
A smart, preferably middle or old aged (if young, you have to be much much more smarter ;-) ; some grey hairs and a pair of glasses would do wonders), listening with patience to all the woes, interrogating equally precisely, expressing ample empathetic gestures, examining with leisure and in details, with the magical circular instrument that conveys the rightful message of the heart and soul of the patient to the keen ears of the doctor, thereby interpreting an accurate diagnosis and prescribing an appropriate treatment probably constitutes the essence of an ideal medical cure. This is the scene that most of us expect to happen to ourselves, if we were to fall ill. Having been a doctor myself, i personally would have the threshold of expectations much higher for myself and my kin. The whole process reminds me of some classic black and white movies watched during my early childhood days that portrayed some short but influential roles of a physician. So far, we have emphasized on the art of medicine, which would be meaning and effectless, without the scientific aspects associated methodology of examination, interpreting clinical signs, rationale of differentials, ordering labs and prescribing the most appropriate cure.
So, what constitutes a good doctor? The first and foremost quality is without doubt, the soul or character and the ingredients of a good human being, and I guess that is where most of us fail to claim, if we were to be very true to ourselves. A good command over both the art and science of medicine is the next and indispensable. Ages of experience is indeed a bonus. Just to supplement to the diagnostic algorithm are multiple investigative modalities. Our magical elastic coils with a couple of ear-pieces is one of the classics, amongst all and by far carries the most important impression on patients. Much miracles have been done with stethoscope dating the years after its invention and it still continues to do so. The biggest magic however has been cast on the patients’ mindset, signifying as the wizard’s magic stick to override the spells. Physicians too have utilized its symbolic glory enthusiastically on their part. There have been medical humors about over-enthusiastic doctors poking with their steths on sites wherever patient complaints, including areas like head, legs and arms, just for taking care of the psychological part of healing.
On the part of patients, whatever their illness maybe, auscultation with steth remains an important aspect of cure, irrespective of its actual need. Having said that, medically the wizard stick has its uses beyond the conventional chest, cardiac and alimentary system examination and a medical student might add some more to the diagnostic benefits offered by the steth.
However, with increasing sophistication of medical technologies that have enhanced the diagnostic accuracy and minimized the possibility of errors ( radiographs, CT Scans), and with doctors relying less and less on this emblem of cure, is stethoscope losing its significance as ‘the weapon’ for disease diagnosis? Have we forgotten the magic of this wonderful instrument and made it just as an emblem? Is this important, age old ritual on the verge of a gradual extinction? Something to ponder upon.