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What Doctors Feel: How Emotions Affect the Practice of Medicine, by Danielle Ofri
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A look at the emotional side of medicine—the shame, fear, anger, anxiety, empathy, and even love that affect patient care
Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But doctors’ emotional responses to the life-and-death dramas of everyday practice have a profound impact on medical care. And while much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. In What Doctors Feel, Dr. Danielle Ofri has taken on the task of dissecting the hidden emotional responses of doctors, and how these directly influence patients.
How do the stresses of medical life—from paperwork to grueling hours to lawsuits to facing death—affect the medical care that doctors can offer their patients? Digging deep into the lives of doctors, Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Danielle Ofri offers up an unflinching look at the impact of emotions on health care.
With her renowned eye for dramatic detail, Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients and her forever fear of making another. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. But doctors don’t only feel fear, grief, and frustration. Ofri also reveals that doctors tell bad jokes about “toxic sock syndrome,” cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness. The stories here reveal the undeniable truth that emotions have a distinct effect on how doctors care for their patients. For both clinicians and patients, understanding what doctors feel can make all the difference in giving and getting the best medical care.
- Sales Rank: #22594 in Books
- Published on: 2014-05-06
- Released on: 2014-05-06
- Original language: English
- Number of items: 1
- Dimensions: 8.50" h x .70" w x 5.60" l, .65 pounds
- Binding: Paperback
- 232 pages
From Booklist
*Starred Review* Tucked inside a white lab coat or scrub suit is a welter of human emotions that can play a large role in a doctor’s decision-making process. Ofri, an internist at New York’s Bellevue Hospital, explores the emotional core of doctoring. Suturing together her own experiences, the plights of memorable patients, and interviews with other physicians, she examines the diverse feelings—anger, grief, shame, disillusionment, gratitude, humility, joy—that can fluster or elevate physicians. “Fear is a primal emotion in medicine,” she writes, and doctors worry about making a mistake or even killing a patient. Sadness is an occupational hazard, and “A thread of sorrow weaves through the daily life of medicine.” Then there’s empathy. Is it innate, acquired, or both, and why do third-year medical students lose it? Ofri exposes her emotional side as she recounts the story of a longtime patient, an undocumented immigrant from Guatemala who finally receives a heart transplant but dies shortly after the procedure. Ofri admits, “Doctors who are angry, nervous, jealous, burned out, terrified, or ashamed can usually still treat bronchitis or ankle sprains competently.” Yet her insightful and invigorating book makes the case that it’s better for patients if a physician’s emotional compass-needle points in a positive direction. --Tony Miksanek
Review
“Taut, vivid prose. . . . She writes for a lay audience with a practiced hand.” —New York Times
"Here is a book that is at once sad and joyful, frightening and thought-provoking. In her lucid and passionate explanations of the important role that emotions play in the practice of medicine and in healing and health, Danielle Ofri tells stories of great importance to both doctors and patients.” —Perri Klass, author of Treatment Kind and Fair: Letters to a Young Doctor
“An invaluable guide for doctors and patients on how to ‘recognize and navigate the emotional subtexts’ of the doctor-patient relationship.” —Kirkus Reviews
“Yet her insightful and invigorating book makes the case that it’s better for patients if a physician’s emotional compass-needle points in a positive direction.” —Booklist (starred review)
“Rich and deeply insightful. . . . A fascinating journey into the heart and mind of a physician struggling to do the best for her patients while navigating an imperfect health care system.” —Boston Globe
“With grace, courage, humility, and compassion, Bellevue Hospital physician Ofri gives voice and color to the heartbreak, stress, and joy that attends medical practice.” —Library Journal
“A fabulous read.” —Greater Good
About the Author
Danielle Ofri, MD, PhD, is an associate professor of medicine at the New York University School of Medicine and has cared for patients at New York’s Bellevue Hospital for more than two decades. Writing in the Guardian, Andrew Solomon singled out Ofri as the only woman among an extraordinary new generation of doctor writers, saying, “Ofri has produced four impressive books and numerous articles, all striking for their reversion to empathy, their willingness to sense not only the physical life of a patient, but also the emotional.” Ofri’s books and articles have become academic staples in medical schools, universities and residency programs. She is the editor in chief of the Bellevue Literary Review and writes regularly for the New York Times. Ofri in New York City.
From the Hardcover edition.
Most helpful customer reviews
26 of 26 people found the following review helpful.
A Must Read. Moving, Affecting, and Thought-Provoking
By Anthony Youn, MD
Decades ago, physicians were taught to keep their emotions separate from the doctor - patient relationship. The fear was that the physician's judgment could be affected and the patient could suffer profound ramifications. Years ago, Dr. Jerome Groopman wrote a best-selling book, "How Doctors Think." It opened the eyes of millions of readers to the psyche of the physician and how an individual doctor's thought processes affect the care of the patient. Now, physician / author Danielle Ofri has written "What Doctors Feel." I've spent the last few days reading it, and would give it my highest recommendation.
I first came across Dr. Ofri's writing with her seminal memoir about medical school, "Singular Intimacies." It is one of the books that inspired me to become a writer as well. With her most recent book, Dr. Ofri's writing has matured, like the physician she has become. The subjects she tackles are large, important, and impactful, especially in today's fractured medical climate. How does the fear of lawsuits affect a doctor's job performance? What about insurance issues? I found parts of the book deeply affecting, and believe that her gift of writing shines through greatest in these.
I highly recommend this book for anyone in the health profession, and especially for college students aspiring to enter the field of medicine. It should be considered for medical school curriculums as well. Five stars.
0 of 0 people found the following review helpful.
not a great writer
By andy fine
average book. title sounded better than the book. lost opportunity.
22 of 23 people found the following review helpful.
Must-Read for Medical Students
By MpDakkak
I needed this book. After finishing a surgery clerkship, I was at the lowest place I had been all year. A friend told me at the beginning of the rotation to keep a copy of my personal statement in my pocket, because at times, I would forget why I had chosen to enter medicine. I didn't take his advice, but recognize now that I did become that detached and disillusioned. Thankfully, the combination of a family medicine rotation and having this book to read when patients "would rather not see a medical student" has served the same purpose - if anything, I understand better than ever why I am doing this.
I chose to pursue medicine after realizing that I needed more emotional attachment to the people, and the cause, that I wanted to work for. We talk a lot about `hidden curriculum' in medical school, but I'd take it a step further and say your book discusses the `neglected curriculum' of medical school. I'm almost done with my first year on the wards now, and am familiar enough with patient care to identify with all the `feelings' assigned as chapter titles. Countless times, I've wondered how residents and attendings deal with difficult patient deaths, the joy of successful treatment, medical errors, the reprimanding that takes place during M&M, litigation, etc. All we have to learn from are the behaviors our supervisors respond to these situations with, and so much is left unspoken on account of being `resilient.'
I can't thank Dr. Ofri enough for her willingness to be vulnerable and brutally honest. I greatly appreciated the work she did to present different perspectives on each emotion, with many of the stories not having classic `happy endings.' An appeal of medicine is to work in an environment that challenges you at your emotional, ethical, and philosophical core, as much as it does intellectually. But while so much time is spent developing our intellect amidst emotional challenges, you're essentially left on your own to process experiences and develop coping skills. While there are attempts to create a space for reflection in a `doctoring' course, discussions among peers are limited in value compared to hearing from the professionals we aspire to become. This book provides invaluable insight to students.
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