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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
      Replying to @DrUmeshPrabhu @C7RKY and

      Put an 85y patient with end stage renal failure before 2 renal Physicians, one will persuade patient to have dialysis and the other persuade patient to not have dialysis such is the power of the Doctor We should at least know the power of our position

      5 replies 10 retweets 18 likes
    2. DocXology‏ @dymonite69 Oct 7
      Replying to @doctorcaldwell @DrUmeshPrabhu and

      How about give the patient the options and probable outcomes for each and let them decide?

      3 replies 4 retweets 8 likes
    3. John Clarke‏ @C7RKY Oct 7
      Replying to @dymonite69 @doctorcaldwell and

      YES!! Informed consent is alive and it lives down under - thank you! That's exactly what I expect as a patient.

      2 replies 2 retweets 5 likes
    4. Yoseph Elkaim L.L.B ACAMS‏ @TheRealYElkaim Oct 7
      Replying to @C7RKY @dymonite69 and

      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!

      2 replies 3 retweets 2 likes
    5. stendec #FBPE 54%‏ @stendec6 Oct 7
      Replying to @TheRealYElkaim @C7RKY and

      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.

      1 reply 1 retweet 2 likes
    6. DocXology‏ @dymonite69 Oct 7
      Replying to @stendec6 @TheRealYElkaim and

      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?

      5 replies 3 retweets 1 like
    7. Dr Umesh Prabhu‏ @DrUmeshPrabhu Oct 7
      Replying to @dymonite69 @stendec6 and

      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

      2 replies 0 retweets 4 likes
    8. DocXology‏ @dymonite69 Oct 8
      Replying to @DrUmeshPrabhu @stendec6 and

      I suspect that some clinicians just make it simple for themselves by telling the patient what to do.

      2 replies 2 retweets 0 likes
    9. John Clarke‏ @C7RKY Oct 8
      Replying to @dymonite69 @DrUmeshPrabhu and

      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.

      1 reply 2 retweets 1 like
    10. Yoseph Elkaim L.L.B ACAMS‏ @TheRealYElkaim Oct 8
      Replying to @C7RKY @dymonite69 and

      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.

      2 replies 1 retweet 2 likes
      John Clarke‏ @C7RKY Oct 8
      Replying to @TheRealYElkaim @dymonite69 and

      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.

      3:37 AM - 8 Oct 2018
      1 reply 0 retweets 0 likes
        1. Yoseph Elkaim L.L.B ACAMS‏ @TheRealYElkaim Oct 8
          Replying to @C7RKY @dymonite69 and

          John, I come from a compliance background. My responsibility to my clients and patients is predicated on full disclosure. Once we break down the walls of ambiguity, only then does the real healing begin...I am right there with you!

          0 replies 0 retweets 1 like
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