• Aucun résultat trouvé

A day in the life of Hippocrates


Academic year: 2022

Partager "A day in the life of Hippocrates"

En savoir plus ( Page)

Texte intégral




Canadian Family Physician  Le Médecin de famille canadien



A day in the life of Hippocrates

Roger Ladouceur



ot a week or even a day goes by without some­

thing disrupting the routine of our professional lives. The truth is that our medical practices are replete with troubling stories and anecdotes. Just think back to the time …

When you were called to the emergency depart­

ment to see a patient experiencing retrosternal pain.

As you passed through the waiting room, you noticed 2 young children, sitting patiently, waiting for their father to come out of the consultation room. Their father was their entire world; they weren’t expecting you to tell them that their father was gone; they weren’t expecting you to tell them that he was dead.

Or, the time when you were in a palliative care unit caring for a patient in a seemingly endless terminal phase of cancer. There was that poor man—comatose, ema­

ciated, cadaverous, with fetid breath, hanging on, to the dismay of his family who looked on helplessly. His agony seemed never ending. Interminable. How much longer did he have? That night, after your offce appoint­

ments, you went to check on him. There was a chill­

ing calm, with only the sound of the patient’s regular breathing to break the silence. Otherwise, the room was empty. And then you noticed something hanging from the pole of his infusion pump. A photograph—of him! It was from another time, when he was young and hand­

some, proudly standing at the shrouds of his sailboat with a radiant smile on his face. Carefree, alive, and happy.

There, side by side, were images of life and of death.

Or, the time when you were a resident assigned to a neonatal intensive care unit. What a concept to give so much responsibility to a young family medicine resi­

dent in a pediatrics rotation! In the middle of the night, your pager went off. You remember how stressed out you were—and with cause. There, in an incubator, was a baby who had stopped breathing. A baby so tiny that it could ft into the palm of your hand. So tiny that you were at a loss, until the nurse whispers gently in your ear, “Doctor, perhaps we should massage the baby?”

We all have stories like these, don’t we? Stories that have moved us and troubled us.

What do we do with them? Some physicians vent at their desks while they write their notes. Others talk about their stories at team meetings and department meetings. Some talk about them with their partners or friends, after the day is over, while maintaining confdentiality. Some submit stories to the AMS–Mimi Divinsky Awards for History and Narrative in Family Medicine.1 Others share their reflections in Canadian Family Physician. In this month’s issue, Amelia Nuhn shares a story about a young girl whom she saw for a rash. On the surface, it is a story that seems typical, but as its title, “An unexpected lesson,” hints, it is certainly worth reading (page 926).2

Could it be that some physicians don’t share their sto­

ries at all? Not even one word? In so doing, they inevi­

tably become hardened, distancing themselves from the emotional aspects of the profession and maintain­

ing a total separation between data and experience.

Practising medicine becomes for them a set of facts and actions, the application of clinical reasoning, and the implementation of guidelines and practice guides. In the face of experiences that others fnd so deeply moving, they just carry on. It’s business as usual …

Don’t tell me that you never talk to anyone or that you never confide in anyone. Don’t tell me that you aren’t affected by these moments or that they leave you cold. That’s a prescription for professional burnout—a harbinger of exhaustion and incompetence.

Is it even possible not to talk about it? Not to share?

Not to feel?

Competing interests None declared References

1. College of Family Physicians of Canada [website]. AMS–Mimi Divinsky Awards for History and Narrative in Family Medicine. Mississauga, ON: College of Family Physicians of Canada; 2014. Available from: www.cfpc.ca/Mimi_

Divinsky_Awards/. Accessed 2014 Sep 15.

2. Nuhn A. An unexpected lesson. Can Fam Physician 2014;60:926.

Cet article se trouve aussi en français à la page 872.


Documents relatifs

L’archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des

Pre--import & import & import ( import ( PubMed PubMed, WOS, , WOS, Scopus Scopus, Nasa, , Nasa, EndNote EndNote, , Pre. Pre--import & import & import ( import

In addition to this initiative by the College of Family Physicians of Canada, please do not forget to let your FM residents, those in their first 5 years in practice, and

When she was approached about an academic family medicine position at Dalhousie that included a focus on women’s health, Dr Cervin faced a difficult choice.. She had a young

Toward the end of 2019, leading family medicine orga- nizations such as WONCA (World Organization of Family Doctors) issued a declaration calling for family doctors of the world

Based on the principles here, using a framework to engage in ethical decision making regarding partnerships will help the members of the Canadian global health community and

Mimi Divinsky Award for History and Narrative in Family Medicine sponsored by the Foundation for Advancing Family Medicine of the College of Family Physicians of Canada.. This

The Besrour collaboration solicited narratives from its global partners to tell the story of family medicine across the globe, taking snapshots in time of various

It produced the book The Contribution of Family Medicine to Improving Health Systems, 4 which describes not just a philosophical defi- nition (mentioned above) and an analysis of

Vol 62: january • janVier 2016 | Canadian Family Physician • Le Médecin de famille canadien 65.. AMS—Mimi Divinsky | Stories in

“first-contact access for each new need; long-term person- (not disease-) focused care; comprehensive care for most health needs; and coordinated care when it must be sought

Soon after I began as Executive Director and Chief Executive Officer, Lynn Dunikowski, Director of the Canadian Library of Family Medicine (CLFM), informed me that she planned

e64 Canadian Family Physician • Le Médecin de famille canadien | Vol 61: january • janVier 2015.. AMS—Mimi Divinsky | Stories in

T he College of Family Physicians of Canada (CFPC) has endorsed the recommendation from the Section of Teachers’ Working Group on Postgraduate Curriculum Review that

Once again the January issue of CFP also features the winning stories for the 2010 AMS–Mimi Divinsky Awards for History and Narrative in Family Medicine by Dr Pauline Pariser

Having a guide while kayaking through unfamiliar waters was a lot like having a family doctor help you navigate through an unfamiliar health care experience.. Our guide was

It is important, however, that family physicians with special interests continue to practise collaboratively in family medicine settings where comprehensive care can be

Vol 56: january • janVier 2010 Canadian Family Physician • Le Médecin de famille canadien 57 Andrew Lodge MD. Winner, AMS–Mimi Divinsky Award for History and Narrative in

An  exception  to  the  same-day  policy  is  that  book- ings for the first half hour of each morning are filled by  patients  who  call  on  the 

Those who were licensed to practice in Canada on or before January 1, 1994,* and who currently hold a licence in good standing to carry out independent family or gen-

A ccording to recent qualitative research by Dr Donna Manca, her colleagues, and the College of Family Physicians of Canada (CFPC), Canadian family physi- cians

Its goals are to identify, prioritize, and promote family medicine research topics; expand the capacity for family medicine research; identify and build resources for

To  continue  in  practice  and  to  appreciate  the  won- derful privilege of being able to do this work, we have  to  believe  that  we’re  having  some