There's been a lot of talk about things like: "pride",
"embarrassment", "reassurance" (whose?) and things like: "honesty",
"rationalisation of shortcuts", "the five-fingered gloved hand",
"the invisible finger".....etc. etc.
I'd just like to ask this: how many of us can *honestly* say that
sticking the finger has *frequently*:
a) produced a meaningful finding
b) significantly altered one's first impressions
c) prevented you from referring a ? appx
d) made decide that this lump or that prostate is definitely this
or difinitely that or the other???
There are things in medicine that *need* a work up. There are other
things that do not.
I refer the former and try and manage the latter.
Big deal if Mr Cuttem or Mr Choppem said what a clever little GP I
am.
Quite honestly, I don't give a finger(!). Hospitals will deal with
what they know and I will deal with what I know and I am not after
citations or brownie points down at the club. No thanks!
Ahmad
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Ahmad Risk MB BCh
home tel: +44(1293)782255 fax: +44(1737)244660
http://www.cybermedic.org/
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