Art and Science of Medicine Quiz Qs

It is not death that the very old fear but

losing their hearing losing their memories and best friends losing their way of life

What are the basic concept that distinguish the Hippocratic system, at its core, from much of the medicine that preceded it?

1. alleviate pain and suffering 2. reduce the severity of the illness 3. do no harm

Chart about life from Gawande

A persons life would putter along until disease occurred and then death followed Modern medicine resulted in a less drastic drop in decline of life making it less cliff like and more bumpy

Passage of the Social security act

1935 Allowed many middle class people to avoid the destitute poorhouse

The aging process of the human body provides for

A loss in bone density about 1% after year 50 A loss of teeth so that by age 60 many people in the US have lost 1/3 of their teeth A loss of gray matter in the brain to impair working memory and judgement

As Gawande begins his book he describes the intention of the lessons he was given when he was in med school and said that he learned

About saving lives only He did not learn about compassion, diagnossis, treatment, what matters to the patients, demise of human life

What art forms have been used to explore the art and science of medicine? What do they show about medicine?

Art forms: movies/films, books, stories, personal articles/journals (JAMA), etc Help us sense medicine and life Show different perspectives and characters

We have watched many TED talks, movies, and other videos that display some ideas about delivering care. What were the main themes of these videos about 'healing medicine?' Who did those videos?

Atul Gawande

Give evidence that good medicine sits at the intersection of the art and the science (cite physician examples).

Atul Gawande Patch Adams Dr. Abraham Veghese (ted talk on healing touch) Smart, and knowledgeable about the science of medicine, but understanding the need for the art and patient care and conversation

Atul Gawande

Author of being mortal 3 ideas for healing medicine: 1. find where your failures are, 2. devise solutions, 3. implement solutions How to get things right

To understand the evolution of medicine, we must know where it came from and where it is heading. How and what have you learned about this evolution over these past 7 weeks? How was medicine done in the past? How did they learn about the body, how did they teach others, how did improvements get made? What were challenges experienced along the way?

Evolution was slow People did not want to change their beliefs it was hard to convince people of new ideas Societies could control the speed or lack of the society exhibited Libraries and books burned slowed down progression

T or F Genetic inheritance significantly influences the longevity of life

False

Which civilization informed Medieval Europe of medicine?

Greece

1. How do forms of art inform us about medicine and healing? How do we use art to learn medicine more deeply?

Healing = evoking from people, their resource, their innate strength, their capacity to respond to the challenges of their disease The healing you do is not just the Rx you write The art of medicine = get to know our patients, listen, etc If the art of medicine is loved, then there is love for humanity Care for the WHOLE patient

How are medical professionals healing artists? Cite some examples you have seen.

Healthcare workers are observant and pay attention Artists note color and texture healthcare workers note aspects of the patient Being open to what is there and what might not be there

In American in the early 1900s about 60% of elderly lived with one of their children in latter 1900s the number moved to

Less than 15%

What is a fundamental difference of how we are treated for disease or conditions now compared to the pass?

Now we go to the doctors office It used to be that the doctor would travel to the pt

What would be an ideal nursing home? As described by Gawande

One where the representatives of the institution sit down with the person to figure out what living a meaningful life really means to them

Abraham Verghese

TED talk on a doctors touch Describes his art Humanity there in the rough The true role of the physician

Describe the 'tension' between the art and science of medicine.

Tension between following the rules/standards/protocols that science tells us vs what the patient wants/feels/expects

In the two movies we watched, what were the major messages we heard about medicine. How are we 'stuck' as a society in what we expect to receive as a patient and what we expect to deliver as a caregiver?

The Doctor Patch Adams It is a challenge for a lot of people to integrate the art and science both into medicine

Rachel Remen

The healers art, connecting with your patient healing is about evoking from people their resource, strength, capacity to respond, and challenge of their disease

Patch Adams

This physician, who was the subject of a 1998 movie starring Robin Williams, founded the Gesundheit! Institute, a 40-bed free hospital in Hillsboro.

What is the job of a geriatrician-in-action

To create the highest quality of life for the patient and to optimize their freedom

T or F Gawande asserts that now a days independenc is so highly revered for all people Modernization did not demote the elderly but demoted the family

True

T or F The difference between aging in American culture vs Asian culture, was that dignity was a natural felling paid to the elderly

True

Being mortal is about

What it is like to age and die The modern experiences of mortality How medicine may have gotten it wrong

Irwin Braverman

Yale university college of medicine Integrating the art of medicine with the science of medicine Instructions: If you think a person looks sad or happy, then figure out what you are seeing that makes you think that and describe it Takes med students to art museum

Is the story of the poorhouse a medical story?

Yes

What is the single most serious threat for the elderly

falling

As you passed thru the Adler book, you learned how each of the scientists or physicians studied and discovered and changed/improved medicine and you have also learned how their culture and their own upbringing made an impact (or in some cases held them back). Can you identify those folks and the impact they made (i.e. their 'first') and can you say how their work was impacted by their own culture?

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