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Showing posts with label Philosophy. Show all posts
Showing posts with label Philosophy. Show all posts

Is it all right for doctors to lie ?

Posted by nurul Tuesday, June 1, 2010 0 comments

In this day and age of patient empowerment, the simple answer to this question is - No ! Doctors have a moral obligation to tell the truth to their patients - and they should be frank and forthright, even when providing bad news.

Reality is of course far more complex ! Sometimes telling the truth may not be in the patient's best interests, but it's often much safer and easier for doctors to tell the unvarnished truth, if they want to protect themselves from lawsuits ! Most thoughtless doctors will adopt this approach, so as to avoid problems for themselves and to save them the time and trouble of having to think about what to tell the patient and how to do so.

Good doctors, on the other hand, understand that they have an obligation and duty which is far more complex. They will tell the truth, but in such a way that the patient they are talking to will find this palatable.

The truth is that there are many ways of telling the truth and kind doctors will adapt their style according to their patient's needs . It's an integral part of the doctor's role to never take away a patient's hope - and all doctors know that often their ability to provide a prognosis is flawed and unreliable. It never hurts to be kind and good doctors will tailor the way they tell the truth to their patients and the family members.

There is no simple formula which can be applied mindlessly to all situations. This is a skill which needs to be learned the hard way - through trial and error, and time is the best teacher. A thoughtful doctor learns with experience, and how a doctor tells the patient an unpleasant truth is one of the major differences between a good doctor and a bad doctor !
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Why I prefer website referrals

Posted by nurul Thursday, April 29, 2010 0 comments

The source of patient referrals for most doctors has been other doctors. This is often a very cozy system, especially amongst doctors who practise in a hospital setting, who will often refer patients to one another.

For us , however, our major source of patient referrals is other patients - and our website ! I prefer this , for many reasons !

Firstly, I do not need to give any kickback or commission to the referring doctor. I am answerable only to my patients, which means I can focus on doing what is in the patient's best interests.

Also, website referrals automatically select for the type of patient we prefer treating - intelligent, curious, well-informed and well-read patients , who take an active interest in their treatment and want to be treated as intelligent partners. These internet positive patients are aware, do their own homework and do not blindly follow a doctor's orders. Not only is it much more fun to treat such patients, it's also a lot easier, because they have realistic expectations from the treatment and are appreciative of the hard work we put in to help them to have a baby ! Even better, because they are inquisitive , they often teach me a lot , based on their own research and experience - I can have intelligent conversations with them, which keeps me on my toes ! I feel it's important that the doctor-patient chemistry be right, and this kind of patient meshes very well with our philosophy of patient empowerment.


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