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1、Listening Is Powerful Medicine 傾聽是味良藥Studies have shown it takes a physician about 18 seconds to interrupt a patient after they begin talking.It was Sunday. I had one last patient to see. I approached her room in a hurry and stood at the doorway. She was an older woman, sitting at the edge of the be
2、d, struggling to put socks on her swollen feet. I crossed the threshold, spoke quickly to the nurse, scanned her chart noting she was in stable condition. I was almost in the clear.I leaned on the bedrail looking down at her. She asked if I could help put on her socks. Instead, I launched into a mon
3、ologue that went something like this: “How are you feeling? Your sugars and blood pressure were high but theyre better today. The nurse mentioned youre anxious to see your son whos visiting you today. Its nice to have family visit from far away. I bet you really look forward to seeing him.”She stopp
4、ed me with a stern, authoritative voice. “Sit down, doctor. This is my story, not your story.”I was surprised and embarrassed. I sat down. I helped her with the socks. She began to tell me that her only son lived around the corner from her, but she had not seen him in five years. She believed that t
5、he stress of this contributed greatly to her health problems. After hearing her story and putting on her socks, I asked if there was anything else I could do for her. She shook her head no and smiled. All she wanted me to do was to listen.Each story is different. Some are detailed; others are vague.
6、 Some have a beginning, middle and end. Others wander without a clear conclusion. Some are true; others not. Yet all those things do not really matter. What matters to the storyteller is that the story is heard without interruption, assumption or judgment.Listening to someones story costs less than
7、expensive diagnostic testing but is key to healing and diagnosis.I often thought of what that woman taught me, and I reminded myself of the importance of stopping, sitting down and truly listening. And, not long after, in an unexpected twist, I became the patient, with a diagnosis of multiple sclero
8、sis at age 31. Now, 20 years later, I sit all the time in a wheelchair.For as long as I could, I continued to see patients from my chair, but I had to resign when my hands were affected. I still teach med students and other health care professionals, but now from the perspective of physician and pat
9、ient. I tell them I believe in the power of listening. I tell them I know firsthand that immeasurable healing takes place within me when someone stops, sits down and listens to my story.研究證明,醫(yī)患開始交談后,醫(yī)生會在大概18秒后打斷病人的談話。那是一個周日,我要去見最后一位病人。我匆匆忙忙地走向她的病房,站到了門口。病人是位老婦人,此時她正坐在床沿上努力為自己浮腫的雙腳穿上襪子。我跨進屋,快速和護士進行了交
10、流,然后看了看病人的病歷表。根據(jù)表格上的記錄,她目前狀況穩(wěn)定。一套程序下來,我?guī)缀鯖]遇到什么困難。我倚在床欄上低頭看著她。她問我是否可以幫她把襪子穿上,我沒有回答,而是自顧自地說起來:“你感覺怎么樣?你的血糖和血壓以前有點高,不過今天好多了。你的兒子今天要來看你,護士說你非常想見他。有家人遠道來看望自己真是不錯。我相信你真的很渴望見到他。”大概就是這類話。她用一種嚴厲、命令性的口氣將我打斷:“大夫,坐下來。這是我的事兒,不是你的?!蔽壹润@訝又尷尬。我坐了下來,幫她穿襪子。她告訴我,她的獨生子就住在她家附近,但她已經(jīng)有五年沒見到兒子了。她相信,這件事給她的壓力很大程度上加重了她的病情。聽完她的故
11、事并幫她穿上襪子后,我問她,我還能為她做些什么。她搖了搖頭表示沒有,然后笑了起來。她要讓我做的全部事情就是聽她講故事。每個故事都是不同的。有些故事詳細,有些卻模糊;有些故事有開始、經(jīng)過和結(jié)果,有些則天馬行空,沒有明確的結(jié)論;有些故事是真實的,而有些不是。不過,這些要素都不是最重要的。對講述者來說,真正重要的是,這個故事要有人去傾聽不要打斷,不要臆斷,也不要去評價。去聽別人講故事比進行昂貴的診斷測試成本低得多,但它卻是治療和診斷的關(guān)鍵。我經(jīng)常去琢磨,那個老婦人究竟讓我懂得了什么。放下自己的想法,坐下來真誠地傾聽,我提醒自己要銘記這樣做的重要性。而就在那次會面過去不久后,事情發(fā)生了意想不到的大扭轉(zhuǎn)我被確診患上了多發(fā)性硬化癥,成了一名病人。那年我31歲。如今,20年過去了,我需要一直坐著坐在輪椅中。我曾盡自己所能,繼續(xù)坐
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