Slow Medicine: The Way to Healing

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"Wonderful... Physicans would do well to learn this most important lesson about caring for patients." The New York Times Book Review
 
Over the years that Victoria Sweet has been a physician, “healthcare” has replaced medicine, “providers” look at their laptops more than at their patients, and costs keep soaring, all in the ruthless pursuit of efficiency. Yet the remedy that economists and policy makers continue to miss is also miraculously simple. Good medicine takes more than amazing technology; it takes time—time to respond to bodies as well as data, time to arrive at the right diagnosis and the right treatment.
 
Sweet knows this because she has learned and lived it over the course of her remarkable career. Here she relates unforgettable stories of the teachers, doctors, nurses, and patients through whom she discovered the practice of Slow Medicine, in which she has been both pioneer and inspiration. Medicine, she helps us to see, is a craft and an art as well as a science. It is relational, personal, even spiritual. To do it well requires a hard-won wisdom that no algorithm can replace—that brings together “fast” and “slow” in a truly effective, efficient, sustainable, and humane way of healing. 
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About the author

Victoria Sweet has been a physician at San Francisco’s Laguna Honda Hospital for more than twenty years. An associate clinical professor of medicine at the University of California, San Francisco, she is also a prize-winning historian with a Ph.D. in history and social medicine.
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Additional Information

Publisher
Penguin
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Published on
Oct 17, 2017
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Pages
304
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ISBN
9780698183711
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Features
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Language
English
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Genres
Biography & Autobiography / Medical
Medical / Healing
Medical / Physician & Patient
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Content Protection
This content is DRM protected.
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Eligible for Family Library

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An introduction to the life and work of Hildegard.

• Reveals the life and teachings of one of the greatest female artists and intellectuals of the Western Mystical Tradition.

• Contains 24 full-color illustrations by Hildegard of Bingen.

• Includes commentary by Matthew Fox, author of Original Blessing (250,000 sold).

Hildegard of Bingen (1098-1179) was an extraordinary woman living in the Rhineland valley during most of the twelfth century. Besides being the abbess of a large and influential Benedictine abbey, she was a prominent preacher, healer, scientist, and artist. She also was a composer and theologian, writing nine books on theology, medicine, science, and physiology, as well as 70 poems and an opera. At the age of 42, she began to have visions; these were captured as 36 illuminations--24 of which are recorded in this book along with her commentaries on them. She also wrote a text describing these visions entitled Scivias (Know the Ways), now published as Hildegard of Bingen's Mystical Visions.

Author Matthew Fox has stated, "If Hildegard had been a man, she would be well known as one of the greatest artists and intellectuals the world has ever seen." It is a credit to the power of the women's movement and our times that this towering genius of Western thought is being rediscovered in her full grandeur and autonomy.

Virtually unknown for more than 800 years in Western history, Hildegard was featured as one of the women in Judy Chicago's Dinner Party in the early 1980s and published for the first time in English by Bear & Company in 1982. In addition to her mystical teachings, Hildegard's music has been performed and recorded for a new and growing audience.
NEW YORK TIMES BESTSELLER

 The New York Times–bestselling author of The Brain That Changes Itself presents astounding advances in the treatment of brain injury and illness. Now in an updated and expanded paperback edition.

Winner of the 2015 Gold Nautilus Award in Science & Cosmology 

In his groundbreaking work The Brain That Changes Itself, Norman Doidge introduced readers to neuroplasticity—the brain’s ability to change its own structure and function in response to activity and mental experience. Now his revolutionary new book shows how the amazing process of neuroplastic healing really works. The Brain’s Way of Healing describes natural, noninvasive avenues into the brain provided by the energy around us—in light, sound, vibration, and movement—that can awaken the brain’s own healing capacities without producing unpleasant side effects. Doidge explores cases where patients alleviated chronic pain; recovered from debilitating strokes, brain injuries, and learning disorders; overcame attention deficit and learning disorders; and found relief from symptoms of autism, multiple sclerosis, Parkinson’s disease, and cerebral palsy. And we learn how to vastly reduce the risk of dementia, with simple approaches anyone can use.
 
For centuries it was believed that the brain’s complexity prevented recovery from damage or disease. The Brain’s Way of Healing shows that this very sophistication is the source of a unique kind of healing. As he did so lucidly in The Brain That Changes Itself, Doidge uses stories to present cutting-edge science with practical real-world applications, and principles that everyone can apply to improve their brain’s performance and health.
疾病醞釀了多久,療癒的時間就要多長……

在疾病與死亡之間,還有多少種可能?
面對疾病,還有多少種選擇?
是否,我們忘了──人不只是軀體?

這裡的醫師、護士與病人,讓我相信了日常小事的重要,
也讓我目睹了宛如植物終能綻放綠意的療癒過程;
那不只是醫療,更是一種奇蹟,彷彿是一種魔術戲法。

──維多莉亞.史薇特/作者

 

【推薦人】
作家、精神科醫師/ 王浩威   家庭醫學科醫師/吳妮民 春禾劇團教學暨藝術總監/郎祖筠  NEWS98《財經起床號》節目主持人/陳鳳馨  天主教耕莘醫院總院長、天主教失智老人基金會執行長/鄧世雄  小說家/駱以軍

一家殷勤款待的醫院,一段段以耐心與關愛守候的療癒旅程,
宛如悲喜交集的人生劇場:

如果醫生診斷病人的時間不是兩分鐘,而是兩小時;

如果護士的願望不是休假,而是讓每位病人都擁有一床親手編織的毛毯;

如果醫院肯讓病人在院內靜心休養兩個月,還願意把花費在藥品的開銷,用來提供良好的飲食、按摩等照料……

這種種現代看起來「無效率」的醫療模式,在深池醫院發揮了魔法,創造奇蹟。

二十多年前,史薇特醫師初次來到舊金山的深池醫院。原本她只打算待兩個月,然而,在這所源自中世紀的醫療院所、美國的最後一家救濟院裡,史薇特感受了現代醫學逐漸消失的殷勤款待氛圍,更有機會採用幾乎消失的「緩慢療法」。

「我在這裡照顧了1686位患者,他們教了我許多事,改變了我,也以始料未及的方式改變了我的醫療。」史薇特在本書寫下她在深池醫院的所見所聞,與尋找醫學精神的感思。

在史薇特筆下,深池醫院宛如悲喜交集的人生劇場:這裡既是醫院,也像庇護所、失業棲身處、中途之家、復健中心,需要長期醫療照護的人,舉凡芭蕾舞者、搖滾樂手、教授或小偷都來到此地,愛滋病房裡還養過母雞。有人在這裡甩掉男友,有人在這裡找到另一半,有人帶著對新生活的期待而離開,不久卻在街頭告別生命。在這些故事中,我們看見患者與醫生面對病痛或生死時的心情轉折,以及身心靈照護的本質、代價和價值……等真實寫照。

現代醫學把人體視為需要修理的機器,但在深池醫院,史薇特醫師和夥伴重新找回古老的醫療概念:人體是個需要悉心照料的園地,用飲膳休息導引的復原力量,遠勝過「對抗疾病」。她深切體會到,醫生並不需要做很多事,往往只是最簡單的處方,病人就會好轉;就像飲食區分為速食和慢食一樣,醫療或許可以「無為而治」。

儘管在醫療健保改革的浪潮中,深池醫院的經營管理方式最終也被迫改變。史薇特醫師這本動人的紀錄,除了緬懷那樣美好的醫病關係,更提供一種人文視野的省思,闡釋了療癒應有的本質:

「生命本應緩慢,療癒無法用效率衡量。」

疾病醞釀了多久,療癒的時間就要多長……

在疾病與死亡之間,還有多少種可能?

面對疾病,還有多少種選擇?

是否,我們忘了──人不只是軀體?

這裡的醫師、護士與病人,讓我相信了日常小事的重要,

也讓我目睹了宛如植物終能綻放綠意的療癒過程;

那不只是醫療,更是一種奇蹟,彷彿是一種魔術戲法。──維多莉亞.史薇特/作者 

【推薦人】

作家、精神科醫師/ 王浩威 家庭醫學科醫師/吳妮民 春禾劇團教學暨藝術總監/郎祖筠  NEWS98《財經起床號》節目主持人/陳鳳馨  天主教耕莘醫院總院長、天主教失智老人基金會執行長/鄧世雄  小說家/駱以軍

一家殷勤款待的醫院,一段段以耐心與關愛守候的療癒旅程,宛如悲喜交集的人生劇場:

如果醫生診斷病人的時間不是兩分鐘,而是兩小時;

如果護士的願望不是休假,而是讓每位病人都擁有一床親手編織的毛毯;

如果醫院肯讓病人在院內靜心休養兩個月,還願意把花費在藥品的開銷,用來提供良好的飲食、按摩等照料……

這種種現代看起來「無效率」的醫療模式,在深池醫院發揮了魔法,創造奇蹟。

二十多年前,史薇特醫師初次來到舊金山的深池醫院。原本她只打算待兩個月,然而,在這所源自中世紀的醫療院所、美國的最後一家救濟院裡,史薇特感受了現代醫學逐漸消失的殷勤款待氛圍,更有機會採用幾乎消失的「緩慢療法」。

「我在這裡照顧了1686位患者,他們教了我許多事,改變了我,也以始料未及的方式改變了我的醫療。」史薇特在本書寫下她在深池醫院的所見所聞,與尋找醫學精神的感思。

在史薇特筆下,深池醫院宛如悲喜交集的人生劇場:這裡既是醫院,也像庇護所、失業棲身處、中途之家、復健中心,需要長期醫療照護的人,舉凡芭蕾舞者、搖滾樂手、教授或小偷都來到此地,愛滋病房裡還養過母雞。有人在這裡甩掉男友,有人在這裡找到另一半,有人帶著對新生活的期待而離開,不久卻在街頭告別生命。在這些故事中,我們看見患者與醫生面對病痛或生死時的心情轉折,以及身心靈照護的本質、代價和價值……等真實寫照。

現代醫學把人體視為需要修理的機器,但在深池醫院,史薇特醫師和夥伴重新找回古老的醫療概念:人體是個需要悉心照料的園地,用飲膳休息導引的復原力量,遠勝過「對抗疾病」。她深切體會到,醫生並不需要做很多事,往往只是最簡單的處方,病人就會好轉;就像飲食區分為速食和慢食一樣,醫療或許可以「無為而治」。

儘管在醫療健保改革的浪潮中,深池醫院的經營管理方式最終也被迫改變。史薇特醫師這本動人的紀錄,除了緬懷那樣美好的醫病關係,更提供一種人文視野的省思,闡釋了療癒應有的本質:

































「生命本應緩慢,療癒無法用效率衡量。」

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