EmpathyWorks Reaches 25,000 Views!

Since my First Post on EmpathyWorks on July 11, 2009, the blog has now reached 25,000 views!

My 79 posts on EmpathyWorks have covered a range of topics that reflect my interest in the role of relationship-building in health care and the impacts of empathy, compassion and patient engagement on patient experience and health outcomes.

Some posts have shared new research findings on the value of clinician empathy or have featured the wisdom of  Carl Rogers, Jodi Halpern, Brené Brown, Bernie Lown, Jessie Gruman, and many others who have made empathy, compassion or patient engagement a focus of their professional careers. 

Other EmpathyWorks posts have featured the experience of people, like myself, who are coping with the challenges of living with a chronic condition. When I first started blogging, several posts were linked to a column I wrote for MPNforum, an online magazine for people, or loved ones of people, with myeloproliferative neoplasms (MPNs). 

My heart goes out to my fellow "MPNers", who regularly demonstrate empathy and compassion for others in their posts on support sites on Facebook, such as Polycythemia Supportive Friends, and MPN Foum.

Since I have started blogging, I have found many inspiring and helpful blogs, websites and social media sites that address the topics of empathy, compassion and patient engagement. Links to these sites are available in the right column of the EmpathyWorks blog page. I particularly recommend Edwin Rutsch's Culture of Empathy website, a treasure trove of links, resources and commentary on empathy and its application to a wide range of topics, from health care to education to international relations.

You will also find links to organizations that focus on training clinicians in patient-centered communication skills, such as the American Academy on Communication in Healthcare (AACH) and the Institute for Healthcare Communication (IHC). IHC and AACH have played critical roles in my personal and professional development as an educator and advocate for patient-centered communication training.

Other organizations, such as Center for Advancing Health and the Institute for Patient and Family-Centered Care offer approaches and resources for advancing patient and family engagement at all levels of health care, from patient involvement in self-care and self-management to patient and family engagement in health care policy and health system redesign.

I hope you will continue to visit EmpathyWorks and that you will also share your reactions, insights and resources.

Enjoy!

Michael

Bernie Lown is My Hero

Bernie Lown is my hero and a exemplary role model for physician healers, scientists, and social activists.

As co-founder of International Physicians for the Prevention of Nuclear War, Bernie Lown accepted the Nobel Peace Prize for this organization in 1985. Before that, we was one of the founders of Physicians for Social Responsibility. An accomplished academic cardiologist, he actually has an arrhythmia named after him, the Lown-Ganong-Levine Syndrome. (Please don't ask me to describe it). Bernie is a medical inventor as well. He developed the first direct current defibrillator and still holds an academic position as Professor of Cardiology Emeritus at the Harvard School of Public Health.

For decades, Bernie has been an outspoken critic of the growing medical industrial complex and the business of medicine. He writes eloquently about how these developments contribute to infatuation with and overuse of technology, overtreatment, waste of health care resources, escalating health care expenditures and, most importantly, unnecessary harms to patients.

Now in his 90s, Bernie is still voicing his concerns, as well as encouraging medical practitioners to return to the core values and behaviors that characterized medicine before it became a business. These principles include:

• listen to your patients and to their "stories";
• put patients and their needs, values and preferences at the center of your attention;
• build and nurture healing relationships with patients, using empathy and compassion;  
• evaluate new and emerging technologies carefully and choose wisely;
• engage patients and caregivers in informed and shared decision-making; and
• focus on enabling and empowering patients to help them stay healthy and engage in self-care and self-management.

These principles were the bedrock of good medical care when Bernie, and my dad, completed medical school in the 1940's. I dare say they were core elements of medical training in the days of Flexner and Francis Peabody, when my grandfather trained in the early 20th century. As Francis Peabody remarked in 1927, "One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is the caring for the patient."

Recently, a wonderful interview with Bernie was published on a blog created by Melanie Lown, a communication specialist and Bernie's granddaughter. See: The Lown Conversation.

Melanie is the daughter of Beth Lown, Bernie's daughter, a friend and colleague and a wonderful physician and educator. (See the photo on The Lown Conversation blog of Bernie and 6 year old daughter Beth, taken when Bernie arrived in Boston after accepting the Nobel Peace Prize.)

See also the following sources for more vintage Bernie:

• Lown lecture on Avoidable Harms - 2012
• Bernard Lown's Blog