In message <[log in to unmask]> you wrote:
> Oh my God! A heartsink doctor!
Pissed off, burnt out, tuned in, and proud of it!
> Hotch, if you sit in front of your
> patients looking miserable and burnt out (at 16 - desperate) and
> intimate that this treatment from the hospital which involves taking
> lots of pills and staying off the booze for a week or two isn't much
> cop, then they'll take the hint and not bother to take the treatment.
> So it won't work. Even staring-eyed fanatics like me have difficulty
> in persuading patients that they have to take the whole course and not
> stop it when the omeprazole or whatever relieves their pain.
I take your point to a degree. I believe in the maxim "Never say never
and never say always". I'm not going to prescribe double/triple therapy
and say "Take this, it'll cure you", which I know you're not suggesting
but I will encourage them to take the course. If my more astute patients
pick up on the fact that I'm not 100% convinced about the therapy then
we can have a chat about it. I'm more than willing to have an intelligent
conversation about life, medicine, my practice methods, whatever. I won't
knowingly lie to my patients (if there's a greater than 50% chance I'll
get found out).
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