Metaphors for the pressure of our work in medicine

Sometimes I had to get rid of the mess and confusion of medicine, so I was walking on the abrasion path of our backyard (children, dogs, cats, deer were also trampled). Sitting at the end of the road are shops, children, and I am helping my friends build. We built a foundation and helped nail the floor; we lifted the wall and placed it on the roof truss

The store was in the former garden, but the land is barren and produces black berries, thorn, and wasps rather than corn and beans. The best crops in the garden are treasures of arrows and native American pottery; there is nothing I can not imagine, but some people have camped in my current garden and lived there it is clear.

Edwin Leap is an emergency physician who is the author of The Practice Test who published a blog on edwinleap.com. This article first appeared in emergency medical news

Modern medicine has historically been shaped by a figurative complex of "Industry - Military" - "as the body of the machine" and "sick war" - I read, as Wallace Stephens metaphor 'as power Is superior to the dominant position of "existence". Modern medicine requires teamwork beyond collaboration, patient focus, and experts. It promises feminine and democratic drugs, guided by prudent medical education. However, in order to get this progressive medicine, a new metamorphosis metaphor must emerge. Possible candidates are ecological metaphors like Hollism which are considered to be truly kind. Stevens 'existence' described at the beginning of the article evolved into a wider interpretation of the author, such as democracy, feminization, cooperation and kindness.

The metaphor is limited not only to literary poetic tools but also to a part of the special discourse structure of daily discourse and medical practice. Two major instinctive metaphor forms western medicine: Since the 16th century, "The body is like a machine." Since the 17th century, "medicine seems to be a war". These are metaphor of "force", not "presence". I think they developed a medical culture that is no longer suitable for that purpose. Heroes, men and hierarchical culture that can not adapt to new medical values, patient - centered, team - based, collaborative culture rather than competition. Level, hero medicine passed the sale date. This round is truly time for democratic medicine and embrace poetry. You need a medicine that is based on the root of the word "hospital" that is faithful to honorable hospitality medicine, not a force but an appropriate metaphor.