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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Appearances
We have a sixty-year-old man with schizophrenia.
He's entered renal failure.
He's quite ill, but he's too paranoid to accept dialysis.
My colleague Jean starts quizzing the residents, who in turn quiz the medical students.
What dosages should we use in a patient with renal failure?
Which antipsychotics are safe?
Which ones have the most cardiac effects?
What lab tests do we have to order when someone is medically ill?
And the residents are great at fielding these questions.
But as they're answering those questions, I'm thinking to myself, you know, this reminds me of my favorite adage that it takes knowledge to know that a tomato is a fruit.
But it takes wisdom not to put a tomato, you know, fruit salad.
Medicine is part art and part science.
Sometimes we're not even sure which is which.
And
All that medical knowledge is not going to be effective it's n if it's not coupled with some deeper sense of the complexities and the contradictions of human nature.
And not just our patients, but our own.
Our task really comes down, in my opinion, to forming a good therapeutic alliance.
It's something that can
Potentially win over a mistrustful patient.
It could keep our patient with renal failure alive if we can convince him to get dialysis.
Showing 101–120 of 521 · page 6 of 27
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