"Medicine as an art" implies that there is something in medicine beyond the limit of science The practice of medicine is far more than the simple application of scientific principles to a particular biologic aberration The communication between a doctor and a patient is the core component of medical practice but little attention has been generally drawn to it. This study shows three types of doctor's reading on 'patient' as an alternative model to see the doctor-patient communication on the basis of the concept of 'patient as a text' and Bakhtin's narrative theory They are monologic dialogic and discontinuous readings In the monologic reading the doctor has one-sidedly the whole power in communication and it reflects only the doctor's point of view The doctor mainly concerns for the disease and its treatment In the dialogic reading the power of doctor-patient is shared and their views are reflected each other The doctor should consider the patient as a human and understand his social and psychological surroundings If the patient refuses to be treated especially in the case of terminal cancer patient he has nothing to do with his doctor Therefore the discontinuous reading can be applied and in result no communication takes place between them. To evaluate the proposed types of the doctor's reading on patient the three types can be applied to the scene of doctor-patient meeting in the novels The meetings of lieutenant Sung and medical officers in Sending Back by Jung-In Suh are in accordance with the type of monologic reading In Wan-Seo Park's Three Days in the Fall the type of dialogic reading can be applied to that of the doctor I's lives with her patients In Yong-Moon Chun's The Days of Dead Doctors the type of discontinuous reading can be applied to the events between Haeng-Oh Kim and doctors in ICU And the 3 parts of The Heavens of Your Own by Chung-Joon Yi all of reading types can be equal to those of the hero whose figure and relationship with Sorok Island have changed throughout the work. The doctors should have abundant experiences of life to make the dialogic reading possible The dialogic reading can be realized in its true sense only if they see the patient not as a disease but as a man and only if they make efforts to understand his circumstances
English Abstract ; History of Medicine, 20th Cent. ; Korea ; *Medicine in Literature ; Patients/*history ; *Physician-Patient Relations

Disasters, or mass casualty incidents, occurring in modern history differ from those occurring in even the recent past. In previous times, disasters were mostly the result of natural causes such as earthquakes or floods. Currently, multiple casualty incidents are often the result of human actions such as vehicular accidents involving many vehicles with multiple operators, passengers and collateral victims, terror attacks and acts of war, radiation accidents, toxic chemical releases, and pandemic infectious agent exposures. Especially, events involving accidental and intentional exposures of chemical, biological, radiological/nuclear materials, often abbreviated as CBR or CBRN events present unique challenges to the healthcare system in caring for the victims. In these mass casualty incidents, a fully comprehensive, coordinated team response involving many different components of the community healthcare system need to be mobilized to effectively meet the modern challenge of CBRN events. Necessary components of a modern emergency response include training for prompt triage, decontamination, detoxification, emergency medical treatment, as well as providing appropriate transport to the proper medical treatment facility. Meeting these challenges requires maintaining ongoing communications between agencies charged with meeting the disaster to allow acquisition of information and location for the patients, transfer the information to both the Central Medical Emergency Response Center and the designated hospital. While sharing this information was problematic in the past, modern wireless communications and information technologies provide convenient means for the rapid sharing of important patient data and current situational details. Finally, improving modern disaster response requires the development of a disaster response plan, ongoing training in implementing the plan including disaster scenario simulation, and budgeting to acquire the necessary equipment involved for the emergency response personnel to meet the presenting crisis.
Budgets ; Community Health Services ; Decontamination ; Delivery of Health Care ; Disasters* ; Earthquakes ; Emergencies* ; Emergency Medical Service Communication Systems ; Emergency Medical Services* ; Floods ; History, Modern 1601- ; Humans ; Mass Casualty Incidents ; Pandemics ; Radioactive Hazard Release ; Transportation of Patients ; Triage