It may
be true as Gary Zukav said in Seat of The Soul
. That we
are more than purely animals with five senses. We have at our
core, he says, 'multi-sensors'. It is the multi-sensory perception
which artistic pursuit cultivates in us, opening the door to a
wider vision of life and existence.
Art enables us to explore the deeper
hidden aspects of our minds.
This inner exploration gives deeper
meaning to the nature of our own existence as well as the existence
of our patients.
There is an enormous connection
between theatre and drama, poetry and music in the sense of awe
and order which we perceive in everything around us.
This kind of realization often
occurs when we are relaxed or in beautiful surroundings. A lot
of people often have these experiences of epiphany in their lives,
where it seems that during that moment of breathlessness or inspiration
time stands still.
This may occur for us when we become
deeply involved in empathic communication with a patient or when
we are talking to a close friend.
Music, literature, fine arts and
performance all tend to express the enigma of the human condition.
Perhaps this is what is missing
in our practice of medicine nowadays. Recent reports by the Medical
Board of Victoria show that a lot of doctors are so extremely
stressed that they are yelling and screaming at their patients.
They are not able to cope with the rapid through-put of patients
and cannot create rapport or even understand what is going on
in their patients' lives.
The Journal of the Royal College
of Physicians has recently emphasized the need for doctors to
have an education in the arts and humanities as well as medical
science, which is becoming more and more a technology and losing
its human appeal.
'Medical humanities' now denotes
a growing area of engagement and exchange between the humanities
and medicine covering:
· use of the arts in therapy and human comforting - painting,
poetry, music and creative writing
· the arts as foci for meditative appreciation, decorative
enjoyment and environmental improvement in an otherwise uninteresting
- sometimes bleak - health services environment
· the value of the arts in health promotion, as forms of
artistic and communicative display which can embody welfare messages
relevant to the health of the public
REF The contribution of the arts and humanities to interdisciplinary
research and teaching in health care. Medicine, the arts and humanities
Brian Hurwitz Clin Med 2003;3:497-8
The way the system is structured
in hospitals is such that people become secondary to the process.
Is this why there is such a high rate of iatrogenic and doctor-caused
illness in hospitals, An estimated 80,000 people are admitted
to hospital each year as a result of being given the wrong medication
or incorrect doses. This costs the health system $350 million.(
Dr David Brand, co-chair of the Medication Safety Taskforce) Daily
Telegraph (Australia), 3rd November 2001, p.3. Sixteen per cent
of patients who enter hospitals come out with increased morbidity,
as a result of iatrogenic illness (Australian Medical Journal).
In America, you are three times more likely to be killed by a
doctor than by homicide.
We have all seen the drama and
frenetic activity of emergency wards on television, and indeed
television drama does appear to highlight the degree of stress
that doctors go through.
Recent reports have highlighted
the high incidence of depression, mental illness and suicide in
doctors. This must be because, as doctors, we are forgetting the
humanity, the art and the enigma that is inherent within the practice
of medicine.
It has indeed often been said that
medicine is a combination of art and science.
Technology, double blind trials
and computerization in medicine are leading us away from the prime
focus of primary medical care, which is the doctor - patient relationship.
There is an art in observing the
human condition as it flows and moves through birth, illness,
old age and death.
Our society has no rituals to adequately
express the profound meaning of life apart from artistic expression.
It is a well-known fact that attendance at churches is falling
and wide-spread sexual abuse of children in the church's care
has probably led to people loosing their grip on the conventional
sense of church ritual
I believe we have also lost the
art of medicine. Doctors have a tremendous capacity for service
and care for their patients and precision in diagnosis, However
the time restraints of a busy general practice, threats of litigation
and the consumer mentality of patients requiring a quick fix,
prevent the development of greater empathy and intuition in the
practice of medicine.
What would happen if doctors became
artists or even artistic? We are as doctors in a unique position
to observe the human condition in every conceivable aspect. In
this respect we have a profession that gives us an opportunity
to observe and influence from, some may say, a position of power.
How do we use this power wisely?
We all know the story of the patient
with the galloping heart. When the consultant was on a ward round
in a teaching hospital with his medical students, he pointed out
to his following that this lady had a galloping heart. He said
this with interest and passion. The patient thought this was an
indication that she was getting better. And indeed, the next day
she had recovered so much that she was discharged. Of course,
a galloping heart is indeed a disturbance of cardiac rhythm and
is in fact an abnormal heartbeat. The positive attitude and intention
towards healing of the patient has a tremendous effect on the
prognosis of an illness. The power that the patient has in belief
and faith in the curative process also creates healing
We are, as doctors, agents of change,
transformation and healing.
It was Michael Balint who founded
the Balint Seminars, which enables doctors through a group process
to try and understand the motivations of their patients' behaviour
and the psycho-dynamic cause of illness, who coined the phrase
that the doctor is the prime therapeutic agent.
We all know that in quantum physics
the observer influences the event which we observe.When we look
at a great work of art we will always see the human being portrayed
as the summation embodying all that is in the artist`s expression
Leonardo DaVinci's drawing studies
of old age gave dignity to the process of aging, with for example
the form of gnarled fingers and the beauty of the face of the
old man.
Balzac, in his Comedie Humane,
expresses in this novel the utter diversity of human expression,
thought and emotion, as people weave their lives through his intricate
narrative.
Michelangelo, portrays the
cross section of the brain painted on the ceiling of the Cistine
Chapel where gods hand is reaching out to the hand of adam.

It is an astounding revelation , The hand of God
-the creative imagination of the cosmos from within the deepest
depths of the brain reaching out in love to the true form of perfection
the embodied truth of the Human Being---Adam also representing the
Human form incarnate on Earth.