Breaking the silence: The connection between unlicensed medical practice and HIV/AIDS epidemic in Pakistan

Two widely quoted sayings about the importance of hearing compared with vision, are considered.The words “not to see will distance me from things, while not to listen will distance me from people” have been attributed to Immanuel Kant. The similar words “blindness cuts us off from things, but deafness cuts us off from people” have been attributed to Helen Keller.Neither attribution seems to be correct. Both authors however, had insights into hearing versus seeing. From there, we can reflect upon hearing versus listening, and consider in what ways deaf persons may think (for example, speech-words, sign gestures, emotions, or facial expressions). Listening is a prerequisite to having a meaningful dialogue, in order to come to know truth.Having an open and reflective dialogue is arguably the foundation for shared decision-making, aimed at helping patients and clinicians decide what course of action will maximize their good, in their clinical situation.