"The Doctor's Art" is simply a play podcast that explores what makes medicine meaningful, featuring profiles and stories from clinicians, patients, educators, leaders, and others moving successful healthcare. Listen and subscribe connected Apple, Spotify, Amazon, Google, Stitcher, and Podchaser.
In this episode, Henry Bair and Tyler Johnson, MD, research the themes of storytelling, pain, rage, and taste competency with Haider Warraich, MD, who grew up and went to aesculapian schoolhouse successful Pakistan earlier completing residency astatine Harvard Medical School and fellowship successful cardiovascular medicine astatine Duke University Medical Center.
Today, helium is an adjunct prof astatine Harvard Medical School and the subordinate manager of the Heart Failure Program astatine the VA Boston Health Care System. A prolific writer, helium contributes regularly to the New York Times, Washington Post, and others. He is the writer of 3 books connected medicine for the wide audience, astir precocious 2022's The Song of Our Scars: The Untold Story of Pain, which examines the quality of symptom not lone arsenic a physical, but besides a humanities and cultural, experience.
Over the people of our conversation, Warraich compares his aesculapian experiences successful Pakistan and successful the U.S., discusses wherefore helium strives to incorporated palliative attraction into his cardiology work, and offers an impassioned critique of however modern medicine fails to code patients' suffering.
In this episode, you volition perceive about:
- 2:10 How Warraich went from reasoning of his aesculapian grooming arsenic an "arranged marriage" to loving his career
- 7:03 How Warraich stays connected to his patients and his enactment contempt the aggravated unit and work helium experiences connected a regular basis
- 13:22 What drew Warraich to cardiology and end-of-life care
- 17:33 Warraich's reflections connected the gaps successful the attraction of patients with bosom illness and however helium present strives to betterment the signifier of cardiology
- 22:06 A treatment of however the aesculapian civilization of Pakistan differs from the U.S. and however they tin beryllium shockingly similar
- 28:49 How Tom Brady, the shot quarterback, inspires Warraich to enactment connected to the affectional halfway of his practice
- 35:37 Why it's important to enactment successful a tract if you attraction astir it, particularly if you anticipation to alteration and amended it
- 41:38 Warraich's reflections connected the quality of symptom and however helium hopes to alteration our taste speech astir it
- 45:17 How acute symptom and chronic symptom are precise antithetic processes and however we tin code suffering arsenic a taxable and profoundly idiosyncratic experience
Following is simply a partial transcript (note errors are possible):
Bair: You've written truthful overmuch astir death, dying, bosom failure, and pain. So there's a batch determination that we tin explore. But first, tin you archer america what initially drew you to a vocation successful medicine?
Warraich: When I was increasing up, I was beauteous undifferentiated, and if I had to pick, I was astir apt a writer and a storyteller earlier I benignant of knew what I wanted to bash with my life. I someway ended up successful aesculapian schoolhouse astir by accident, if you judge that. When I finished college, I had applied for aesculapian school, dental school, and engineering school.
And successful the end, I ended up picking aesculapian school, not due to the fact that of immoderate fancy, inspired crushed different than the information that that assemblage is astir apt the champion instauration for an acquisition successful Pakistan. And it would support maine person to my friends arsenic well. So, you know, I ended up successful aesculapian schoolhouse with precise mediocre reasons, and it truly held maine backmost successful a beauteous important mode because, you know, aesculapian schoolhouse is nary joke.
Unless you're inspired, unless you person a purpose, it tin truly beryllium a beauteous daunting place. And truthful my archetypal fewer years successful aesculapian schoolhouse were truly a conflict from an world perspective, adjacent though my penning was truly flourishing and I was capable to truly spot beingness and my situation successful a mode that I hadn't done before. But the aesculapian schoolhouse acquisition itself was really, truly hard until I began to find the reason, until I, you cognize -- astir similar an arranged marriage. I began to benignant of wage a batch much attraction to medicine than I had successful the past. And it was lone erstwhile I got past immoderate of the superficial quality of what we bash arsenic physicians and arsenic clinicians that I truly fell successful emotion with medicine. But it wasn't thing that was pre-planned. It was astir by accident, but thing that I americium precise fortunate to person experienced now.
Johnson: That's a precise absorbing metaphor, that it was an arranged matrimony for you. But erstwhile you discovered a crushed to emotion medicine, what was it that you discovered?
Warraich: I deliberation it was, for me, the astir fascinating portion astir medicine has ever been that immoderate random time successful our lives is astir apt 1 of the astir important days successful the lives of our patients, and that we benignant of get dropped into these truly important situations for patients, wherever they're oftentimes scared, oftentimes unsure, oftentimes conscionable confused astir what's going on. And they look to america for guidance. They look to america for not conscionable method guidance, but truly motivation guidance and ethical guidance.
And that, to me, is thing that inactive ne'er gets old. And, to me, arsenic idiosyncratic who was ever funny successful exploring spaces oregon exploring radical oregon exploring caller worlds, medicine is an accidental to research a caller satellite each clip you conscionable a caller person, and the work that is placed connected us, nary substance what our specialty is oregon nary substance what you're doing, is conscionable truthful immense, but besides precise rewarding. And I deliberation it is due to the fact that of those interactions that I person with patients that truly brought maine successful and pulled maine into medicine and past keeps maine glued to this day.
For the afloat transcript, visit The Doctor's Art.
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