To Treat the Disease, First Treat the Soul

How can we truly heal a patient’s physical state without addressing how they feel?

It is inevitable that all physicians, no matter the stage of their training, will unconsciously forget the emotional aspect of treating a patient. 

Emotional understanding is a fundamental aspect when it comes to providing optimal healthcare. Yet, it is often forgotten, especially during busy times within a hospital. Emotional understanding not only allows for a patient to feel welcomed and at ease but also helps the physician genuinely grasp more than what words can simply express. More often than not, the art of sympathy and empathy, which was taught during medical school, is unfortunately lost within the busy hospital schedule. 

It was during my first couple of clinical rotations that I had truly realized that the sacred art of emotional understanding is something that could easily be forgotten. 

Such a phenomenon is bound to occur, especially as a physician starts to become caught up in the increasing workload of a hospital. I noticed that as the day grew older, the physicians I shadowed had slowly lost emotional touch with their patients. 

By the end of the day, consultations became limited to statements such as “you may have this condition,” “I need to order an X-ray,” and “take this medication.” While the course of treatment offered by the physician may not have changed much, it was evident that patients were left dissatisfied, as an emotional connection had not been established. 

Sometimes, all a patient truly wants is to be felt. Unfortunately, many of us forget the importance of forming an emotional bridge. Such a bridge is truly what allows for the first step of treatment to commence. I found myself constantly asking patients in the waiting room, “how are you?” and “how are you feeling?” and instantly noticed the atmosphere become enlightened. Patients would proceed into the doctor’s room feeling that even their emotional state was being considered. 

During a memorable instance, I sat down and conversed with an elderly patient which slowly nurtured into a conversation around hobbies and shared interests. Although brief, the elderly patient thanked me with a smile and followed with “I wish there were more like you.” I was lost, pondering my thoughts. I started to question, is this not the norm?

The philosophy of “treat others as you wish to be treated” extends beyond just being friendly and respectful. 

It entails the ability to ask oneself, “How would others feel if I did/said this?” 

Chairs in the waiting room of a medical office.
(Image courtesy via Greg Rosenke via Unsplash)

I have witnessed patients being asked to rate their pain from 1-10, but is their emotional state simply limited to being a number on a scale? 

It had been evident through the eyes of patients that they were hoping for more than just treatment for their physical condition. 

They wanted to be heard. 

And most of all, they wanted to be felt. 

As I stood in the waiting room one last time before my summer vacation, I finally noticed that abyss of emotions. A room full of patients yearning to be felt and emotionally understood. It was only then that I realized the actual value of establishing an emotional bridge with a patient. While some bridges are harder to cross, one must be established regardless, especially if a physician hopes to ensure the best provided care possible. 

I took it upon myself to become more proactive, actively engaging myself with all patients when appropriate. I began to learn about the hobbies and interests of many. Through doing so, I saw that there was always a story to every person that shaped them. Learning about my patients was the first step towards their treatment. I began to approach every patient with genuine care. As I invested myself, and approached things with an open and receptive heart, I began to intuitively understand the emotional needs of the different patients I sat with. I realized that every patient needed to be approached with such a mindset in order to truly establish patient rapport.

The following are a few of my recommendations for establishing the lost art of emotional understanding between patients and physicians:

  • Promote workshops for healthcare workers which focus upon empathic listening. This skill allows for the establishment of genuine emotional connections by feeling the same way patients feel.
  • Undergo constructive conversations training and coaching sessions that focus on polishing up skills revolving around social awareness and emotional intelligence 
  • Implement fixed reminders that help promote asking about the patient’s emotional state. Such an implementation would ensure that an emotional bridge is built with every consultation regardless of how caught up a physician could be with the workflow that increases as the day goes on.

In the end, it is true that a great physician must be able to accurately diagnose and recommend appropriate treatments. However, can a physician genuinely impact their patients’ lives without actually understanding how they feel?

Healing Beyond Medicine

Patients, diagnoses, and treatments are my life.

As a medical intern, what else can I think of other than the whirlwind of patients? 

New challenges and lessons are what each day brings, but nothing could have prepared me for the encounter. An encounter that would leave a lasting imprint on my heart and impact my approach to patient care. 

It was a typical morning at the hospital when I received his case. He was diagnosed with dengue fever. After a thorough examination, I was asked to put in a urinary catheter as he was having burning sensations during urination. I discovered that he had smegma collected at the urethra, likely due to poor genital hygiene. This condition, though not uncommon, required a delicate approach to counseling the parents about the importance of that hygiene. 

As I walked into the consultation room to meet his parents, I felt a mix of emotions— empathy for the child’s discomfort and anxiety about how to broach the subject with his parents.

I took a deep breath, reminding myself of my duties as a doctor. My responsibility was not only to diagnose and treat but also educate and empower.

His parents’ love for him was evident, but as I probed further, I realized his parents were unaware of the essential steps of genital hygiene. They looked concerned and anxious as I gently explained the importance of cleanliness to prevent infections and discomfort. As I spoke, I tried to be sensitive and compassionate, ensuring I didn’t make them feel judged or inadequate as parents.

I drew parallels between routine hand hygiene and genital hygiene to make it relatable for them. Slowly, their apprehension began to fade. Their ignorance was now replaced by a genuine interest in learning how to take better care of him. I demonstrated the correct method and recommended age-appropriate techniques to teach him as he grew older. 

As I continued the conversation with his parents, I realized that connecting with the community was crucial. Any discussions about genitals were considered taboo, a resultant of a generational cycle of ignorance, and breaking it required not just medical knowledge but also cultural sensitivity. I understood that I needed to tailor my approach to suit their beliefs while ensuring his parents grasped the significance of proper hygiene.

Scrabble tiles that spell out “Shine your light.”
(Image courtesy via Brett Jordan via Unsplash)

His case instilled in me a sense of social responsibility. I immediately proposed a project for the tribal population, offering encouragement and support as they navigated this new chapter of a subject long considered taboo. Initially there was resistance but with time, they became more comfortable discussing their concerns and asking questions.

The success here encouraged me to host awareness programs addressing common health-related misconceptions and promote open conversations about hygiene and health. My aim was to empower parents and caregivers with knowledge to ensure a healthier future for him and children like him.

A physician’s room with an exam table under a window.
(Image courtesy of charlesdeluvio via Unsplash)

His incident taught me an invaluable lesson–that compassion, patience, and cultural awareness are as important as medical expertise. As a doctor, I learned the privilege of Healing Beyond Medicine was by building rapport and trust with patients and their families. Through these efforts, I hope to witness a transformation within the community. Parents should feel more confident seeking medical advice, and conversations around health must become normalized. Being a medical intern not only taught me medical skills but also the profound significance of doctor-patient counseling. Empathy, warmth, and understanding can bridge gaps and lead to lasting changes in patient lives. 

My journey with him and his parents taught me that true healing goes beyond prescriptions. It involves a genuine connection with the community we serve and a reminder that no issue is small and, if tackled properly, it can lead to a huge impact in the community.