Relations between the doctor and the patient - is a huge part of the social sciences, experts write books and scientific articles, thesis and defend taught with high chairs. We clinicians, just live in this world. The doctor-patient reception - it's always a "hot spot". A gynecologist - this seems to be "very hot spot." Women who come to us at the reception are very different. They might quarrel with her husband, suffering from menopausal hot flashes or PMS, rest or post-natal depression in early pregnancy with everyone, I'm sorry, the attendant. At the gynecologist in any case should not be PMS, menopause and any other "razdergannosti feelings" - we are at work.
Deontology - the science concerned with the study of ethics and correct behavior, as well as the specific duties of the doctor to the patient. Medical ethics deals with the study of rules of conduct of the doctor towards his patients and physicians with each other; the question whether it is necessary to inform the patient that he is terminally ill, or not, as well as some other problems. The most famous arch used in medicine ethical standards formulated by Hippocrates (Hippocratic Oath).
The Oxford Dictionary of General Medicine 2002
My mother was terrified lifetime gynecologists. According to her pregnancy there is a very strict lady doctor, mercilessly scolded her for every extra gram of weight. My mother occasionally tricky it stretching the truth, but in a few receptions deception was revealed, and it criticized even more prescribed diet and fasting day. Naive Mama tried "unloaded", but the young student body living in a hostel, desperately wanted to have. And it again scolded strict lady doctor.
It is symbolic that after the internship I came to work in the antenatal clinic Regional Hospital student in place of the strict lady, who retired at the age of 80 years. After their first birth, my mother was lying in the hallway maternity hospital for three days in the same shirt in which she gave birth to me in the light.
It was a Soviet hospital and another peak fertility. Then she gave birth to a lot of places in the wards lacked. "At kalidore place there, and they all lozhut and lozhut" - strictly speaking nurse, wielding a broom under her mother's bed. On the third day of the strict head of the department on the bypass contemptuously she wrinkled her nose and said, "And this - wash and change clothes! It is dirty. "
Here it is - the moment of truth! I could not then, many years later, to explain that it was not addressed to her, and careless Soviet sisters, never for 3 days not pomyvshim and disguised women in childbirth. What is in any case not to offend the woman it was said. What might an even stronger terms strict manageress then expressed their outrage.
It is late. It scrapped. My mother is afraid even to me. After all, I, too, of this caste - scary and gross gynecologists. "You are fenced off from the world with its rustling white robes, you speak gibberish language that is incomprehensible to patients and contempt to broadcast us, orphaned and poor, what seems to you proved facts" - I said my wise mother, many years teaches philosophy, social medicine and cultural studies in a modest medical school.
Recently, a certain number of patients who come to the doctor "to fight for their rights", "seek the truth" and "show all". Having read lampoons on the forums on the Internet, they are pre-prepared for the fact that the doctor is bad, inconsiderate, rude and stupid. There is still a good position - "they have, they paid for it pay." My God, there must a doctor who is registered 200 pregnant women, and the rate of admission - 12 minutes per patient, and the midwife was not right, because the midwives on the wages and the job does not exist in nature. "And know where to go, now let's, service." What a terrible word "serve", I always felt like I was flying, consult, advise ... Of course, this problem is mainly municipal health care.
And finally, a fatal number: "And how Hippocratic Oath ?! "
Indeed, how is this oath? Let's read. Translation prof. VI Rudnev year -1921, published in 1936 .:
"I swear by Apollo, the physician Asclepius, Gigiey and Panacea, and I all the gods and goddesses, taking them to witness, to perform honestly, according to my ability and my judgment, the following Oath and written commitment: consider who taught me medical skill on par with my parents, to share with him its prosperity and, if necessary, to assist him in his needs; his children as my own brothers, and this art, if they want to study, teach them free of charge and without any contract; instruction, oral lessons and everything else in the scientists report their sons, their sons, teachers and students, bound by the obligations under the law and oath of health, but no one else.
I direct mode of patients to their benefit in accordance with my ability and my judgment, refraining from causing any harm and injustice. I will not let anybody if asked me a deadly drug and not show the path to such a plan; Similarly, I will not give to a woman an abortive remedy. Pure and undefiled I will spend my life and my art. In no case will not make section stone disease sufferers by giving it to the people involved in this case. In whatever house I never went in, I go there for the benefit of the patient, being far from all intentional, unjust and harmful, especially from the pleasures of love with women and men, freemen and slaves.
Whatever the treatment - and without treatment - I never saw or heard of any human life on the fact that you should not ever disclose, I keep silence about believing such things secret.
I keep this oath faithfully, may I enjoy my life and art, respected by all men and in all times; transgress the same, and giving a false oath shall be the reverse. "
That's all Hippocratic Oath . Dear teachers, to help in case of need him and his family, free to teach his children, if they want to study medicine. Treat and guide treatment of patients according to my ability and my judgment (ie, trying as best I can). Do no harm, do not kill, do not do, then do not know how (it's about lithotripsy seems School of Hippocrates did not deal with the direction). No sexual intercourse with patients. No one and nothing to tell, mind you - not only information about the disease, and nothing at all - that is, medical secrecy by Hippocrates.
Is there says something about the free treatment, medical selfless duty and mandatory assistance to all those who suffer?
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