Patients Come First Quotes & Sayings

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

I don't doubt for a moment that the revolution will result in a nonracial society. I have just come from being a patient in Groote Schuur Hospital where they now have integrated wards. For the first time in my life, I have seen it working. The patients were mixed, the staff was mixed, and the medical officers were mixed; it was totally integrated. It was beautiful. White and black together. And it works. To me that is terribly exciting. — Helen Joseph

Of the thousands of patients I have seen, only two or three have ever claimed to be unhappy: all the rest have said that they were depressed. This semantic shift is deeply significant, for it implies that dissatisfaction with life is itself pathological, a medical condition, which it is the responsibility of the doctor to alleviate by medical means. Everyone has a right to health; depression is unhealthy; therefore everyone has a right to be happy (the opposite of being depressed). This idea in turn implies that one's state of mind, or one's mood, is or should be independent of the way that one lives one's life, a belief that must deprive human existence of all meaning, radically disconnecting reward from conduct. A ridiculous pas de deux between doctor and patient ensues: the patient pretends to be ill, and the doctor pretends to cure him. In the process, the patient is wilfully blinded to the conduct that inevitably causes his misery in the first place. — Theodore Dalrymple

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

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

After hearing much from his patients about alleged faith-healing, a Minnesota physician named William Nolen spent a year and a half trying to track down the most striking cases. Was there clear medical evidence that the disease was really present before the 'cure'? If so, had the disease actually disappeared after the cure, or did we just have the healer's or the patient's say-so? He uncovered many cases of fraud, including the first exposure in America of 'psychic surgery'. But he found not one instance of cure of any serious organic (non-psychogenic) disease. There were no cases where gallstones or rheumatoid arthritis, say, were cured, much less cancer or cardiovascular disease. When a child's spleen is ruptured, Nolen noted, perform a simple surgical operation and the child is completely better. But take that child to a faith-healer and she's dead in a day. — Carl Sagan

We have achieved most as surgeons when our patients recover completely and forget us completely. All patients are immensely grateful at first after a successful operation but if the gratitude persists it usually means that they have not been cured of the underlying problem and that they fear that they may need us in the future. They feel that they must placate us, as though we were angry gods or at least the agents of an unpredictable fate. — Henry Marsh

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

I remember a group therapy session when one of the patients was reluctantly turning his corner. He would accept it, he said, but he wouldn't like the idea of having to solve problems every day for the rest of his life. My co-therapist told him that it was not required that he like it. She shared her own displeasure, saying: 'I remember that when I first discovered what life was like, I was furious. I guess I'm still kind of mad sometimes.' (135) — Sheldon B. Kopp

All patients reported a loss of craving for drugs while taking large doses of Vitamin C, during detoxification. Of the first 30 carefully monitored heroin addicts, 30 successfully withdrew from their addiction with no more than minor discomfort. None of the 30 were reported to have relapsed ... Similar results have been reported by other doctors ... :Archie Kalokerinos ... — Irwin Stone

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

There was a mental institution near my house, and I would donate time teaching mentally ill patients how to do ceramics. I photographed them as well. So those were my first pictures. — Steven Klein

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

This was truly to be a radical milestone: the world's first-ever marathon nude psychotherapy session for criminal psychopaths. Elliott's raw, naked, LSD-fueled sessions lasted for epic eleven day stretches. The psychopaths spent every waking moment journeying to their darkest corners in an attempt to get better. There were no distractions - no television, no clothes, no clocks, no calendars, only a perpetual discussion (at least one hundred hours every week) of their feelings. When they got hungry, they sucked food through straws that protruded through the walls. As during Paul Bindrim's own nude psychotherapy sessions, the patients were encouraged to go to their rawest emotional places by screaming and clawing at the walls and confessing fantasies of forbidden sexual longing for one another ... — Jon Ronson

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 first time that I entered through the double-locked doors of the psych ward I was terrified, believing for no real reason that such places harbored evil souls ready to assault me at any moment. But once inside I found it to be the slowest-moving place on Earth, and I saw that these patients were unique only in that time had stopped inside their wounds, which were seemingly never to heal. The pain was so thick and palpable in the psych ward that a visitor could breathe it like the heavy humidity of summer air, and I soon realized that the challenge would not be to defend myself from patients, but to defend myself against my own increasing indifference toward them. What originally struck me as cryptic in chapter fifty-nine was now mundane: they are turned inward, to feed upon their own hearts, and their own hearts are very bad feeding. — Hope Jahren

Ronkers was getting out of the elevator on the first floor when the intercom paged 'Dr Heart'. There was no Dr Heart at University Hospital. 'Dr Heart' meant someone's heart had stopped.
'Dr Heart?' the intercom asked sweetly. 'Please come to 304 ... '
Any doctor in the hospital was supposed to hurry to that room. There was an unwritten rule that you looked around and made a slow move to the nearest elevator, hoping another doctor would beat you to the patient. Ronkers hesitated, letting the elevator door close. He pushed the button again, but the elevator was already moving up.
'Dr Heart, room 304,' the intercom said calmly. It was better than urgently crying, 'A doctor! Any doctor to room 304! Oh my God, hurry!' That might disturb the other patients and the visitors. — John Irving

Nurses serve their patients in the most important capacities. We know that they serve as our first lines of communication when something goes wrong or when we are concerned about health. — Lois Capps

Am I not as much a doctor as they? I too have my patients; in the first place, theirs, whom they call sick; and then my own, whom I call unfortunate. — Victor Hugo

The homunculus narrator experiences everything backward - his first memory is Unverdorben's death. He has no control over Unverdorben's actions, nor access to his memories, but passively travels through life in reverse order. At first Unverdorben appears to us as a doctor, which strikes the narrator as quite a morbid occupation - patients shuffle into the emergency room, where staff suck medicines out of their bodies and rip off their bandages, sending them out into the night bleeding and screaming. But near the end of the book, we learn that Unverdorben was an assistant at Auschwitz, where he created life where none had been before - turning chemicals and electricity and corpses into living persons. Only now, thinks the narrator, does the world finally make sense. — Sean Carroll

If you are too fond of new remedies, first you will not cure your patients; secondly, you will have no patients to cure. — Astley Cooper

For a psychoanalyst to be any good with Franny at all, he'd have to be a pretty peculiar type. I don't know. He'd have to believe that it was through the grace of God that he'd been inspired to study psychoanalysis in the first place. He'd have to believe that it was through the grace of God that he wasn't run over by a goddam truck before he ever got his license to practice. He'd have to believe that it's through the grace of God that he has the native intelligence to be able to help his goddam patients at all. I don't know any good analysts who think along those lines. But that's the only kind of psychoanalyst who might be able to do Franny any good at all. If she got somebody terribly Freudian, or terribly eclectic, or just terribly run-of-the-mill - somebody who didn't even have any crazy, mysterious gratitude for his insight and intelligence - she'd come out of analysis in even worse shape. — J.D. Salinger

It was a lesson she was still learning. When she had first started nursing, she had taken every death personally, like she was losing her father all over again. Every patient lost under her care was a little piece of death she would carry around with her until the end of her own life. But the alternative seemed so unfeeling. Tina and the other nurses could crack jokes and banter back and forth about contestants on American Idol before the body of a deceased patient was even cold. It was a coping mechanism, she knew, but not necessarily one she thought she would ever adopt. There had to be something in between. Olive had been called a bleeding heart before, but her heart no longer had the same plasticity and tenderness - it was scarred and worn beyond repair — Andrea Lochen

My father's concern for his patients was only enhanced by the fact that so many of them had a personal connection to him...In the words of the historian David J. Rothman, 'doctor and patient occupied the same social space,' promoting a shared relationship. Meanwhile, the poor and minority patients my dad met for the first time at the Mount Sinai--including many he would then follow for years--got the same royal treatment...His goal was to 'take extra pains with the service patients, to be certain they are reassured and confident in your care, and come to believe that you really care about him or her as an individual.' One way he did this was to take advantage of his flexible schedule. 'It's so simple,' he wrote, 'to make an extra visit in the afternoon for these special cases, come back to report a new lab test result, review an X-ray [or] reassure that the scheduled test is necessary, important and will lead to some conclusive information.' Illness, he underscored, was 'frightening. — Barron H. Lerner

As part of his life-saving therapy with suicidal patients and his own experience in a Nazi concentration camp, Frankl learned there are three things that give meaning to life: first, a project; second, a significant relationship; and third, a redemptive view of suffering. — Jeff Goins

In the first speech I delivered as health secretary, I made one thing perfectly clear: we need a cultural shift in the NHS: from a culture responsive mainly to orders from the top down to one responsive to patients, in which patient safety is put first. — Andrew Lansley

An amusing, if rather pathetic, case study in miracles is the Great Prayer Experiment: does praying for patients help them recover? Prayers are commonly offered for sick people, both privately and in formal places of worship. Darwin's cousin Francis Galton was the first to analyse scientifically whether praying for people is efficacious. He noted that every Sunday, in churches throughout Britain, entire congregations prayed publicly for the health of the royal family. Shouldn't they, therefore, be unusually fit, compared with the rest of us, who are prayed for only by our nearest and dearest?* Galton looked into it, and found no statistical difference. — Richard Dawkins

Migraine attacks are often preceded by visual disturbances, weakness, dizziness, ringing in the ears, and other symptoms. Many patients report that they can avert a migraine attack by smoking a joint at the first warning of onset. Others take a small dosage daily to ward off attacks. Patients say inhaled marijuana is preferable to oral preparations such as Marinol in such situations, because quick treatment is necessary. (There is no evidence that CBD or other non-THC cannabinoids are helpful against migraines.) — Dale Gieringer

When you choose to earn your living by helping people who are in emotional pain, you're also making a choice to carry them on your back for a while. To hell with all that talk of taking responsibility, assertiveness. That's crap. You're going to be coming up against helplessness every day of your lives. Your patients will imprint you, like goslings who latch on to the first creature they see when they stick their heads out of the egg shell. If you can't handle it, become and accountant. (82) When the Bough Breaks — Franz W. Kellermanns

Certainly miscarriage is not invariably related to low thyroid function. There are many other possible causes. Yet soon after thyroid therapy first became available, it was found that patients with a history of miscarriages often had a history compatible with thyroid deficiency and that full-term pregnancies might follow treatment with thyroid. — Broda Otto Barnes

The analytic psychotherapist thus has a threefold battle to wage
in his own mind against the forces which seek to drag him down from the analytic level; outside the analysis, against opponents who dispute the importance he attaches to the sexual instinctual forces and hinder him from making use of them in his scientific technique; and inside the analysis, against his patients, who at first behave like opponents but later on reveal the overvaluation of sexual life which dominates them, and who try to make him captive to their socially untamed passion. — Sigmund Freud

Learning how to do psychotherapy is a complex process, much of which is transacted in the relationship between the beginning therapists and experienced supervisors. When the beginning therapists encounter problems that are beyond their range of experience, the supervisors usually assist in several ways. First, the supervisors offer an intellectual
framework in which to understand the problem. References to the professional literature are often suggested. Second, the supervisors offer practical, problem-solving help with the strategies of therapy. Third and most important, the supervisors help the less experienced therapists to deal with feelings of their own that have been evoked by the patients. With the support of competent supervisors, the therapists are usually able to master their own troubled feelings and put them in perspective.
This done, the therapists are better able to attend to patients with empathy, and with a confidence in their ability to offer help. — Judith Lewis Herman

There are, Jefferson said, two classes of "disputants" that are especially common. The "first is . . . young students . . . the other consists of the ill-tempered & rude men in society, who have taken up a passion for politics." From both, Jefferson urged, "keep aloof, as you would from the infected subjects of yellow fever or pestilence. Consider yourself, when with them, as among the patients of Bedlam, needing medical more than moral counsel. — Davidson Butler

The great unspoken paradox of the arduous process of psychoanalysis is that the best patients are the ones who never really needed it in the first place. Abnormal — Allen Frances

So if somebody has chronic pain, we want to manage the pain, but we still want to treat the insomnia separately. So what we'll tend to do in our sleep lab is we'll do a thorough evaluation and we usually have myself, who is a Psychologist and a Sleep Behavioral Sleep Specialist, I treat the patients first. — Shelby Harris

Do not work primarily for money; do your duty to patients first and let the money follow; our life is short, we don't live twice; the whirlwind will pick up the leaves and spin them, but then it will drop them and they will form a pile. — John Hersey

Primum non nocere, 'First, don't make things worse,' was an essential principle of Hippocrates' medicine. Nowadays, unfortunately, it seems to have been forgotten. Conventional modern medicine aims at getting rid of patients' symptoms. Little, if any consideration is given to the fact that some of these symptoms may actually be used by the body in an attempt to correct deeper disorders. When this is the case, suppressing the symptom does not necessarily help the patient. — Samuel Sagan

If you have 15 minutes per visit, and you spend the first 9 minutes just collecting information from them, before you do anything else, you know half of your visit is gone already. So if you have an automated system that has most of that and, and in some cases I actually have patients complete questionnaires before they come in, so I'd gotten most of the information I need to ask about, already recorded, instead of having 9 minutes I can take 3 minutes to review all this information. — William Davis

This is why therapists go to such lengths to urge their anxious patients away from intellectualization: The first step toward peace is disarmament. — Daniel Smith

Asking patients to describe what triggers their habitual behavior is called awareness training, and like AA's insistence on forcing alcoholics to recognize their cues, it's the first step in habit reversal training. The tension that Mandy felt in her nails cued her nail biting habit. — Charles Duhigg

It's the first time an exoskeleton has been controlled by brain activity and offered feedback to the patients. Doing a demonstration in a stadium is something very much outside our routine in robotics. It's never been done before. — Miguel Nicolelis

I don't think he was used to patients who were already aware of what their real problem was. He was also a bit of a pill-pusher. I balked at trying antidepressants, I just couldn't see myself taking pills to try to be less of a fraud. I said that even if they worked, how would I know if it was me or the pills? By that time I already knew I was a fraud. I knew what my problem was, I just couldn't seem to stop. I remember I spent maybe the first twenty times or so in analysis acting all open and candid but in reality sort of fencing with him or leading him around by the nose, basically showing him that I wasn't just another one of those patients who stumbled in with no clue what their real problem was or who were totally out of touch with the truth themselves. — David Foster Wallace