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Thank you, Dr. Wible, for helping remove the dog experiment from medical schools. Perhaps one day I will receive a thank you note from the next generation of healers as well. Inspiring ending about our heroic journey.
Glad to look at your new book. Veterinarian’s also have physiology lab, and now most of them give permission for alternative practice for the students, and I hear that some no longer euthanize healthy dogs to give the students the first hand experience of the symptoms of strychnine poisoning or CO2 poisoning or cyanide poisoning (in the anesthetized dog of course) as they have decided those experiences are not useful.
It is true that killing dogs to give teaching experience is probably an unnecessary adjuvant to learning physiology. I do think the purpose of this was more an exercise in teaching obedience than a necessary lesson in physiology; they did the same thing as part of the final training of the SS soldier, having them kill the dogs they trained, in order to put emphasis on the obedience part of the training.
One of the hardest parts of doing medical training for me was the level and degree of lying all the doctors had to do. A doctor would walk into a room and emerge five minutes later and write down an entire physical exam, which I knew had not been done. The seven minutes given to see a patient is too short to do a full physical exam. It took me a while to realize the usefulness of a population of well paid employees who overtly and measurably lie on a regular basis: these are people who will not rock the boat. If they rock the boat, they can be picked up as systematically lying and fired forthwith. It is a method to create compliance. Compliance in this toxic system is what you are seeing. Sadly, it has left physicians as being among the least trusted medical professionals, behind the less well trained physicians assistants and nurse practitioners. It does have an emotional cost during training.
Keep up your work, I do see some acceptance of some of your ideas and some folks do at least notice your statistics.
To all the Doctors who are experiencing the bullying, disrespect and inhumane treatment by their “teachers” I’m their residency, you are not alone.
Although I am not in medicine, I have been studying medicine, in particular, preventable harm.
I am deeply sorry for your losses, and most importantly the toxic culture that has become the “Great” U.S Healthcare System.
NO ONE deserves to be treated so disrespectful. I understand the depression, as I am treated for Recurrent Major Depressive Disorder. What I cannot even imagine is having depression and being worked to exhaustion and then bullied, harrased and ridiculed among your “peers”.
There needs to be changes in Healthcare, beginning with education, training, residency and attending. You start off with nothing but the best of intentions, then the “system” breaks you until you quit residency, quit life, or become that personality you so dispised as you watched the worst perpetrators of bullying and ridicule be rewarded with promotions and accolades.
My sympathy goes out to all of those who are currently struggling with depression, as well as those who have lost colleagues.
As a Patient harmed, I know first hand the ruthlessness of the system and many of the doctors who have adapted to the reprehensible behaviors to further their career.
They have lost sight of why they first wanted to practice medicine, to make a difference, and now they are just a cog in a broken wheel, in a broken system.
My life has now been ruined and cut short by as much as 30 years because of a simple error. Even the life I have now is not worth living, but I continue to fight for justice in the Healthcare system.
We are more similar then dissimilar, as we are human beings trying to live our best life in truth, with the pressures of everyday life which may be different by the same.
I agree that the media are cowards and fail to confront the deaths of doctors, interns, med students by suicide, as well as the 1,000 plus patients that lose their lives to preventable harm every day in the U.S. alone.
If we can fix the training of doctors, address the bullying, berating and allow for EVERYTHING to be questioned, we may be able to move toward a more compassionate training environment which would in turn produce more compassionate Healthcare professionals.
My preventable harm has 100% disabled me at 55. After my initial anger I then turned to a compassionate view and wanted to help address the error, how it happened and a very simple manner to insure it doe not happen again. I was shunned by the administration, even the CEO of Rhode Islands largest system had no desire to investigate, instead the system blackballed me, labeled me as “hypochondriac” and said nothing was wrong.
The Social Security judge took a look at my FACTUAL evidence from my records as well as the research I had done and ruled against EVERY doctor who said nothing was wrong.
I have had a doctor admit to a large bone fragment from my vertebrae, which I pointed out from the imaging and 3D models I created of my imaging, but still said there was nothing wrong with my back. I cannot sit, stand nor walk for any length of te due to pain in my spine and hips.
If he recognize and admits that it is a large fragment broken from a vertabra, and your patient is explaining the pain and how he cannot be hugged as it feels like bone on bone and excruciating pain, along with others symptoms, wouldn’t most people be inquisitive as to which vertebrae it broke off and what is the condition of the rest of it?
If you were a resident, like he had 2 shadowing him, you would probably think the same as the Patient and want to heal their pain, but that is a situation residents deal with everyday, they CANNOT add their input, even if it is correct as there will be retribution from the attending.
While I am a patient harmed, I believe we need to protect our residents and med students from harm, both mental and physical exhaustion, creating a more inclusive learning environment and fostering a more compassionate effective Healthcare system.
It is only putting the spotlight on the dangers our residents and med students face can we begin to heal our healthcare system with the most important component, our healthcare professionals!
My thoughts and prayers are with all of you.
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