Encore: What Doctors Feel: How Emotions Affect the Practice of Medicine

                                    
Pop Up Archive Item: “Encore: What Doctors Feel: How Emotions Affect the Practice of Medicine” : https://www.popuparchive.com/collections/1461/items/10684

Transcript for file: focus140221a.mp3

00:00:00



the last time you got

you got sick and had to go to the doctor how did your physician breaking

have you ever thought what it would be like instead of the wind

I’m in the moon in today on we’re going to take a look at that situation from the doctors

talk with Danielle Ofri a practicing internet at Bellevue Hospital in New York

00:00:30

New York City about the new book what doctors in it she shares healthier

improve my doctor about how we might move toward

empathetic approach to medicine

is touchy feely Mambo Jambo

after this news good

good morning and welcome to focus timeline the moon have you ever had a moment at work

00:01:05

overwhelmed by how you felt about something that was happening personally or something

office to do your job well

Topix I have a hard time reporting on an as a member of the newsroom

and crying during interviews on focus for going to talk about

talk about those feelings and how they play a very real role in the workplace for doctor

doctors I want to walk in doctor Daniel over to the show she’s author of many books about the world

RUSD title is what doctors feel emotions affect the practices

00:01:40

factors of medicine in addition to her work as an author she’s also a practicing internist at Bellevue

New York City what is a frequent contributor to The New York Times The Washington Post

and the New England Journal of Medicine Dr Danielle Ofri welcome to focus

thank you so much do before I get started I do now that this is a pre recorded

episode of a bit but we still love to hear from you what are the most important

important qualities to you in a doctor if you can post comments on Facebook page

which of course is true but

00:02:15

but when someone says the word doctor that’s not the first thing that comes to mind why

idea developed doctors are a part of it

is the media portrayal of doctor

doctors Asbury rational all knowing for a paternal a stick of butter

but most of the cell that is Billy the case change over time

expectations that doctors will give you the precise incorrect

right answer but I think you know most patients if you ask him

00:02:50

would you like to type in your symptoms into a computer and get a diagnosis and you probably get it

accurate diagnostics but most of us probably wouldn’t choose that because

answer I think we wouldn’t feel

care of most of us with the first to have a human being take care of us

human beings come stock with emotions and there’s no way around it even in the exam room

in your book their sons very real moment please you draw your own

practice tell me about Julia gulia or a sheep

00:03:25

chicos by Julia Italy was a patient who I met

is it better to the hospital for congestive heart failure and you use a congested heart failure

tell you the preview of older patients geriatric patients that she was in her mid 30s and her heart was

what was filling for bad genetically since I miss you too young

young children in at the time I was in my mystery that also had to young children

and there was this moment about telling her telling her

the diagnosis  and it turned out

00:04:00

out that for a feeling Hartford just heard there was only one truth

true treatment of acute and that is a heart transplant

undocumented immigrants from Guatemala she would be eligible for

transplants we had to tell her

about the side of it was a very difficult moment it was a little bit Lykke Li

like looking in the mirror will both the same height and build the same 830

30 in both of us had to young children at home in other world

00:04:35

friends shared clothing for today it was me

white coat and her with the defintion except

she didn’t know it yet who was the morning of clear discharge from the hospital

and we were going through the array of cardiac medications stacked on her bed side table

TSB the same question about each bottle service medicine make my heart

painful ear and the question evermore

evermore elaborate exclamations about controlling symptoms enhance Inc breathing

00:05:10

minimizing fluid and balances exercise tolerance

I told every truth about every medication but I could not bring myself to tell her the

Ultimatrix the role of the genetic taissa doom the five of her heart

heart center only chance with a heart transplant that because she was under

undocumented immigrants this was not impossible to her children

motherless  one who walked out of a hospital without phone number

I’ve been a physician

00:05:45

I was fully where am i tablet to have open and honest communication with her

patient centered matter but I couldn’t I couldn’t

bring myself to tell this young mother that she was going to die

Krispy that I overate into fight with my patient or they let my emotions get the better of me

that I was in out in out with all play some Road

some roll but I wasn’t the only doctor who struggle with the truth everyone

sponsible for her care intern resident medical attending cardiology

00:06:20

hello cardiology attending independently itself short

Charter on medical professionals in Atlas honest communication with patients

paramount ethical killer  young old male female

touchy feely egotistical blustery alike not one of us

could say those words to her face that’s a passage in a book

taken from an op-ed you published long before the book what kind of reaction did you get when that are

article was originally published I had a lot of response

00:06:55

swift and Furious many many people excoriated me for not telling

diagnosis of Fame with IDE

diagnosis and correct

I was wrong with you for the food stand for diagnosis

time Britt Road about the moment to point out how much emotions play

playoff 067 of Us doctors all try to tell her

could it took us Taylor outpatient visit someone to break

00:07:30

break the final news and I’m not proud of what

what happened but it makes me give respect and endocrinology

knowledge mint promotions will change how doctors practice medicine

was I really that you had encountered or something that you felt very strongly about before

before your encounter with her is that my calculus

Road to the forefront itunes to we first choice without sim

the entire book I actually introduced to straighten my previous book medicine in translation

00:08:05



10 years because her story really bright out every

free abortion many years did so many ups and downs

with a case  and I think that you delete exemplify

amplified effective emotions exist in the room with us

Hannaford North and then we run the risk of not doing

doing the best for a patient and I told you the best for that moment

00:08:40

I did it did make me where and when I saw her the next time

we were able to Corral this and get past that the schools emotional blockage

and share the truth

cook with me with her the patient she had children but there was a time

you are the person to process you have to give someone a noose

who realized that I think that might have been

what was part of the issue with the doctors who didn’t have children

00:09:15

the sage of of felt a thinking maybe not even conscious

time in themselves before they can bring themselves to tell a 35 year old women

to die and I think it points out that doctors themselves

are not Otamatone the computer out that prognosis the real people

face with terrible Grievous news

the process that and maybe the reason we could say that we need a time

acquainted a custom accepting a Vista 4 weeks

00:09:50

North Hills to tell her it’s just a reality in the world of medicine

the tension paid to the fact that doctors ultimate time to process

big huge like that before they can deliver it well inappropriately patients

not think we have expectation the doctors will be a direct conduit if any

results and and and and situation and again the computer can do that

doctors of people and nurses are people and I Avant colleges

studied extensively because they deal with death

00:10:25

Yngwie phone lot is overpowered in their life despite

despite officially train to do with it many doctors find that the death of a pet

the patient affect how they behave with the next patient if they thought

the patient died because they weren’t aggressive office find themselves sitting

what the next patient and patience

Bing or less aggressive with an expression and a half

if they had some time or space to give that 352

00:11:00

do they might be able to put an expression with a completely blank slate what happens

what happened to Julia  the whole story

describe the book really moving mountains for her for her case

have a happy ending

very special woman something about her

about her I buy a people sweet unassuming

hard worker rigorous with hurt medications did everything helping her children

00:11:35

children of Israel having a documented

Ashley begin to go downhill remarried someone who did have a green card

card the ones that have in the hospital can take your like I’ve never seen before

what people didn’t helper process Medicaid insurance

on the list and she finally got a heart transplant

what kind of the book focuses mainly a negative emotions

where is joy in Medicine Hat

00:12:10

happiest day of my professional life I got the phone call to see if a heart

remember Office Dancing everyone to tell if

got a heart and I might editors in all my writing contest

over the years it was the finally come thru

exciting Charlie there after I was on the road getting from lectures

803 a stroke

and she was bleeding and her head she was on life support

00:12:45

and it was going to be turned off  and felt like overnight tables have turned

and I came right back to New York herbicide

are there on conscious talk with her

what her but it clear that her out and she was going to survive

that hurt over whelmed fired up by the new heart and make it

and we said to gether a hat with her for a for quite some time and I remember

what  what is it that I tell someone what do you say at the end

00:13:20

Ashley someone can’t talk back to you and because I just had the book

Michael Kors Mill ask the story

red written about her that the diagnosis the whole amount that we’ve been through

intro to gether  and then I said goodbye in her ass

winter funeral and then it was going from the most Choi

had in my career to pass one of the saddest day of my life

young woman with able to make it  did that effect

00:13:55

how do you approach other patients with leukemia contacted after her death

whenever there’s a death  Ice Rink were all a little bit

gun shy about investing you get emotionally

you had a marriage relationship or and you’ve lost that partner

going to see the next the next Air Canada

I do this again can I become so close to patient what is the station going to die

spend all these years together than others live

00:14:30

very hard thing I do think it affects and I had to really be conscious

let it get in the way but hide information conscious

is certainly might have  how you felt about

please huge role in her care

wonderful dinner actress in work with but I do about patient sitter maybe not to eat

easy to like how do you handle dealing with difficult patients

being in the ER and being frustrated with return

00:15:05

insecure about their own house

Austin watched in turn to a pastor

empathic people little constipation

injuries drug addiction alcoholism obesity

wonderful doctors I see them stains

angry at the station is coming take up your time

don’t help themselves get better they go back to their behavior

00:15:40

compacted nurses and doctors really lose their party

Patrick and that’s something we need to pay attention to it if we ignore

Norah that service

how it came to be this is our garbage professionals we take care of all of my patience

Mr Carrillo who was a drug addict

end of time and mighty

another admission by the same drug addict and nothing’s going to change and

00:16:15

normally we on attending Cranston RI daily pic the most interesting case

the discussed or the most unusual case of the sickest patient

let’s go discuss natural foods with the most boring patient on the service

into the bedside in spoke to him and he was exactly as you expect

golden glassy eyes when did Miley 1 word answers

at the same leak have low the diction terms and methadone

methadone regimens and very soon as capital of blackouts and I could see that

00:16:50

this is going nowhere question to on demand

can you tell if you knew you were a

you are addicted when they have their disease

healthy a checkup blueberry are there at the moment of transition

take a look at me and said yes I can

who was an exact moment told the story of driving up the Henry Hudson Parkway

go to see his brother for his nephews a birthday party

00:17:25

I need to go there you wanted a hit

nudity need the conch turn the car around start going downtown

how to get back to the Steeler God which dynasty

fingered my car in the other direction going downhill

left story the room

buy the stuff and I think of

Family Feud what it might be like to have his mistress forces

00:18:00

overtaking of life and after that nobody will their eyes

nobody need to start in common with much Louis

Avus wheels fit a fantasy when do with his world

world we can really see what it might be like that happened to other people

other people but now he gave sex with my pee like for us

I didn’t have a new licence with stomach cure his addiction

any chance of a meeting without being able to feel sympathy

00:18:35

empathy for him  I’m really interested in how you handle

moral judgments do people do you have probably who are the problems that in

can you return for doing with payment for

complicated terio

you really made him a person to everyone who was involved with a teen how do you handle

separating what you feel about a patient

what they need to do for daycare parlay this conflict

00:19:10

mind the issue of professionalism

you’re not going to the best size as a lawyer for business

business person or an accounting you’re going there as a caregiver you have a different gender

send a fire hardest to put those side

n.b.a wear if you owned by a cyst

no by sister have to be to know that we have a fire

against people who seem to be something something that won’t rigarmortis

00:19:45

side and find community and everyone

that we can do it we can solve addiction

we can solve it all the healthcare insurance issues we can solve poverty

crime things that will help a week at home

finding the f*** of humanity in every person because it’s there

it may be harder to find hard for us to get there and it’s

generation 2 really show that

00:20:20

sometimes when I’m really stuck on with my team of students with patient stories

Iran cooperative word alcohol

what’s your hobby

what do you like to do  what does he still like to do before you head out

you had alcohol is in Overton your life everyone has something they love

love to do do it now in a conditional license

something that will cash in about the guy in the Bowery

00:20:55

even the most difficult Run family

family person can tell you what he really was passed in about an iPhone

talking about what is important to them

us the doctors refer to themselves think they see themselves having something valuable

valuable to share in the conversation it’s not always easy but

that is really are chopping when we say what it means to be a professional

national medicine I think that is it is one thing

00:21:30

dealing with dying patients a complete different issue

penis very vivid picture about how do you end with O type of people daning emergency room

inserting is very challenging Eva and a newborn

eva is it at the cinema of a pediatrician exposed to

harrowing story from her residency wish with an intern

fresh off the boat with call to delivery wear a saree

teenager giving birth to a baby

00:22:05

malformation set with was not compatible with life and the baby with diet

exclamation with no treatment

form the place that baby with look awful and they have to say they did not want to see the baby

porn with hand it off to Eva andressa nude

take the baby out of the room end

new free rooms 2-7 the baby and Eva andressa

only place that will make sure you acquire the time of death

00:22:40

definitely left alone with the baby who is going to

going to die and remembers looking for a baby and we are waiting

waiting for a baby to die  very very long time

why you wait for the bleeding to slow down heart

m*** and a baby Seiki TV wiki

text no one ever gonna love the baby supposed to keep the baby

watch the

00:23:15

when they died at the time of death but she was overcome by the emotions

arms and just f*** the babysitter

I love you baby i love you  baby died

images came out of supply closet with this day baby harms

I was told by Fergie baby and she was so effect

affected by that but there was no place to talk about that because he has a

the baby delivered to the moon worth missing children to take care

00:23:50

every time to really talk about that nobody did

itchy head what was William post traumatic stress disorder reaction

I’m watching a movie with a baby child

child drowning at the same reaction

when your heart starts to race in your mind is fun with images

and everything came back at that moment and I think that if we

where is Banana more caring environment where someone say hate you to

00:24:25

what was won the most romantic things to do to human kind weed a moment to

College bad to give you stay stitch for Lisa talk about it

add a terrible reaction years later as I was reading the book I was tearing

it was it was really difficult to get to how common is an experience like that

rare and rare now

23 decades ago I think now there is much more attention to the fact that

mini experiences that student intern dealing with

00:25:00

dealing with death infirmity illness powerlessness

early twenties and very few life experiences

city of never think we realize now that

we have to pay attention to this day we have to be out

436 and making a time and a place

if you don’t then we run the risk of people becoming

offense in bottled emotions up

00:25:35

approve me later on have terrible reactions I think it’s less common now

doctors and Sedition people who work in the medical field are moose

pull yourself up by your bootstraps in handle it types of people is there is it

resistance 2 incorporating situations in which people can talk about things like

like what happens to me back when I was it up and try to be had

feeling around it was it called that was called something else

meaning social worker to sit with it with the team in and talk about things that happen

00:26:10

what happened that week but because they sent in the sky over social worker

everyone thought it was ridiculous and cilia know what to get seriously

when your own attending

supervising Dr Inouye coat is this as a reality

different because those are real father was a real liters

on my own supervisor would say well that was such a sad situation

I need a moment to give at state

00:26:45

space at the supervises you write that that is really sad let you know

so I think that we are much were able to see it

from our own liters in a half ton

here’s your moment to be touchy feely as we go about our daily lives

life is really are our role models who walk the walk and talk

talk the talk show us what it’s like to live in the moment

tattoo be there I had a time when I was with my IT band Wii worth

00:27:20

talking with the family about

dying of cancer Square they were not going to be cured to talking about do not resuscitate

and shifting the goals of careful Tour 12

remember that I ve got to tear up

the little bit and later my internet was

was Silverleaf I wish I am because she was so fat

and she was in that I would turn off first made her feel like

00:27:55

what’s that someone was about

is about to die in a hole family was there and it was

didn’t feel sad something in you

we the in the leadership positions that have to do to the real

does happens when the moon and the sower on focus I’m talking with Dr Daniel

she’s a practicing internet an author of the new book what doctor steel

Alamo shins effective practices medicine we’re going to take a short break stay with us this is focus on

00:28:30

WI Li AM 580 were back on focus

the moon and the sower I’m talking with Dr Danielle over E Cheese author of several books about the world

the world of medicine for discussing today on the show is called what doctors feel

how emotions affect the practice of medicine is a pre recorded episode of focus

we are taking life cause this hour but we do welcome your feedback and questions online

email s at will talk at illinois.edu or find us on Facebook

Twitter @ focus 580 Daniel before the break we were talking about

00:29:05

talking about grief and sadness I also want to talk about fear and held that plays a role in doctors live

what are the things you are most afraid of

meaning of harming them and it’s a primal fear

never goes away I get better and more experienced

it’s always a little bit and honestly I think it should

not a little bit afraid

YouTube missing something because you should be afraid when you approach a patient with a needle

00:29:40

horoscopo what medication with strong side effects women

I’m someone I think we all need an appropriate dose of fear

humility that what it is we do not losing money ERISA really hard

farming another human being how do we keep the few

educated in a compartment that is not to Waldorf

but not coming out for the day today action anime ever

training rifle for overwhelmed by fear and

00:30:15

iOS learn that when you are because it will happen sometimes it’s also ok

Akali can see you know what I can’t do this now could you stiffen for me I’m just

overcome by fear rather than faking it traffic many people trying to do

to pretend you’re not afraid I think people who pretend they’re not a feeling

become Cavalier become dangerous quest of being aware

having it on your radar what you know it’s too much

how to get help and how to help yourself find the right balance

00:30:50

parting patient I’m really hope that every doctor diet

the house that everything but I also you write a little bit of a peacock a defensive medicine

medicine about doctors who the burned by malpractice lawsuit

is the fear of that affect the way certain position will practice I think

physicians in realistically are afraid of if not practice

can destroy someone’s life and the likelihood into their

do they write Leah phrase outfield your surgery

00:31:25

very very high end of medicine

is one of the largest Wisconsin

what comes of that directly harm station Overlord attack

and the size of the cost is also the risks of East End

increase chance of finding an incidental finding something clinically mean

do more test to work that I could have more invasive testing

risk of America with a client to take patients with complex medical issues

00:32:00

location to seem like they’re type

mini few options

part of a coin pouch Dr Moshe Lita knockoffs

doctors being sued it’s like having a death in the family doctors

in the morning reading for the doctor the use to the doctor if I think I’ll be okay

okay I’m a doctor to be so comfortable investing

I don’t want to get burned

00:32:35

not getting fisted and make sure they cover themselves with plenty of fish

cat skin and blood test how often does that happen

burned by patient

will be sued some point and hens how far is a lawsuit goes

foods that settle out of court

heart of a dropped but for the piece that goes to trial

Condell stand for years and really at destruct lives on their own life

00:33:10

the other patients live off of quite insidious

doctors are country where my Fitness Pal

headache you know I’m pretty sure its nothing but a cat skin

self do that on c***

conch sleep when in another time another you

its not getting serious some Tylenol

realize that we do that  sometimes in Alaska

00:33:45

because of actual mistakes just like anybody else doctors

600 tired or under a lot of stress

what is a big problem with a specially with interns in medical resident evil to get enough sleep

how does that affect how you function in clinical setting

that lack of sleep effects of phentermine reaction time

thinking of him in particular interesting because when your over tired but an

emergency comes up most of us can get to Sinnoh in the moment

00:34:20

great for that moment we were making complex

multifactor decisions which is really both of Medicine what’s hard to focus

things in your tired fatigue

little children is it a decrease as you emotional resilience little kids with

cranky and an adult tutu

but we have much whispers are if he was small things

that would normally bother you will now sick people off email coming from a nurse patient

00:34:55

is someone loses their cool and that’s one thing Escalade out of control

tonight having enough sleep it is a disaster it all around

trying many different things limiting hours at residence

can work complete answer

because you know have twice as much as he used to

used to have in there but its clear that a bare minimum people to get a good night of sleep

never won a doctor take care of me who has slept a reasonable amount of time

00:35:30

is the lack of sleep doctor get it different points in a career because

because of the way that schedule is regimented when your training

doctors

it it was religious schedule used to do in every third night overnight

you would never get enough sleep so we change for that model sore able to get

get more sleep little still not quitting think if we want but it’s clear that we don’t have enough

have enough doctors especially in Arizona primary care

00:36:05

general doctors appointment for general medical care

you’re out that you are the hospital fuel prices Tampa

AMPAC is a used to be any more patience to see things to deal with

I think it’s a combination of both of us

we’ve heard a lot lately about the increased demand for primary care doctors especially

say that in order to see a specialist in Muscat your primary care physician

doctors are working more and more hours in Seymour more patient

00:36:40

about how burnout is a growing problem can you tell me a little bit more about that I think burnout a

special in primary care the normal at enormous issue because as you lately 5th

primary care doctors pediatricians in an internist and family doctors

how to take everything in an eighth

the doctors medicine so often I get a patient at who sang by specialist

within the patient mention the problem

is the primary care doctor have to take everything you can it snow line drying or special

00:37:15

I draw my life the colon after that you know you go back to your primary doctor

which one of the doctor takes care of my home

my whole picture but sometimes it in the overwhelming do I have the same 1520 everyone

everyone else will have your 20 things that need to be dealt with

nose piercing with poverty you’re doing with insurance issues art

worst dressed with her family think that will come up all these things I want you to

is it and it can be a lot and many people are exhausted

00:37:50

us physically I’ve also seen in long for the

simplicity up with them quotes special special to just have to deal with one or

organ system in and nothing else  how much paperwork

paperwork you have to do a sex bring out

exponentially like and give an example

electronic medical record system that we now have in with hospitals have

but one way the ministration can add on

00:38:25

new mandated by making more required fields you can

can’t close your visit to leave now address little things to freshen screening

pain scores education level adding more more things to do

do all important is valid but a number keeps going up

and you’ll have any more time and becomes very frustrating you want to focus on one thing but you

forced to do more paperwork on tour the patient has insurance problem

how many medications not covered by authorization who does that surprise

00:39:00

that’s a primary care doctor and so it’s everywhere you turn

more and more paperwork and most doctors

paperwork when you compare other health care

Canada what was paper work because there’s been really want sure

for the Hope Diamond worth now every picture of a different planet which plan covers what

what I can’t remember covers which medication is very hard to keep track

track racing images

00:39:35

hospitals are using computer technology I had a couple of appointment revenge

computer in the room I’ve been sitting on exam table and the doctor has acne

questions with his or her back to me and hasn’t typing in the computer

is it appropriate to ask yo can we talk and you can do that later

what you want to be understanding of the time the Decatur their b***

how are thing as a doctor I’m torn

pipedream my visit and allotted

00:40:10

us so I have to get through it to doctors in the end of an intern

aqua how do you know how to get fined for the first five minutes don’t write

just look at the patient get the initial part of autonomy

iContact people if you have a really intense 500

conversation and then you know

no I want to get down everything attorney do you mind if I write while you speak

the computer I ask for permission expensive

00:40:45

first part of a visit not writing stations are understanding

only certain number of hours in the day to do that but I think the doctor look up

look up 10 Things I Hate can we talk for 5 minutes first

without the computer is rude

and I would be there in salted if someone I will sing of my doctor I can look at me once directly

directly  you give examples of doctors

making really big mistakes I mean mistakes that

00:41:20

people die what kind of food that can you hide from your patience

Gary Barlow away from my location

population is largely as an immigrant not English speaking population

ferry to see my writing

have you been very supportive really appreciate the honesty because they know

the mistakes happen to know nobody thinks that doesn’t happen

can I find the patients 80 100 would rather

00:41:55

honestly 1 oz worth let not hear about it at least my hear about it

Finnick and feel alright you know I can trust you because if you’ll be honest

about it then I ask for more worried about mistakes happen

never being sold mostly my patients are incredibly supportive because

because they know what’s happening in the not know about it how hard was it

hard was it to write about those honestly I mean it’s hard for anybody

what was the process like for you

00:42:30

can I roll a bout them but one of the ones

I want to know the second year resident I had a patient with severe diabetes and nearly comatose

things you do if you give them an insulin drip to control sugar

and when he was I turn off the trip

do you have to give a shot of long acting insulin before you turn off the

turn off the drip  why would I want to do that I turned off my internets a teaching moment

Benton of course I was wrong I completely forgot the thing you’re supposed to do with giving an injection

00:43:05

of long acting insulin before you stop the trip back into a comatose

state and very quickly the senior resident found out and came down

yelling at me for the whole emergency

about my error with the most of my life

mightyman front of me

it took me twenty years to write about that because of the shame

and it made me think that if I hadn’t been so shady

00:43:40

maybe a Crip come forward to the patient and never told the patient that I made it

something wrong I put your life at risk

died and made you stay in hospital longer I will just wanted to run and hide

and so it’s really got me the lesson of trying to take the shaming

out of it to people can come forward with her

how is it in that thing to have your company chicken I mean

before you go on the air in radio in your life somebody makes a comment about your delivery

00:44:15

something is really unsettling to say okay now I’m going to have to do this

medicine that is there so much more pressure there  it’s very hard for me

my compass with shake it for quite some time end

help with that is when I hear a supervisor a superior talk about their

about there at once for a service talk about their error

public forum and talks about how old was one of the hardest

life and having this very high a person talk about

00:44:50

how hard that moment was just see him still be a competent doctor

Dr still in charge for practicing it help me see that you can get through it and his admission

mission office on terror we still meeting for me

had me in in the product review process and that’s part of how we

we get through the others get through it and then there’s also talking to patients

old are in the more I like real I have

intubation who I advise him to to do a medical

00:45:25

getting a printable defibrillator and sing for horribly wrong

long to get back to you and his wife

and I feel so off of the vice

what is spoke to him and the process of talking with soap

helpful for him and for me and we were able to dissect the difference between

between true mistakes that I’ll come out difficult

Michael jagmin and it helps him that really helped me

00:46:00

help me I think I had spoken to him I would Harvard is terrible terrible killed

and he told me to eat my own kills and continue practicing medicine

entirely you play the cello

tell me about your pregnant

actually

seven years ago I was out

we are in Costa Rica in my 4 year old daughter was going to start violin

00:46:35

kindergarten in New York until we started lessons there any of the teacher how do you get it

get a kid to practice strong willed thinking she’s going to say sticker charts

Archer Eminem single parent practice OK

instrument overnight

fell in love song to my real life to a sabbatical

do I have no time but I found a wonderful teacher and

can get to the states had my lesson yesterday I was so exciting about that

00:47:10

about that when I was a medical student the learning curve

everyday learn more and more and more

come along in my profession of the doctor finds out at the end

funny button Worth federal waves and its not quite as SMS

putting music on the hill party and I find

I find it incredibly stimulating very joyful is awful way

oceans of Medicine become overwhelming the way to focus

00:47:45

focus on something different in music is very emotional

canopies by Brahms last few months which is very heavy and intense

the winter of moments the hospital Strasser sadness to be part

the part of this is incredibly emotional music

promotion just play itself out and get to a better spot

it doesn’t solve the problem I change the reality that allows it to smoothie

it seems like you can’t make an argumentative all doctors have

00:48:20

have the time to have a really great hobbies could keep them intellectually stimulating

little bit more control over their work life balance is better doctors

has anybody challenged people certainly have lice

still say on the side you know but I wish I had time to do my hobby

hobby farm Dr if we all had

outlet for a passion and a place to eat to build up on life I would like

look like I don’t think anyone is the answer

00:48:55

most of us find that it certainly help to have a place to have control

hold your life and a half an hour really in lightning

as far as understanding the perspective of being a doctor

people who go to medical school in are part of that world at some point

what is the takeaway for patient understands the doctor patient

patient connection is fundamental human 1 it’s not going to the

going to the car repair shop to get your carburetor traductor going to get your self taken care of this very

00:49:30

different for better or for worse

think that the human connection poisoning normous roll

how we get better and it’s also

just one moment in time you can have a long term relationship with your daughter

doctor so that there’s a chance to go back and see other at your other aspects of you

life by take a message is that on the ocean a part of everything

interaction a doctor patient interaction is no difference whether you

00:50:05

believe it or not emotions will be there like the underlying you a baseline in a bag

the bad and that we need to be aware of

it might be an end you could ask about that if you’re not comfortable

comfortable ask your doctor directly you can talk to the North after the practice pad Richard Dr Seaford

preoccupy Dora or not really paying attention baby

doctor when you really need to get a good feeling as a person if this doctor

Dr listen to you sees you as a person and its making a connection

00:50:40

Daniel thank you very much for letting me today very welcome thank you

I’m Lindsey moon and the sower on focus I talked with Dr Danielle she’s author of

father of several books about the world of Medicine her newest is called what doctors feel

how emotions affect the practice of medicine you can find out more about her

her and her buck on our website will.illinois.edu slash

flash focus where you can also find our free downloadable podcast we always welcome

f****** your feedback about the show ended love to hear from you find us on Facebook and Twitter app

00:51:15

focus 580 Jason crafters are technical director you’ve been listening to focus on

weekday mornings at 10 a.m.

thanks for joining us