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Dr. Abraham Verghese tells us that we have advanced much in diagnostic procedures over
the years, but perhaps a little too much that current diagnostic procedures involving modern
technologies are taking away the essence of humanity that many patients seek for when
In my opinion, in the context of Malaysia, most patient visit the doctor because they are
expecting to be examined physically by the doctor. This is because medication that a doctor
prescribes can also be bought over-the-counter at a pharmacy and most diagnostic procedures
can be done without a doctors referral at private centres. That being said, when patients visit
a doctor, they are truly expecting an experience where the doctor can emotionally comfort the
patients by carrying out the procedures such as detailed medical interview and physical
examination. It can be said that the process of physical examination results in a placebo effect
whereby the patient is psychologically tuned to feel better because of the care and time
the patients are ruined and the outcome of consultation is affected when a practitioner skips
Through this video, I have come to realize how a physical examination may directly or
indirectly strengthen the doctor-patient relationship. The process of obtaining consent for
exposure of patients body parts and explanation of entire examination procedure itself is
enough to show to the patient that the doctor respects the dignity of the patient. During the
process of hands-on examination, the patient frequently exposes one or more part of their
body, which leaves them in a weaker emotional state which shifts the power to the doctors
hands. Yet, if the doctor is humble enough to not take advantage of the patients vulnerable
state and acts professionally, the patient will go home feelings emotionally satisfied as their
that carrying out a physical examination after gaining informed consent will benefit both the
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