carl.keldie at GMAIL.COM
Mon Oct 21 19:25:55 UTC 2013
One of the most liberating moments for my practice in emergency medicine when I started to say " I don't know"
I often couched the news as a good thing as I was looking for dx that we're serious
And of course the need to rtn for worsening or new symptoms
Sent from my iPhone
> On Oct 21, 2013, at 11:46 AM, Lorenzo Alonso <ljalonso at UMA.ES> wrote:
> I find very interesting the attitude for a doctor to say "I don,t know"
> instead of "inventing" diagnosis , reassuring to the patient about the
> follow-up and giving him or her advices about symptoms or situations for a
> quick consultation (I have a particular example with a young patient with
> several visits to the ED for abdominal discomfort; after some explanations
> such as "meteorism" the patient said to the surgeon: excuse doctor but
> another doctor told me that meteorism is not a diagnosis. The surgeon
> asked for more test and a diagnosis of Cronh,s disease was established.
> Other aspect is the active role for the patient: example ovarian cancer is
> still a disease diagnosed late. I say to my patients to ask for it to the
> gynecologist in a normal gynecologic visit where usually only uterine or
> cervical cancer is despicted.
> Lorenzo Alonso
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society for Improving Diagnosis in Medicine
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