IS THERE AN ART IN MEDICINE?

What is the "art" of medicine?

I think I know. But I'm wondering if anyone else believes what I do.

That there is no art. That saying "art" is a cover-up and has always been a cover-up for what we should never have been ashamed of in the first place:

That medicine is a science in evolution. In progress. That what was once teleological is giving way to the empirical. That this is a natural process and as it occurs the science in medicine gets stronger and the "art" gets weaker.

Like the "art" in listening to heart sounds versus an echocardiogram; or the "art" of a physical exam versus a CT.

What's the point of this?

I believe it has everything to do with where the physician stands today knifed between public perception and corporate/government control.

If you know where I'm headed with this, join in, because I believe that it fits together as another piece of the phony, contrived health care crisis puzzle that is currently being jigsawed out of the pressed cardboard of public opinion by certain left-leaning politicians.

Comments

[venkoba srinivas]

You are quite right in that Medicine is an evolving science. The 'art' in Clinical Medicine is the way we communicate, evoke confidence in the patient and the honesty with which we do the 'right' things. I am sure you would have come across any number of patients who became better without much input from you. Though you can argue that is the natural history of that disease in that patient, you still wonder when someone with the same illness who is hard to satisfy, does not somehow believe in your skills, goes downhill!That's the 'art of medicine'

[M. Hiranuma]

I believe that the "art" of medicine is, in actuality, the science of neurolinguistic programming. It is the ability of the physician to use all of his/her senses to detect subtle differences from the norm, whether through ascultation, palpation or observation.

[CBB MD]

Communication is important. Maybe the highest forms of communication approach what is implied by "art;" however, this is not unique to the practice of medicine. All people and professionals do better with more refined and higher levels of communoication.

I have to strongly disagree that any patient could possibly get better because of something I said. I believe that kind of thinking is one of the big problems we have had in medicine.

I believe what you are referring to is a statistical phenomenon. Something like 97% of all illnesses get better by themselves. This statistical phenomenon of observation is the reason chiropractors stay in business and people swear by magnets that palliate arthritis, etc.

I in no way believe that a patient's faith in my skills is in any way curative. Monoclonal antibodies are curative. Surgery is curative.

There is no art in medicine.

[CBB MD]

M. Hiranuma makes an interesting post about neurolinguistic programming.

I don't know the literature on this but I will say that I would be willing to bet some big bucks that even Spiderman's senses of auscultation and observation are less that 1/1000 the ability of an echocardiogram (or an MRI of the heart) or a CT of the abdomen.

The physician's physical abilities to detect subtle alterations in physiology are inherently limited by the spatial resolution of his retinae, the minimum observable discriminatory distance between two palpable points, and the shrinking cortex that is housed so pitifully in the fish tank of his skull.

Computers are limited by memory. And that doubles every 1.5 years.

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Art is a complimentary medicine capable of healing patients in conjunction with conventional medicine. Art teaches us the history of medical sciene. Leonardo Da Vinci(1452-15950
had passed to us the knowledge of human anatomyu through his ordinary art skills. Visit my web page to read more about art and medicine.

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