MEDICINE

How to choose the right doctor?

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FIVE Criteria  of Good Doctor
The Doctor’s aim is to bring patient in ‘well’ condition.

Doctor’s aim is not just removing the pathology.
What are the FIVE great cornerstones of diagnostic medicine?

[1] anatomy (structure: what is there),
[2] physiology (how the structure/s work),
[3] pathology (what goes wrong with the anatomy and physiology) and
[4]psychology (mind and behavior).
[5] Well condition

The Father of Clinical Medicine, Sir William Osler (1849 – 1919)said:
One of the first duties of the physician is to educate the masses not to take medicine.
From Aphorisms from his Bedside Teachings (1961) p. 105

The billion dollar distinguishing feature of a GOOD DOCTOR is he asks: Is this ‘person’ well? There is no more a ‘patient’, nor is s/he a medical ‘case’.
The Doctor (Clinician) should consider the patient in their ‘well’ context rather than simply as a walking medical condition. This means the socio-political context of the patient (family, work, stress, beliefs) should be assessed as it often offers vital clues to the patient’s condition and further management. This is to remind us all that medicine is not restricted to giving chemical substances called as medicines or medication.

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‘Medicine’ – Meaning and Origin of the word
Medicine is the science of maintaining and/or restoring human health through the study, diagnosis, and treatment of patients. The term is derived from the Latin ars medicina meaning the art of healing.
Modern Medicine – bench mark
Evidence-based medicine is the bench mark of all qualified health care professionals.
Evidence-based medicine is a recent movement to establish the most effective algorithms of practice (ways of doing things) through the use of the scientific method and modern global information science by collating all the evidence and developing standard protocols which are then disseminated to healthcare providers. One problem with this ‘best practice’ approach is that it could be seen to stifle novel approaches to treatment.
Genomics and knowledge of human genetics is already having some influence on medicine, as the causative genes of most monogenic genetic disorders have now been identified, and the development of techniques in molecular biology and genetics are influencing medical practice and decision-making.

See Medicine for Doctors _ Dr. Ashok Koparday

PHARMACOLOGY study of drugs or medicines
Pharmacology has developed from herbalism and many drugs are still derived from plants (atropine, ephedrine, warfarin, aspirin, digoxin, vinca alkaloids, taxol, hyoscine, etc). The modern era began with Robert Koch‘s discoveries around 1880 of the transmission of disease by bacteria, and then the discovery of antibiotics shortly thereafter around 1900. The first of these was arsphenamine / Salvarsan discovered by Paul Ehrlich in 1908 after he observed that bacteria took up toxic dyes that human cells did not. The first major class of antibiotics was the sulfa drugs, derived by French chemists originally from azo dyes. Throughout the twentieth century, major advances in the treatment of infectious diseases were observable in (Western) societies. The medical establishment is now developing drugs targeted towards one particular disease process. Thus drugs are being developed to minimise the side effects of prescribed drugs, to treat cancer, geriatric problems, long-term problems (such as high cholesterol), chronic diseases type 2 diabetes, lifestyle and degenerative diseases such as arthritis and Alzheimer’s disease.

MEDICAL PRACTICE
Practice makes a man ‘Doctor’. Did you say Perfect?
Do doctor’s practice on us? Why are they called Medical Practitioners?

References
1. Etymology: Latin: medicina, from ars medicina “the medical art,” from medicus “physician.”(Etym.Online) Cf. mederi “to heal,” etym. “know the best course for,” from PIE base *med- “to measure, limit. Cf. Greek medos “counsel, plan,” Avestan vi-mad “physician”)
2. AHIMA e-HIM Work Group on the Legal Health Record. (2005). “Update: Guidelines for Defining the Legal Health Record for Disclosure Purposes.”. Journal of AHIMA 78 (8): 64A–G.
3. Coulehan JL, Block MR (2005). The Medical Interview: Mastering Skills for Clinical Practice, 5th ed., F. A. Davis. ISBN 0-8036-1246-X.
4. Ivan Illich (1976). Medical Nemesis. ISBN 0-394-71245-5 ISBN 0-7145-1095-5 ISBN 0-7145-1096-3.

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Source
thefreedictionary.com