By Kevin Headly
With the skyrocketing costs of health care, and the
increasing tendency on the part of the medical industry to treat
patients as sources of profit rather than as human beings, it is
no surprise that the integrity of members of the medical profession
has come into question. Despite the widespread skepticism regarding
doctors however, there are many notable exceptions. These noble
professionals are men and women who are governed primarily by compassion
and who strive to genuinely care for their patients. One such physician
is Dr. Denis Bouvier.
A senior physician in the Palliative Care Unit of Saint Mary's
Hospital and medical director of Hospice by the Bay, Dr. Bouvier
is a devoted caregiver and teacher. Though the onset of the AIDS
epidemic changed the nature of his practice from oncology to HIV
and AIDS, his focus has always remained the same: caring for patients
facing life-threatening illnesses. "Caring for the dying is
a sad experience," he acknowledges. "However, if done
well, it can be extremely rewarding for all involved, patient and
physician."
Though his devotion to his patients as a caregiver is vitally important,
Denis also values his role as an educator. He spends a considerable
amount of time educating younger physicians on how to treat dying
patients not only medically but also psychologically and emotionally.
Denis finds teaching to be an extremly rewarding experience, one
that enables him to keep in perspective all that he himself has
learned. As he puts it, "Oftentimes it is in the telling of
a story that things really become crystalized."
Denis often uses film during his lectures to younger physicians.
He has been a Film Society member since 1999, when he heard about
us on KQED. "Films surrounding people facing grief and bereavement
have been very useful in teaching people what it is like to go through
that experience." Dennis is a lover of film, and believes in
its ability to touch us deeply. "That's the power of film,"
he claims, "It demands of the viewers that they pay attention
and synthesize things, sort things out. "And in the end, it
allows them to come to some conclusion, having learned something,
not just about the film, but about themselves as well."
Among his favorites is Alfonso Cuarón's Y Tu Mamá
También, the runaway hit from Mexico about a woman dealing
with the reality of her impending death. "This film I think
so clearly demonstrates how the voluntary acceptance of the inevitable
can be a liberating experience and can allow someone to move forward
and experience things that they likely would not have otherwise."
Another favorite of his is Alejandro González Iñárritu's
Amores Perros, a film that demonstrates that, more than anything,
we are the products of what we have lost.
Despite his belief in the power of film to move and teach us, Denis
also recognizes that nothing comes close to the actual experience.
"No amount of learning can prepare you for the first time you
have to stand at the bedside and look into the eyes of a dying patient."
There is no escape, you can't help but make a connection. That's
why, he adds, "Thirty seconds with a patient is more valuable
than 100 hours in the classroom."
It's not hard to imagine that someone in Denis's position would
develop a preoccupation with death. However, this isn't the case
at all. "Working with the dying has taught me nothing about
death, but a great deal about life." When asked about the wisdom
his patients have imparted, he replies simply, "More than anything,
my patients teach me the importance of being authentic," he
stressed. "You can't afford to waste their time, because there
is no time."
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