Hafter E
Schweiz Med Wochenschr. 1976 Feb 28;106(9):262-6.
In the 40 years since the foundation of the "Schweizerische Gesellschaft fur Gastroenterologie", medicine - and with it gastroenterology - have markedly changed. New diseases and syndromes have been discovered and others have disappeared. New knowledge in basic sciences influences progress in diagnosis and therapy. In diagnostic methods the most evident advances are fiberendoscopy, endophotography and biopsy, and progress in roentgenology and immunology. New drugs, new surgical methods and controlled trials have improved treatment. However, each advance has its drawbacks: the growing incidence of iatrogenic diseases, the overwhelming literature, the flood of congresses, the record-breaking mentality of many clinicians and the hunting and collecting instinct for "interesting cases". "Medical art", a notion difficult to define, is in danger of disappearing. It means a harmony of knowledge, skill experience, intuition and the predominant desire to help the patient. This means individualized medicine, which is only possible by sympathetic dialogue with the patient - not only by specialists in psychiatry or psychosomatics, but by every doctor. will be able to preserve medicine from inhumanity in spite of technology, rationalization and the computer?
自“瑞士胃肠病学会”成立40年来，医学——胃肠病学也随之——发生了显著变化。新的疾病和综合征被发现，其他一些则消失了。基础科学的新知识影响着诊断和治疗的进展。在诊断方法上，最显著的进展是纤维内镜检查、内镜摄影和活检，以及放射学和免疫学的进展。新药、新的手术方法和对照试验改善了治疗。然而，每一项进展都有其缺点：医源性疾病的发病率不断上升、文献数量庞大、会议泛滥、许多临床医生的破纪录心态以及对“有趣病例”的猎奇和收集本能。“医学技艺”，一个难以定义的概念，正面临消失的危险。它意味着知识、技能、经验、直觉以及帮助患者的主要愿望之间的和谐。这意味着个体化医疗，只有通过与患者进行同情性对话才有可能实现——不仅是精神科或身心医学专家，每个医生都应如此。尽管有技术、合理化和计算机，医生们是否能够使医学避免变得不人道？
