The art of health
“The practice of clinical medicine with its daily judgements is both
science and art....the art is not merely part of the ‘medical
humanities’ but is integral to medicine as an applied science”. Dr. John
Saunders, Consultant Physician at Nevill Hall Hospital, Abergavenny
(published in the Medical Humanities, British Medical Journal).
The University of Iowa Carver College of Medicine, organizes ‘The
Examined Life Conference on Writing, Humanities and the Art of
Medicine.’ “The program seeks to encourage healthcare professionals,
medical educators, patients and their family members to define methods
for incorporating writing and humanities into medical education, patient
care, and/or professional development schemes.”
Dr. Serena J. Fox, New York University School of Medicine, is also a
poet. She uses her poetry collection ‘Night Shift’ in a Humanities
program to explore aspects of poetry unique to writers from the
scientific and medical communities, because “poems inspire empathy and
they are essential to the teaching of medicine and care-giving.” She
organizes a workshop ‘Medicine and Poetry; Read One, Write One, Teach
One’. Her book ‘Night Shift’ spans fifteen years of encounters in urban
emergency rooms and intensive care units. George Estreich’s ‘The Shape
of the Eye’ is a prose memoir of his daughter’s heart surgery and
recovery. Writing as a healing modality is used now with patients
traumatized by the diagnosis and treatment of cancer. Our great
playwright, writer and actor, Henry Jayasena wrote about his experience
with cancer in his ‘Bala Gilano’, published both in Sinhala and English.
Then there is the ‘Blogosphere’, because a “Blog as a literary form
encompasses the gamut of emotions, from pathos to anger, from humour to
trivia....Physicians blog for myriad reasons: as therapy, as art, as
critique of the medical-industrial complex”.
“Health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity.” is the definition
of Health, by the World Health Organization. There is a proposal that
the term ‘Spiritual’ should also be added, because there is evidence
that a person’s physical well-being is linked to his emotional and
spiritual wellbeing, and that the expressive arts can play a decisive
role in promoting overall health.
That is what is promoted by the ‘Weems Memorial Arts in Medicine’
program by the University of Florida ‘Arts into Medicine’ at Shands
Hospital. They have “hands-on arts projects for children and adults,
colourful paintings and sculptures and diverse arts performances to
assist in the healing process.” 12 years ago in Brooklyn the organizers
of a Parkinson’s support group persuaded a professional dance troupe to
give dance instructions to people with the disease. That is how Dance
for PD (Parkinson’s Disease) had spread.
The Arts Council of England had supported the development of a
Charter for arts health and wellbeing, and in 2010 a national Alliance
for Arts Health and Wellbeing was formed. They had realized the key role
arts could play in healthcare. Community Cultural Development in
Australia is a partnership between arts and health and wellbeing. All
this was known in the east for at least 5000 years. Chinese medicine
sprang from a broad metaphysical base, as a part of their culture, and
not as an isolated science. It is a comprehensive system of treatment,
to alleviate ailments, balance mind and body, alter emotional states,
augment restorative power, strengthen immunity. The same could be said
about Indian Healing systems. For they were true Healers, who treated a
persons body and mind as one entity, not just scientists treating a
particular isolated ailment in a part of the body.
When the physician holds the patients hand to check his pulse beat,
he becomes one with the patient, both in body and mind. It is not only
the pulse beat, but the texture and the warmth of the skin, the look in
the patient’s eyes, his breath, that would tell the physician a lot
about his mental and physical condition. Then the physician would treat
the patient as an individual, and he would never just treat the illness
in isolation.
That is why our indigenous medical system is an Art. Here medicine
would only be about 25% of the cure. The rest would be the confidence
the patient has in the treatment and the physician, the concern and good
intentions of the physician and the strength of the patients own system.
We find the Art of our medicine in our homes, as a mother would offer
the medicine with both hands to her child and stroke his head as he
drank it, wishing the medicine would heal him.
A well learned physician could diagnose almost any ailment, without
resorting to the modern day investigation methods. But his diagnosis was
always be accurate, because it was personal first hand investigation.
There is no possibility of any human errors by a lab technician, or a
software bug in the instrument, or the wrong sample being tested, the
wrong report being sent to the patient. Diagnosis was never outsourced,
probably nothing in our healthcare system was outsourced.
Gathering the herbs for the medicine, was an art, because the
physician had to be a part of his environment, to identify the correct
herb, growing in the correct place, and so is the preparation. He did
not have to worry about sterile surroundings, purity of the ingredients,
because his place would be always clean and hygienic. There would be no
pollutants, and contamination. The indigenous physician did not have to
worry about the quality, efficacy, and safety, because they had all been
tested for over several thousand years. he did not have to worry about
shelf life or the assay, because he would prepare the medicine for
immediate use. He did not have to use innocent animals to test the
safety of his medicine.
It is time we brought back the Art of healing into the modern
healthcare system, incorporating the sensitive, humane, enlightened
approach practiced by the ancient physicians.
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