David Elkin

speaker

521 appearances 1 recordings 1 series first heard Nov 2021 last heard Nov 2021

David Elkin’s voice in public audio — every appearance, attributed to the second.

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The Nocturnists · Burn the Map with David Elkin, MD · 16 Nov 2021 podcast

What happens to your conception of yourself in relation to your work?

I think one question for me is what does the culture of medicine look like?

And when I look around now, especially after that

experience with improv, I just see medicine as having a lot of yes buts.

Yeah, we ask the patient to tell us about their problems.

But then we interrupt and we say, yes, but but I want to hear about this.

I don't want to hear about all those extraneous details.

And being open to yes and means really accepting whatever happens.

And there's a great poem, I think, by Wallace Stevens about open rooms and being open to all these different ideas.

So in the case of our patient on Friday,

a patient was really angry.

And it would have been easy to react to that and say, well, this patient shouldn't be acting that way.

But clearly there was a reason they were angry.

And I think the clues were on the wall, the patient feeling they weren't going to live another day.

I think that's yes and it's like, why is this person so angry?

Don't just react to it, but really think about it, embrace it, take it on.

Everyone's trying to do a really good job.

The resonant in the story that I told was so good, is so good.

But being open to things, saying yes and really takes us to some pretty unknown places.

Even if people are saying things and they're really psychotic or delusional, I think you have to kind of go there with them a bit.

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