I will never forget the words of the elder, Adeline W.
Here we were sitting at her modest home in the settlement of Indians out of the bling and business of Des Moines (always think of the American humorist, Bill Bryson who published a book called The Fat Girls in Des Moines).
In the short period of time we knew each other, Adeline put me on the right path to taking care of Native Americans and later, Indigenous peoples of other continents.
We can see through you, so no point in telling us, you care for us, if you do not really care for us. We feel better when we know that we really care for us.
To which my teacher, (dr) Brown added: respect Indians, do not judge them and if possible love them.
When a health care person, does not matter whether he/she is a doctor at a Los Angeles private clinic or a peer to peer educator in Cambodian capital’s slums, what is important is that he or she conveys to the patient, his/her genuine care. It has to be genuine. No one is interested in how much you may or may not know, but they do care HOW MUCH THEY FEEL YOU CARE..
I am reminded of a poem by Pablo Neruda
Medical men received me
in between consultations,
a scalpel in each hand,
saturated in aureomycin,
busier each day.
As far as I could tell from their talk,
the problem was as follows:
it was not so much the death of a microbe--
they went down by the ton,
but the few which survived
showed signs of perversity.
this shows the symbolism of modern-day medical consultation
providers are busy. Medical men received me in between consultations
they want to show off their expertise. A scalpel in each hand ; busier each day
they hid behind their knowledge. As far as I could tell from their talk
offers a scientific explanation but the few which survived that showed signs of perversity
why did the poet seek the consultation. It is in the first paragraph
Lost in this preoccupation,
I set myself to clear things up.
I sought out knowledgeable priests,
I waited for them after their rituals,
I watched them when they went their ways
to visit God and the Devil.
They wearied of my questions.
They on their part knew very little.
They were no more than administrators.
Long before Yuval Noah Harari wrote his book, 21 Questions for the 21st century in which he very cleverly lays out a position for authoritarian evangelical Christians and priests and blinded by surahs Imams, to learn to interpret signs and weakness of the times and individuals, seeking in this case of Pablo Neruda, intellectuals and scientists of the time, rather than worshipping devils and angels, understand what Dr Anthony Fauci says and then translate his scientific thoughts with their complete knowledge of the texts written hundreds and thousands of years ago.
Doctors have to become good interpreters as well.
Exploring perceptions, attitudes and beliefs of Thai patients with type 2 diabetes mellitus as they relate to medication adherence at an out-patient primary care clinic in Chiang Mai, Thailand
Medications used in Chiang Mai would not be all that different from the medications available to my friend Maurits and his mopotsyo.org in Cambodian slums, but how come Maurits is so successful, more than the Endocrinologists and Diabetologists in the developed world? With their better “scalpels” and “aureomycin”?
CARING FOR THE PEOPLE WE ARE SUPPOSED TO BE CARING. HEALING RATHER THAN CURING. THIS IS WHAT ADELINE AND {DR} BROWN OF THE INDIANS OF THE SETTLEMENT IN THE MIDDLE OF THIS COUNTRY, YUMA, EMPIRE OF THE NORTH, THEIR TURTLE ISLAND, TAUGHT ME .
Poor Pablo, he was distraught because of his rejection by Priests and Physicians, that he sought out ..
They left me so startled
that I sought out the grave-diggers.
I went to the rivers where they burn
enormous painted corpses,
tiny bony bodies,
emperors with an aura
of terrible curses,
women snuffed out at a stroke
by a wave of cholera.
There were whole beaches of dead
and ashy specialists.
When I got the chance
I asked them a slew of questions.
They offered to burn me.
It was all they knew.
Now what did the doctors in Chiang Mai find? What influenced the patients with Type 2 DM want to take their advice along with their medications?
Medication adherence in Thai patients with diabetes requires support from both the health care providers and the family. The patient’s perception of the doctor’s concern creates greater patient trust in the health care team. This trust, along with family support, helps deepen patients’ understanding of the disease, accept the chronic nature of their disease, and engenders a positive attitude towards taking medication that can improve medication adherence.
Please pay attention to : Patient’s perception of the doctor’s concern creates a greater patient trust in the health care team..
Feigning an interest in the patient without your heart being in it, is like those big billboard signs one sees all across USA of hospitals and Doctors advertising how much they care for their patients! A big lie and in big letters! They back it up with some list in which they were figured, there are so many lists in USA it is impossible not to be included in one of them!
