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The Doctor's Art

The Pain of Others (with Dr. Haider Warraich)

The Doctor's Art

Henry Bair and Tyler Johnson

Medicine, Society & Culture, Health & Fitness, Philosophy

52.1K Ratings

🗓️ 17 January 2023

⏱️ 55 minutes

🧾️ Download transcript

Summary

Storytelling, pain, rage, and cultural competency are just some of the themes we will explore in this episode. Our guest, Dr. Haider Warraich, grew up and went to medical school in Pakistan before completing residency at Harvard Medical School and fellowship in cardiovascular medicine at Duke University Medical Center. Today, he is an assistant professor at Harvard Medical School and the associate director of the Heart Failure Program at the VA Boston Health Care System. A prolific writer, he contributes regularly to the New York Times, Washington Post, and others. He is the author of three books on medicine for the general audience, most recently 2022’s The Song of Our Scars: The Untold Story of Pain, which examines the nature of pain not only as a physical, but also a historical and cultural experience. Over the course of our conversation, Dr. Warraich compares his medical experiences in Pakistan and in the US, discusses why he strives to incorporate palliative care into his cardiology work, and offers an impassioned critique of how modern medicine fails to address patients' suffering.

In this episode, you will hear about:

  • How Dr. Warraich went from thinking of his medical training as an “arranged marriage” to loving the career - 2:10
  • How Dr. Warraich stays connected to his patients and his work despite the intense pressure and responsibility he experiences on a daily basis - 7:03
  • What drew Dr. Warraich to cardiology and end-of-life care - 13:22
  • Dr. Warraich’s reflections on the gaps in the care of patients with heart disease and how he now strives to reform the practice of cardiology - 17:33
  • A discussion of how the medical culture of Pakistan differs from the United States and how they can be shockingly similar - 22:06
  • How Tom Brady, the football quarterback, inspires Dr. Warraich to stay connected to the emotional core of his practice - 28:49
  • Why it’s important to stay in a field if you care about it, especially if you hope to change and improve it - 35:37
  • Dr. Warraich’s reflections on the nature of pain and how he hopes to change our cultural conversation around it - 41:38
  • How acute pain and chronic pain are very different processes and how we can address suffering as a subject and deeply personal experience - 45:17

You can follow Dr. Warraich on Twitter @haiderwarraich.

Dr. Haider Warraich is the author of several books, including The Song of Our Scars: The Untold Story of Pain, Modern Death: How Medicine Changed the End of Life, and State of the Heart: Exploring the History, Science, and Future of Cardiac Disease.

In this episode, we discuss the article “At the Edge of the Inside” by David Brooks, for the New York Times, and the book Just Mercy by Bryan Stevenson.

Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.

If you enjoyed this episode, please subscribe, rate, and review our show, and feel free to leave a suggestion in the comments or send an email to [email protected].

Copyright The Doctor’s Art Podcast 2023

Transcript

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0:00.0

Hi, I'm Henry Bear.

0:03.4

And I'm Tyler Johnson.

0:04.8

And you're listening to the Doctors' Art, a podcast that explores meaning in medicine.

0:09.9

Throughout our medical training and career, we have pondered, what makes medicine meaningful?

0:15.2

Can a stronger understanding of this meaning create better doctors?

0:18.8

How can we build healthcare institutions that nurture the doctor-patient connection?

0:23.2

What can we learn about the human condition from accompanying our patients in times of suffering?

0:28.0

In seeking answers to these questions, we meet with deep thinkers working across healthcare,

0:33.1

from doctors and nurses to patients and healthcare executives, those who have collected a career's

0:38.1

worth of harder and wisdom.

0:40.2

Proving the moral heart that beats at the core of medicine, we will hear stories that are

0:44.0

by turns heartbreaking, amusing, inspiring, challenging, and enlightening.

0:49.3

We welcome anyone curious about why doctors do what they do.

0:52.8

Join us as we think out loud about what illness and healing can teach us about some of

0:57.7

life's biggest questions.

1:03.1

Storytelling, palliative care, pain, rage, and cultural competency are just some of the

1:09.4

issues we will explore in this episode.

1:12.4

Our guest today, Dr. Heather Vorich, grew up and went to medical school in Pakistan before

1:17.6

completing residency at Harvard Medical School and fellowship in cardiovascular medicine at Duke

1:22.7

University Medical Center.

1:24.7

Today, he is an assistant professor at Harvard Medical School and the Associate Director

1:29.3

of the Heart Failure Program at the VA Boston Healthcare System.

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