In addition, the medical establishment has a clearly terraced power and prestige structure. The various kinds of health workers well understand the level of their jobs in this structure, and they well understand, too, that M.D.s sit at the top. No one may overrule a doctor's judgment in a case, except, perhaps, another doctor of higher rank. Consequently, a long-established tradition of automatic obedience to doctors' orders has developed among health care staffs. The worrisome possibility arises, then, that when a physician makes a clear error, no one lower in the hierarchy will think to question it-precisely because, once a legitimate authority has given an order, subordinates stop thinkin9 in the sit- uation and start reacting. Mix this kind of click, whirr response into a complex hospi- tal environment and mistakes are inevitable. Indeed, according to the Institute of Medicine, which advises the U.S. Congress on health policy, hospitalized patients
For example, it is likely you won't feel any emotion when you are told that someone's car has been stolen, but when it is your car, you will probably feel upset. It is amazing how much emotion a little mental concept like “my” can generate. Al though the body is very intelligent, it cannot tell the difference between an actual situation and a thought. It reacts to every thought as if it were a reality. It doesn't know it is just a thought. To the body, a worrisome, fearful thought means “I am in danger,” and it responds accordingly, even though you may be lying in a warm and comfortable bed at night. Th heart beats faster, muscles contract, breathing becomes rapid. There is a buildup of energy, but since the danger is only a mental fiction, the energy has no outlet. Part of it is fed back to the mind and generates even more anxious thought. The rest of the energy turns toxic and interferes with the harmonious functioning of the body.
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