Posts tagged “dynamic”

ChittahChattah Quickies

  • The Computer Will See You Now – how the computer interferes with the doctor-patient interaction – Doctors struggle daily to figure out a way to keep the computer from interfering with what should be going on in the exam room — making that crucial connection between doctor and patient. I find myself apologizing often, as I stare at a series of questions and boxes to be clicked on the screen and try to adapt them to the patient sitting before me. I am forced to bring up questions in the order they appear, to ask the parents of a laughing 2-year-old if she is “in pain,” and to restrain my potty mouth when the computer malfunctions or the screen locks up.

    The computer depersonalizes medicine. It ignores nuances that we do not measure but clearly influence care. Room is provided for text, but in the computer’s font, important points often get lost.

    A box clicked unintentionally is as detrimental as an order written illegibly — maybe worse because it looks official. It takes more effort and thought to write a prescription than to pull up a menu of medications and click a box.

  • Tension between medical and colloquial language – an issue I explored in interactions column (Poets, Priests, and Politicians) – (via MeFi) Dr Ardill, in evidence, said he did not use the words alleged by Ms McQuade. He said he asked her was she “next or near a man’s willy bits” in the last six months and in relation to her sleeping he did suggest a drink, light exercise, a trashy novel or some “rumpy pumpy”. He said he used this kind of “childish” language with all patients to make them feel at ease. Nobody before had found it offensive. He said he would not use the term “willy bits” again.


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