“A really good liver” I remember when I was a medical student the excitement of going round the wards with a keen doctor who would take us to feel a “really good spleen” or listen to an “interesting cardiac murmur”. Like my fellow students in our new, pristine white coats, I was very excited. However, something in me rebelled and a little voice said, “This isn’t quite right”. It was not that we did not greet the patient, ask permission to examine and do all that medical etiquette and politeness required

Evolution of medicine and of the hospital. Through the centuries, the European hospital has gone through a real metamorphosis.
Starting from the “Hospitalis Domus”, the house where guests were received during the first centuries of our era, the hospital was primarily the place where Christian charity was exercised through all ages.

I am specialised in anaesthesia and I have other specialisations in pain therapy, acupuncture and palliative medicine. I work with 5 colleagues in a specialised medical surgery. (In Germany the national health system has two branches: hospitals and medical clinics/surgeries). Our clinic for pain therapy and palliative medicine, is the biggest medical surgery for the therapy of chronic pain in Germany.

Right from the beginning of my professional career, it was very clear for me that the patient had to occupy centre stage. As I practised medicine, I understood that this preference had to be translated into practical choices, which were sometimes small but nonetheless fundamental.

We have reflected on the importance of communication and the art of interrelating in Medicine. My task now is to talk about the significance and value of reciprocity.

It is our conviction that knowing how to communicate and to enter into a relationship with another – whether this person is a colleague, a health worker, a patient or his/her relatives – requires a step farther: to arrive at a reciprocal relationship.

The preoperative diagnosis of ovarian masses is essential to provide an appropriate clinical treatment. The introduction of transvaginal ultrasonography has given us the opportunity to obtain preoperative diagnostic parameters which offer extraordinary diagnostic accuracy.

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