zombie-like behavior. Some of the dying stripped off their clothes and ran out of the hospital, naked and bleeding, and wandered through the streets of the town, seeking their homes, not seeming to know what had happened or how they had gotten into this condition. — Richard Preston

Doctors should recognise the importance of the five human values; Truth, righteousness, Peace, Love and Non-violence. Love is the basis for all the other values. Doctors can infuse courage in patients by the love they show towards the patients. If doctors carry out their duties with love they will be crowned with success. — Sathya Sai Baba

I don't think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can't make up for the fact that most patients are being treated by doctors, therapists, and hospitals, who are operating under constraints and incentives that reward non-treatment, non-hospitalization, non-therapy, non-follow-up, non-care. Lost to follow-up is the best outcome a health insurer can hope for. — Mark Vonnegut

Dr Power stood up. "Because your staff are not components that can be fitted in, or replaced when they are unpredictable, or when they are simply being human. Because our patients are not playing a game called 'business' with profit and loss and winners and losers. Because patients have no choice, but to be patients and it's our privilege to be in a temporary position where we can help them. And, inevitably, when we ourselves fall ill; when we grow old, then we can only hope that we will receive the help we ourselves need in turn. Because that's the reality of life. And not some self-aggrandising game". - Dr Power, speaking in The Good Shepherd — Hugh Greene

A smartphone links patients' bodies and doctors' computers, which in turn are connected to the Internet, which in turn is connected to any smartphone anywhere. The new devices could put the management of an individual's internal organs in the hands of every hacker, online scammer, and digital vandal on Earth. — Charles C. Mann

They say I'm young, but my purpose is the inspiration of a nation, innovation 'till I change the talk into a conversation. I'm like a doctor and my patients are anxiously waiting; healing all the hatin' that fakin' in the paper chasing. It's hard to live up to these expectations that I'm facing, and gain the admiration of an older generation. That's why I'm pacing back and forth, contemplatin' mediatatin', how to use what I've been taught is a positive force ... — Tyler James Williams

Another common practice, the reps told us, was to take fancy meals to the entire doctor's office (one of the perks of being a nurse or receptionist, I suppose). One doctor's office even required alternating days of steak and lobster for lunch if the reps wanted access to the doctors. Even more shocking, we found out that physicians sometimes called the reps into the examination room (as an "expert") to directly inform patients about the way certain drugs work. Hearing stories from the reps who sold medical devices was even more disturbing. We learned that it's common practice for device reps to peddle their medical devices in the operating room in real time and while a surgery is under way. Janet and I were surprised at how well the pharmaceutical reps understood classic psychological persuasion strategies and how they employed them in a sophisticated and intuitive manner. — Dan Ariely

We evolved haphazardly within a random universe; no purpose underpins us, no God watches over us, and no assured glorious future awaits us. We are saddled with a dualistic consciousness that weighs us down and plays tricks on us. We have built and seem unable to dismantle a dehumanizing and destructive civilization and mindset that perpetuates deceit and greed. We can make ourselves as comfortable as possible, as doctors tell their terminally ill patients, but we are sadly incurable. — Colin Feltham

Fathers remain opaque to their sons, he thought, largely because the sons find it so hard to believe that there's anything in the father worth seeing. Until he's dead, and it's too late. Mercifully, doctors are also opaque to their patients. — Pat Barker

There is alas no law against incompetency; no striking example is made. They learn by our bodily jeopardy and make experiments until the death of the patients, and the doctor is the only person not punished for murder. — Pliny The Elder

One of the fundamental reasons why so many doctors become cynical and disillusioned is precisely because, when the abstract idealism has worn thin, they are uncertain about the value of the actual lives of the patients they are treating. This is not because they are callous or personally inhuman: it is because they live in and accept a society which is incapable of knowing what a human life is worth. — John Berger

Several years ago, I realized that I didn't want to spend all my life in medicine. It had me in a sort of spiritual box, like a plant whose roots are getting crowded. I felt I wasn't growing. So I promised myself that I would quit while I still had the energy to get involved in something new. There's nothing wrong with medicine. There's more paperwork, more lawsuits, less understanding between doctors and patients. But it's still a great business. But not for me - not any longer. — Richard S. Weeder

An enormous mass of experience, both of homeopathic doctors and their patients, is invoked in favor of the efficacy of these remedies and doses. — William James

But in residency, something else was gradually unfolding. In the midst of this endless barrage of head injuries, I began to suspect that being so close to the fiery light of such moments only blinded me to their nature, like trying to learn astronomy by staring directly at the sun. I was not yet with patients in their pivotal moments, I was merely at those pivotal moments. I observed a lot of suffering; worse, I became inured to it. Drowning, even in blood, one adapts, learns to float, to swim, even to enjoy life, bonding with the nurses, doctors, and others who are clinging to the same raft, caught in the same tide. My — Paul Kalanithi

People spending more of their own money on routine health care would make the system more competitive and transparent and restore the confidence between the patients and the doctors without government rationing. — Ben Carson

Occasionally I talk with people who see doctors as people who do nothing but give of themselves and never receive from anyone else - especially not from their patients. That is totally
false. The longer I remain in my profession, the more I realize how much I receive from those who come to me for help. — Benjamin Carson

Doctors in highly charged fields met patients at inflected moments, the most authentic moments, where life and identity were under threat; their duty included learning what made that particular patient's life worth living, and planning to save those things if possible--or to allow the peace of death if not. Such power required deep responsibility, sharing in guilt and recrimination. — Paul Kalanithi

Axiom: that illness isn't productive. In itself, it generates no commodities and therefore no money. Although it's an excuse for a lot of activity, all it really does moneywise is cause wealth to flow from the sick to the well. From patients to doctors, from clients to cure-peddlers. Money osmosis, you might call it. — Margaret Atwood

The dilemma of modern medicine, and the underlying central flaw in medical education and, most of all, in the training of interns, is the irresistible drive to do something, anything. It is expected by patients and too often agreed to by their doctors, in the face of ignorance. — Lewis Thomas

I do believe that, in time, doctors - both alternative and orthodox - will begin using whatever is the highest best treatment for their patients, regardless of the modality. — Brandon Bays

People and organizations other than doctors increasingly are assuming power to decide which medications to prescribe or procedures to undertake. More and more, decisions about personal healthcare are no longer made by the treating physicians in consultation with their patients, and based on the doctors' expertise. — Bob Barr

Sure," I said. "But some people would ask, 'How can you expect others to replicate what you're doing here?' What would be your answer to that?" He turned back and, smiling sweetly, said, "Fuck you." Then, in a stentorian voice, he corrected himself: "No. I would say, 'The objective is to inculcate in the doctors and nurses the spirit to dedicate themselves to the patients, and especially to having an outcome-oriented view of TB.' " He was grinning, his face alight. He looked very young just then. "In other words, 'Fuck you. — Tracy Kidder

You're right. Many nurses nowadays don't like doing the things that nurses used to have to do. Changing sheets and collecting bedpans - that sort of thing. Nursing has moved on, Bertie.'
Bertie was puzzled. 'But if they don't do that,' he said, 'then who does? Do people have to tuck themselves into bed when they're in hospital?'
Irene was amused by this and raised her eyes again. 'Dear Bertie, no, not at all. They have other people now to do that sort of thing. There are other wome ... people who do that.' 'So they aren't nurses, Mummy?' asked Bertie. Irene waved a hand vaguely. 'No. They call them care assistants, or something like that. It's very important work.' 'So what do the nurses do then, Mummy? If they have somebody else to take the bedpans to the patients, what's left for the nurses to do? Do they do the things that doctors do? Can nurses take your tonsils out?' 'I think they'd like to,' said Irene. — Alexander McCall Smith

Residents of my district continue to stress to me that they want health care decisions to be made by patients and doctors, not by the government and insurance companies. — Tim Walberg

No one I met at this time
doctors, nurses, practicantes, or fellow-patients
failed to assure me that a man who is hit through the neck and survives it is the luckiest creature alive. I could not help thinking that it would be even luckier not to be hit at all. — George Orwell

The system is broken. The doctors and the nurses can't do everything. The patients need human attention; the patients themselves need to be addressed, rather than just their disease. — Colleen Saidman

Doctors and patients need as much data as possible to make an informed decision about what treatment is best. — Ben Goldacre

Look at other countries that have tried to have federally controlled health care. They have poor-quality health care. Our health-care system is the envy of the world because we believe in making sure that the decisions are made by doctors and patients, not by officials in the nation's capital. — George W. Bush

A number of holistic and complementary medical doctors in the US, from general practitioners to psychiatrists, are using maca with a variety of patients. Both men and women report a significant boost in libido. And a number of men who have suffered from erectile dysfunction have improved, as a result of taking maca. — Chris Kilham

But the story of leukemia
the story of cancer
isn't the story of doctors who struggle and survive, moving from institution to another. It is the story of patients who struggle and survive, moving from on embankment of illness to another. Resilience, inventiveness, and survivorship
qualities often ascribed to great physicians
are reflected qualities, emanating first from those who struggle with illness and only then mirrored by those who treat them. If the history of medicine is told through the stories of doctors, it is because their contributions stand in place of the more substantive heroism of their patients. — Siddhartha Mukherjee

The doctor learns that if he gets ahead of the superstitions of his patients he is a ruined man; and the result is that he instinctively takes care not to get ahead of them. — George Bernard Shaw

Two-thirds of the terminal cancer patients in the Coping with Cancer study reported having had no discussion with their doctors about their goals for end-of-life care, despite being, on average, just four months from death. But the third who did have discussions were far less likely to undergo cardiopulmonary resuscitation or be put on a ventilator or end up in an intensive care unit. Most of them enrolled in hospice. They suffered less, were physically more capable, and were better able, for a longer period, to interact with others. In addition, six months after these patients died, their family members were markedly less likely to experience persistent major depression. In other words, people who had substantive discussions with their doctor about their end-of-life preferences were far more likely to die at peace and in control of their situation and to spare their family anguish. — Atul Gawande

We want to empower the doctors and patients to get all the other assholes out of the way,' Clark had once told me, then laughed. 'Except for us. One asshole in the middle. — Michael Lewis

Indie authors write, design, sell. Like magic, skip one and you make must read vanish. — Temple Emmet Williams

In quixotically trying to conquer death doctors all too frequently do no good for their patients' "ease" but at the same time they do harm instead by prolonguing and even magnifying patients' dis-ease. — Jack Kevorkian

When it comes to dying and the risks of a bad death, does our responsibility as doctors override cultural values? Is it ever acceptable to bypass cultural norms and expectations in an attempt to get to the human truth? While in many cultures the tradition is to work through the family rather than talk directly to the patient during the dying process, the potential for harm is great, and patients may unintentionally be held hostage by their families. — Jessica Nutik Zitter

The bulk of my learning - if I may call it such - has come within the past three months, after I became a part of the fragile body of patients who make up an AIDS hospice. Here, surrounded by teams of supportive nurses, attentive doctors, and interns, one gently comes upon his own strengths and shortcomings. — Lance Loud

Could a mariner sit idle if he heard the drowning cry? Could a doctor sit in comfort and just let his patients die? Could a fireman sit idle, let men burn and give no hand? Can you sit at ease in Zion with the world around you damned? — Leonard Ravenhill

Great hospitals do two things. They look after patients, and they teach young doctors. We look after clients, and we teach young advertising people. — David Ogilvy

I did a show called 'Wonderland' a few years back, and I was fortunate enough to spend a full-on two weeks - I'm talking 13-15 hours a day - with the doctors and patients at Bellevue in New York. That served me well for 'Durham County.' — Michelle Forbes

An integral approach is based on one basic idea: no human mind can be 100% wrong. Or, we might say, nobody is smart enough to be wrong all the time. And that means, when it comes to deciding which approaches, methodologies, epistemologies, or ways or knowing are "correct," the answer can only be, "All of them." That is, all of the numerous practices or paradigms of human inquiry - including physics, chemistry, hermeneutics, collaborative inquiry, meditation, neuroscience, vision quest, phenomenology, structuralism, subtle energy research, systems theory, shamanic voyaging, chaos theory, developmental psychology - all of those modes of inquiry have an important piece of the overall puzzle of a total existence that includes, among other many things, health and illness, doctors and patients, sickness and healing. — Ken Wilber

The core predicament of medicine - the thing that makes being a patient so wrenching, being a doctor so difficult, and being a part of society that pays the bills they run up so vexing - is uncertainty. With all that we know nowadays about people and diseases and how to diagnose and treat them, it can be hard to see this, hard to grasp how deeply uncertainty runs. As a doctor, you come to find, however, that the struggle in caring for people is more often with what you do not know than what you do. Medicine's ground state is uncertainty. And wisdom - for both the patients and doctors - is defined by how one copes with it. — Atul Gawande

Doctors who spend more time talking into their tape recorders instead of looking into the eyes of their patients. (Spare us the "HMOs only give us so much time" diatribe. Medicine is about giving scared people comfort and help for people whose pain level is matched only by their anxiety level.) — Karl Albrecht

We are increasingly the generals who march the soldiers onward, saying all the while, "You let me know when you want to stop." All-out treatment, we tell the incurably ill, is a train you can get off at any time - just say when. But for most patients and their families we are asking too much. They remain riven by doubt and fear and desperation; some are deluded by a fantasy of what medical science can achieve. Our responsibility, in medicine, is to deal with human beings as they are. People die only once. They have no experience to draw on. They need doctors and nurses who are willing to have the hard discussions and say what they have seen, who will help people prepare for what is to come - and escape a warehoused oblivion that few really want. — Atul Gawande

Consider the case of La Crosse, Wisconsin. Its elderly residents have unusually low end-of-life hospital costs. During their last six months, according to Medicare data, they spend half as many days in the hospital as the national average, and there's no sign that doctors or patients are halting care prematurely. Despite average rates of obesity and smoking, their life expectancy outpaces the national mean by a year. — Atul Gawande

Jay Levy saw ten women," the doctor later recalled, "And he thought they were all hysterical. Then he saw a man, whose complaints he took seriously. — Hillary Johnson

Doctors need to be held accountable, since power corrupts. There must be complaints procedures and litigation, commissions of enquiry, punishment and compensation. At the same time if you do not hide or deny any mistakes when things go wrong, and if your patients and their families know that you are distressed by whatever happened, you might, if you are lucky, receive the precious gift of forgiveness. — Henry Marsh

There is survival behavior, and doctors need to learn from patients who do not die when they are supposed to, instead of saying, 'You're doing very well, so keep doing whatever you are doing.' They should be asking what their patient is doing and pass the information to other patients. — Bernie Siegel

Town designers are responsible for the total life of the town far more surely than doctors are responsible for the individual lives of their patients--for much medical history is act of God, whereas almost all town planning history is, alas, act of man. And compared with this all the professional squabbles, all the statistics, all the traffic flow, all the architectural fads, do not matter a damn. — Ian Nairn