TABLE 7

Lessons acquired by physicians when writing and how they relate to the narrative style

“Core” parallel charts“Contingent” parallel charts“Moral” parallel charts
From this experience, I've learned …
 To be perseverant13% (n=16)12% (n=15)16% (n=6)
“I have learned that even slight improvements need to be pursued to improve the quality of life of each individual!”
“You have to wait patiently for the result”
 New aspects of COPD16% (n=20)28% (n=35)13% (n=5)
  management
“Too many times we focus only on the superficial and mainly clinical aspects; in the case of a COPD patient, smoking is often a hint, a sign of other types of discomfort”
“The pharmacological prescription alone, if not accompanied by proper education, is unlikely to succeed”
 The importance of true72% (n=90)60% (n=75)71% (n=27)
  listening
“From the relationship with this patient, I learned that we must first cure the wounded soul of the lion, and only then intervene on the pathology”
“That very often the quality of life and the resumption of a previously lost activity is much more important to the patient than having improved functional parameters or laboratory data”
“We physicians are focused on the perfect diagnosis, but in this relationship I learned that often the patient makes the diagnosis, we are the translators of expressions and clues. As investigators, we can find the solution among the smallest clues, those hidden in the heart of the people”
  • COPD: chronic obstructive pulmonary disease.