ABSTRACT

This chapter suggests that the clinicians broaden their range and solve more problems. At the risk of oversimplifying, it suggests that two keys are all that clinicians need to open up therapeutic spaces and possibilities. The first magic key is to realize that emotion is crucially important in clinical work, on more than one level. The second key is to be persistently curious about how ‘the world’ is seen and understood by the patient and relatives, acknowledging that every single person on earth has a unique view of reality, with its own logic. There is a third essential key to good doctoring in complicated landscapes: a solid grasp of biomedicine. The chapter considers several versions of a chest pain consultation within which the biomedical concerns remain constant, while the personal characteristics vary. It deals with a version in which the patient belongs to the majority, non-migrant population.