Your patient just had a biopsy. The uncertainty is driving her crazy. What do you do? (Thank you for posing this challenge Tom Lycan MD!). Do you have a quandry? Email me: firstname.lastname@example.org.
Anders Ericcson invented expertise research (think: deliberate practice)--and we've been following his work for years. Malcolm Gladwell mentioned his work (and the so-called 10,000 hour rule) in Blink; now Ericcson has written his own book, Peak: Secrets from the Science of Expertise. I sat down with him in Seattle--& he revealed a super-cool tip for Vitaltalkers!
I don't usually visit cemetaries--they're usually staid and ceremonial. But this one was different. (Special thanks to our VitalTalk Down Under goddess Anne O'Callaghan).
When we're frustrated with patients, what to do? What i learned in my training was not just ineffective--it probably does damage. But there's another way.
A body of research shows that emotions aren't what they seem--they're not pre-formed, not consistent between people, and don't have any sort of neurologic 'signature'. So then, what are they? Lisa Feldman Barrett explains this brilliantly in her new book How Emotions Are Made--and in this blog we explain what it means for communication about serious illness. (Disclosure: I'm in the acknowledgements--a very generous shout out, but Lisa is the one who is changing the paradigm!)
Sometimes patients find the notion of a 'goal' daunting. They stammer, get tangential, and don't point you to their values. For those times, you need an alternative.