ITEMS IN AFP WITH KEYWORD:
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.
The scenario described above will become increasingly familiar to most practicing physicians over the next few years. Currently, we are witness to at least 40 million “medically indigent” patients without insurance and the number continues to increase.
The first step in addressing unnecessary demands is to ascertain the patient's needs.
Despite the frequency of mistakes in medical practice, there is no unequivocal formal guidance on how physicians should deal with medical errors.
May 1, 1999 Issue
Communicating Effectively with a Patient Who Has a Somatization Disorder [Curbside Consultation]
How did things go wrong in this physician-patient relationship? The patient ended up angry and distrustful of the physician. At what point did this lack of trust develop? One obvious trouble spot occurred when the patient only reluctantly agreed to see the psychiatrist. A referral to a mental health...
I believe that the problem here could have been avoided by acknowledging the mother's concerns and answering them specifically and directly. A recent study performed in Atlanta indicated that 84 percent of parents would accept a physician's decision not to prescribe antibiotics for a febrile illness...