Dott. Gaetano Ricignolo
Medico Chirurgo
Specialista in Medicina Interna
Ecografia Eco-color-Doppler
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Visita Internistica, Ecografia, Eco-color-Doppler, Eco-interventistica Muscolo-Scheletrica
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PILLOLE DI MEDI-PRO: la magia delle parole
| Posted on July 15, 2018 at 9:35 AM |
PILLOLE DI MEDI-PRO FIRENZE
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La MAGIA DELLE PAROLE
Dopo tanti anni di visite, di persone, di storie ho la certezza di ciò che l'istinto prima e le conoscenze poi avevano suggerito.
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Le PAROLE sono magiche!
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Possono sortire effetti assolutamente meravigliosi, modificare la condizione mentale, l'umore, lo stato d'animo.
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Possono spalancare i cancelli della mente (e del corpo) e liberare risorse inaspettate, imprevedibili energie, indurre il cambiamento e l'evoluzione personale.
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Le PAROLE sono magiche! e curano, spesso più del farmaco.
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Le PAROLE sono il primo strumento terapeutico del medico, quando inserite in una sensibile, educata, evoluta strategia, quando sono usate per esprimere l'ARTE e la SCIENZA del LINGUAGGIO per la GUARIGIONE.
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Le PAROLE ... ed il SILENZIO.
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Il silenzio del medico che si dispone attivamente nella modalità dell'ASCOLTO.
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I primi minuti di colloquio con il paziente che si esprime liberamente e senza interruzioni esponendo i motivi che lo conducono alla visita sono FONDAMENTALI!
Lì c'è un po' tutto, il cosa, il quanto, il come, alcuni perché, il dove.
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L'obiezione in genere è sempre la stessa: "se lasciassi parlare tutti liberamente visiterei 1/5 dei pazienti".
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In realtà NON E' COSì.
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Lo studio Beckman-Frankel (1984) ha rilevato che la maggioranza dei medici interrompeva il proprio paziente 18 secondi dopo che aveva cominciato a parlare.
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Studi successivi hanno invece evidenziato che i pazienti, se lasciati parlare liberamente, concludono la loro STORIA in media in cinque minuti.
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In questi cinque minuti il professionista "educato" ad una comunicazione evoluta è aiutato a comprendere il mondo del paziente , o meglio la mappa, la rappresentazione del mondo che il paziente si è costruito.
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Citando il consiglio di Sir William Osler ai suoi studenti: "ascoltate il vostro paziente, sarà lui a darvi la diagnosi".
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Nella mia modesta esperienza, anche in attività che apparentemente non sembrerebbero avere bisogno di grande componente linguistica (per esempio durante una piuttosto tecnica seduta di terapie infiltrative ecoguidate per le patologie muscolo-scheletriche), l'uso consapevole dell'ASCOLTO aperto e delle PAROLE trovo che dia enormi risultati.
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In particolare sulla predisposizione del paziente alla guarigione, sull'orientare l'interpretazione corretta e funzionale degli eventuali sintomi e segni dopo la terapia, sulla consapevolezza e condivisione della strategia di cura.
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Tanto per capirsi: se al paziente, affermando la verità, diciamo che il dolore, eventualmente presente il giorno dopo un trattamento percutaneo per fascite plantare, E' UN DOLORE DI GUARIGIONE!, attiviamo un potente meccanismo di rappresentazione positiva, "sdrammatizziamo" il sintomo e attiviamo varie risorse interne.
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In breve: l'ASCOLTO facilita la comprensione e la diagnosi e le PAROLE potenziano la cura.
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(Dott. Gaetano Ricignolo Ecointerventistica Firenze Gaetano Ricignolo
Specialista in Medicina Interna
Diagnostica ecografia e vascolare
Eco-interventistica muscolo-Scheletrica)
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Studio Medico Medi-pro Firenze
Via Aretina, 167/M
Per info: 055 674584
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www.mediprofirenze.com
www.gaetanoricignolomedico.eu
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