Then that conversation is even more valuable
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I absolutely appreciate your point. It's a subject I've had cause to study (tho wish I hadn't). Are you familiar with the Montgomery ruling over here? That's shifted the balance somewhat - the patient's more important in deciding what should be disclosed. https://www.supremecourt.uk/decided-cases/docs/UKSC_2013_0136_Judgment.pdf …
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There's a shocker. Patient's best interests, eh? I'd recommend looking through the excellent blog of
@NigelPooleQC to gain perspective on the judgement. His latest 3-part offering begins here. Hope it helps. Good luck! https://nigelpooleqc.blogspot.com/2018/09/after-montgomery-part-one-bolam-returns.html …
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Informed consent.. still requires to be “informed” the line blurs when we as practitioners think we know best...any best practice is governed consultativeky not authoritatively...we all know this...let’s redefine the perception!
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But didn't Montgomery overrule that practice? I thought it was no longer for the doctor to decide what information they give to the patient.
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I fully support the concept of informed consent. The patient should be able to know everything relevant to making an un-biased decision. But there are a number of patients who are overwhelmed by the statistics and over-burdened by the weight of a decision. What then? Filter?
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Never make life complicated for
#patients. They are already anxious. Make it simple, truthful, honest and make a joint decision and that is true consent -
I suspect that some clinicians just make it simple for themselves by telling the patient what to do.
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Sounds like a simple way to possibly invalidate the patient's consent and potentially expose yourself to the risk of a criminal conviction to me. Consent is a red line that should never be crossed for a short-cut.
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No one is suggesting negating the patient opinion. Quite the opposite, patients are always first. I am simply suggesting that we need to have an open discussion with patients on what is really happening on a way where the playing field is u dermatitis by all equally.
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I agree with that. Yoseph. I was specifically referring the point about telling a patient what to do. Suggesting a 'best option' with accompanying reasons is ok with me, but it still needs to be part of explaining all clinically appropriate options for the patient to choose from.
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