The case of the invisible patient, the I-patient who exists just on the physician’s computer monitor as so much data, while the real live patient in the bed is ignored, has become an important issue for Verghese, both in work and his writing.
“I think that there’s a very special transaction that takes place between physician and the patient during the course of a careful examination,” he says. “It’s during that exam when the physician touches you and pulls your eyelid down and looks into your eyes and thumps on your chest – that’s when a very ritualistic bond is formed and if you shortchange that by just sitting behind your desk and saying ‘Let’s send you for this test, let’s send you for that test,’ you have essentially shortchanged yourself from an important transaction.”