Hey there, it's officially midterms and as you talk to your
peers you will definitely hear the stress that midterms bring. My
tests are fortunately spread out within a three-week span, which
may or may not be a good thing.
But I get a break from exams with my Western Physical Diagnosis
class taught by Dr. Ezra Cohen. Our class focuses on examining
clinical cases using the western skills we have learned. Dr. Cohen
is passionate about teaching students that a patient is a complex
being with many factors that play a part in their condition. Not
only do you have to consider their physical signs and symptoms, but
also their psyche, self-care and environment.
The physician must not only be able to ask a myriad of
questions, which will often be answered by only one word, but must
master gathering a narrative and asking open ended questions. Often
times the physician will have had most of their questions answered
and the patient will feel "heard" and not cut off after 20 seconds,
which is the typical interruption time of the allopathic visit.
Physicians must be skilled listeners but also ask the right
Dr. Cohen states there are three mindsets of most patients:
restoration, chaos or quest.
- Restoration mindset patients go to the Dr. to be "fixed." They
don't take control of their health and seek to be healed and to
move beyond what has happened in their life situation. These
patients want the "magic pill."
- Chaos patients are in such a state of chaos within their
health, family or job that they don't expect to be back to their
original health state. These patients are often pessimistic and
very hard to treat.
- Quest patients are seeking to be well. They have a clear sense
of themselves and others and their future but when they are ill
they often will loose sense of these. They need the guidance to get
back on track and they often follow through with lifestyle or diet
Having a small group of students in our class allows us to
explore topics and go beyond the typical structured class setting.
Until next week, wish me luck on my exams : )