Canadian Pharmacy Online Promotes Strong Doctor-Patient Bond

With health care becoming increasingly high-tech, fast-paced and cost-conscious, a lot of doctors and patients alike are feeling out of sorts. With costs being directly proportional with advancing technology, patients get depressed with their increasing payables as well. Thus, generic Celexa available online is one of their remedies. 

"What patients complain about the most is, 'My doctor doesn't listen to me,' or 'I feel like I'm alone in my illness,'" said Dr. Rita Charon, executive director of the Columbia University Medical Center's narrative medicine program in New York City. 

"The problem is doctors are not particularly selected for the profession because we are skilled in making contact with suffering people," she said. "But that doesn't mean that doctors are mean or malicious; they've just never been given the skills to receive the stories that people tell them." 

"Narrative medicine is a way for people who take care of sick persons to hear what they say, to understand their concerns, to enter the world of the patients, so as to know what can be done in their care," Charon said. 

An example of narrative medicine in action occurred after a pediatrician attended a weekend training session, Charon said. The doctor, who works in a mostly poor neighborhood with a largely immigrant population, arrived at work the next morning to find five patients waiting for her -- a situation that normally would have made her feel stressed right from the start. 

"Narrative medicine helps a practice become more consequential," Charon said. "What people need before they have true empathy and compassion is to be able to perceive what's going on with another person. And, when you write it down, you represent it." 

As Dr. Paul Gross, a physician in the family and social medicine department at Montefiore Medical Center in New York City, described it, "narrative medicine captures the stories that go on in a medical encounter that don't get recorded in a medical chart." 

"On the surface, he had seemed to me someone who was isolated without a social network," explained Gross, who said that learning more about the man's background really changed the way Gross viewed his patient. He learned that the man felt that taking the medications was a burden. 

"A patient isn't just a broken leg or someone who didn't take their medications," Gross said. "They're someone with a story, and if I learn that story, it will make me better able to treat them. And, it may make them more likely to tell their doctor everything that's going on if they think the doctor is trying to get to know them." 

"Most doctors are working hard and are eager to get better at the listening part," Charon said, adding that training in narrative medicine will increase the number of doctors "with the skills to make sure that they hear what you're trying to say." Narrative medicine is just like prescribing a patient to buy Celexa online. 

Illness is a state of poor health. Illness is sometimes considered another word for disease. Others maintain that fine distinctions exist. Some have described illness as the subjective perception by a patient of an objectively defined disease.