When I was first interviewing oncologists to decide whom to put on my team to help me deal with my prostate cancer recurrence, I remember leaving the office of the doctor I eventually selected and saying to my wife, “I can’t use him.” She asked why and I replied, “He is not going to be emotionally available to hold my hand when I lie dying in a hospital bed.”
She replied that should not be his job, it was her job. She pointed out that I was hiring a doctor for his knowledge, skill and artistic abilities, not for his handing holding ability or his tears. I thought about her comments, greatly appreciated her willingness to be my hand holder, and decided she was correct.
I decided that I do not necessarily need my doctors or nurses to hold my hand (although that might be nice) or cry with me at my bedside, (again, at times I might not mind that either). Therefore, I decided to “go” with this doctor and work to develop a connection that goes beyond his normal distanced stance. I will continue to develop this relationship and gently teach him to become at least a little empathic.
Empathy and the Practice of Medicine: Beyond Pills and the Scalpel, edited by Howard Spiro, MD has in its introduction as very interesting comment, “Disease, which is what diagnostic equipment displays, needs science for cure, whereas illness, the patient’s suffering, needs the physician for care.”
Many doctors have been trained to believe that there is no room for emotion in medicine, because emotions cloud judgment and get in the way of sound clinical decision-making. I disagree with this blanket statement. At times emotion and empathy should be a part of a doctor-patient relationship.
When caregivers, including doctors, demonstrate empathy, good clinical things d