Doctor-Patient Relationships

Nov 1, 2000 Issue
A Doctor Who Is Blamed for a Patients' Condition [Curbside Consultation]

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...

Sep 1, 2000 Issue
The Seductive Patient [Curbside Consultation]

It is likely that all physicians, regardless of training, would recognize that this case scenario deals with a seductive patient.

Aug 15, 2000 Issue
A Dying Patient, Like Me? [Curbside Consultation]

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?

May 1, 2000 Issue
What Your Patients Don't Tell You [Curbside Consultation]

Why is such critical information about patients and their lives so frequently left unsaid? There are a myriad of possible explanations.

Apr 1, 2000 Issue
A Potentially Violent Patient? [Curbside Consultation]

There is probably no situation more difficult for the physician than working effectively with a potentially violent patient.

Mar 1, 2000 Issue
Bending the Rules to Get a Medication [Curbside Consultation]

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.

Feb 1, 2000 Issue
Setting Limits on Demanding Patients [Curbside Consultation]

The first step in addressing unnecessary demands is to ascertain the patient's needs.

Sep 1, 1999 Issue
Disclosing the Truth About a Medical Error [Curbside Consultation]

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...

Feb 1, 1999 Issue
When a Parent Insists on Antibiotics for a Virus [Curbside Consultation]

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...

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