Covenant Medicine Being Present When Present eBook David H Beyda MD
Download As PDF : Covenant Medicine Being Present When Present eBook David H Beyda MD
Does Your Physician Really Know You? “You really don’t know who Jeffrey is, do you? You just know what he is a bunch of broken pieces that you are trying to put back together.” The relationship between physician and patient is among the most personal and vulnerable experiences that people have in their lifetime. The physician holds knowledge, healing, and can even make the difference between life and death. But what happens when a physician loses sight of the person, and sees a patient only as a broken mechanism or collection of symptoms? In this insightful, inspiring book, Dr. David H. Beyda explores a paradigm between physicians and patients grounded in mutual trust, honesty, and integrity. He discusses the physician/patient relationship as a covenant, allowing the physician to consciously agree to be present, to be intentional, to listen, to be committed, and to act for the patient’s good. A covenant relationship can contain transformational aspects such as faith and spirituality, allowing the physician and the patient to transcend the confining definitions of illness, and come to a greater understanding of the nuances of care-giving. Learn how to establish your own covenant relationships by looking at “who” your patients are, and incorporating the “what” into that deeper foundation.
Covenant Medicine Being Present When Present eBook David H Beyda MD
Covenant Medicine is an atypical book wherein the introspection of a critical care pediatrician flow with the hope of driving a few discrete messages on the physician-patient relationship that may be instructive to others. It is atypical in that the author dispenses with any serious attempt to position his viewpoints in relation to the volume of philosophic work on medical ethics, the physician-patient relationship, and the employment of technology in healthcare in drawing his conceptual models. Philosophical quotes within the text are focused but sparse. Beyda flies by the seat of his own, long, grueling experience as an intensivist, buttressed by his new-found Christian ethos. The limited messages, covenant vs. contract, who vs. what, caring vs. curing, technology applied “to” patients vs. “for” patients, are effectively hammered-out like mantras throughout the 30 short chapters. One wonders if this is a compilation of editorial or opinion pieces strung together with close attention to order, as the chapters overlap much, albeit well. And who is the intended audience? In the spectrum of relationship scenarios among people and their chosen physicians, critical care is perhaps the thinnest of slices of that larger domain, and one in which patients, especially in pediatric critical care, have little choice when entering one of these few available enclaves of last physical hope. These are precious and rare havens for those children whose homeostatic mechanisms are failing and are by definition in the dying process, and some can be brought back through the use of modern technology. The technology in this and other situations undoubtedly can be over-applied, as Beyda wrestles with at length, but it is the essence of that “heroic” environment. Beyda’s scope doesn’t seem to broaden in this text to the caring that goes into the chronic doctoring of long term problems for which cures do not yet exist, and where management has always been half technology and half caring as needed to optimize life with a disease.The messages, as outlined above, come through well in the early chapters. More specific examples of the appropriate and inappropriate application of specific technologies, whether they be ventilator, intravascular, intracranial, thermal or pharmacologic methodologies, would have been helpful. Beyda shows a knack for communicating at the lay level and could have undoubtedly managed an accessible discussion of these as well.
If this was intended as a personal piece for neophyte medical intensivists from an experienced thought leader, it does well. If Covenant Medicine was simply meant to be, as the marketing suggests, a medical essay, it is that. The series of specific patient and collegial encounters in later chapters that illustrate the lessons Beyda finds most important works well. He should then go the distance of editing a general text on current bioethics and medical humanism, combining the works of others in the field, drawing on theory and practice recommendations, and weaving those of his concepts that are truly clarifying or novel into that construct. Perhaps, on the other hand, the point of his writing is intentionally to escape the rigors of typical medical pedagogy, and speak to the knowing consciousness of physicians and other care givers. That is indeed where Covenant Medicine finds its resonance, and perhaps why, long after one puts the book down, one finds those mantras echoing in one’s mind and getting repeated when precepting premedical students.
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Covenant Medicine Being Present When Present eBook David H Beyda MD Reviews
At a time when Medicine is being politicized, providers under pressure and patients feeling the affect of impersonal care, along comes Dr. David Beyda with a compassionate personal story of the scared bond that is created between a provider and a patient. You cannot read this book and not feel the genuine love that you would want for yourself or a loved one in time of need. This book should be mandatory reading in a\every medical and allied health school and suggested reading for every healthcare executive and on the desk of every practicing physician. It's just that good.!
"I hope my words have caused you to reflect more on the 'who' instead of the 'what'" (p. 144). This sentence summarizes an amazing journey of one man's reflection on what compassionate caring is. I seldom read a book twice; this one, I'll read again (and again). I don't often cry when I read a book; this time, I did (more than once).
Dr. Beyda's book takes you on a journey, "towards understanding what a covenant relationship is" (p. 74). An honest relationship between physician and patient—one involving service (to the patient) and trust (of the physician).
Dr. Beyda makes clear throughout the book that medical care ought to be about the patient, the "who." The disease, technology, and curing is secondary. This may sounds deceptive; but caring about the "who," leads to wisdom in using technology and fighting to cure a person and not just a client or customer.
Issues addressed A covenant relationship between doctor and patient, Servanthood, Goals of care and getting to know the patient, Truth telling, Religious faith, god's in white coats, A meaningful life, Keeping a patient alive or prolonging death, Dignity, The right and wrong use of technology. And more . . .
Every young medical student, nursing student, paramedic, EMT, and bioethics student should read this book. Written in a conversational style, with plenty of interesting narrative interspersed, the book is easy to read and digest. It will cause the reader to go on thinking about its content long after he or she puts it down.
Dr. Beyda's deep religious faith is apparent throughout, though not intrusive. Everyone can apply the principles he shares to better care for others. Plenty of real life experiences and anecdotes are shared, which make the book practical and helpful.
"It is not the 'what' but the 'who' that is most important. The patient, not always the disease. The person, not always the body. We should strive to focus on the dignity of the person, and in doing so, we will find ourselves caring enough to want to cure" (p. 152).
As a medical student, I am thankful to have read this book early in my schooling. It will undoubtedly help frame the way I serve my future patients
Dr. David Beyda's "Covenant Medicine Being Present When Present" is a transformative text for anyone providing or receiving healthcare. Dr. Beyda captures the essence of the physician-patient relationship through a series of personal and revealing real-world examples that bring to life the complex struggle between modern medicine and the core value of 'healing' over 'curing'. He offers a window into the intimate journey of both physician and patient and the unparalleled power of human connection. Dr. Beyda's words will inspire patients, physicians and students, as well as loved ones of both patients and providers, for years to come.
Covenant Medicine is an atypical book wherein the introspection of a critical care pediatrician flow with the hope of driving a few discrete messages on the physician-patient relationship that may be instructive to others. It is atypical in that the author dispenses with any serious attempt to position his viewpoints in relation to the volume of philosophic work on medical ethics, the physician-patient relationship, and the employment of technology in healthcare in drawing his conceptual models. Philosophical quotes within the text are focused but sparse. Beyda flies by the seat of his own, long, grueling experience as an intensivist, buttressed by his new-found Christian ethos. The limited messages, covenant vs. contract, who vs. what, caring vs. curing, technology applied “to” patients vs. “for” patients, are effectively hammered-out like mantras throughout the 30 short chapters. One wonders if this is a compilation of editorial or opinion pieces strung together with close attention to order, as the chapters overlap much, albeit well. And who is the intended audience? In the spectrum of relationship scenarios among people and their chosen physicians, critical care is perhaps the thinnest of slices of that larger domain, and one in which patients, especially in pediatric critical care, have little choice when entering one of these few available enclaves of last physical hope. These are precious and rare havens for those children whose homeostatic mechanisms are failing and are by definition in the dying process, and some can be brought back through the use of modern technology. The technology in this and other situations undoubtedly can be over-applied, as Beyda wrestles with at length, but it is the essence of that “heroic” environment. Beyda’s scope doesn’t seem to broaden in this text to the caring that goes into the chronic doctoring of long term problems for which cures do not yet exist, and where management has always been half technology and half caring as needed to optimize life with a disease.
The messages, as outlined above, come through well in the early chapters. More specific examples of the appropriate and inappropriate application of specific technologies, whether they be ventilator, intravascular, intracranial, thermal or pharmacologic methodologies, would have been helpful. Beyda shows a knack for communicating at the lay level and could have undoubtedly managed an accessible discussion of these as well.
If this was intended as a personal piece for neophyte medical intensivists from an experienced thought leader, it does well. If Covenant Medicine was simply meant to be, as the marketing suggests, a medical essay, it is that. The series of specific patient and collegial encounters in later chapters that illustrate the lessons Beyda finds most important works well. He should then go the distance of editing a general text on current bioethics and medical humanism, combining the works of others in the field, drawing on theory and practice recommendations, and weaving those of his concepts that are truly clarifying or novel into that construct. Perhaps, on the other hand, the point of his writing is intentionally to escape the rigors of typical medical pedagogy, and speak to the knowing consciousness of physicians and other care givers. That is indeed where Covenant Medicine finds its resonance, and perhaps why, long after one puts the book down, one finds those mantras echoing in one’s mind and getting repeated when precepting premedical students.
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