ITEMS IN AFP WITH KEYWORD:
Although it is at odds with our predominant medical ethical culture, many families and patients desire nondisclosure of bad news. In several countries, including Greece, nondisclosure of difficult medical information is preferred.
The negotiation of boundaries in patient care can be a difficult process in many circumstances. Perhaps the thorniest negotiation is the one alluded to in this case scenario—how does a physician decide if a friend should be accepted as a patient?
The presence of family members at an office visit creates unique opportunities and challenges for the physician while interviewing the patient. The physician must address issues of confidentiality, privacy, and agency. Special skills are required to respectfully and efficiently involve family member...
Apr 1, 2001 Issue
What Should Physicians Tell About Themselves to Patients? [Curbside Consultation]
This physician's questions fall under the broad category of what physicians should tell about themselves to patients and, in this case, what physicians should tell patients about their own illnesses.
The title of this case scenario is emphatically appropriate because it describes the intense feelings that obese patients and those with difficult, chronic lifestyle issues evoke in their physicians. The author aptly describes feelings and reactions such as frustration, cynicism about the patient's ...
Our colleague faces the situation of having evaluated a patient with diffuse myalgias, fever and nausea. After finding evidence of liver damage and an abnormal CT scan, the patient refused an appropriately recommended MRI, resulting in a delay of the diagnosis of cholangiocarcinoma. The physician is...
It is likely that all physicians, regardless of training, would recognize that this case scenario deals with a seductive patient.
When should a physician disclose personal information to a patient, and what do we do when a particular case touches on our own suffering? At a deeper level, how do we deal with our own mortality in caring for the seriously ill and dying?
Why is such critical information about patients and their lives so frequently left unsaid? There are a myriad of possible explanations.
There is probably no situation more difficult for the physician than working effectively with a potentially violent patient.