For the record, I don't believe in shared decision making. I believe it's my decision and mine alone. A clinician's role is to guide me in that decision using their specialist knowledge. Always more likely we'll defer to 'expertise' in an emergency situation though. Me included.
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Replying to @C7RKY @bill_russell3 and
But so often we Doctors make the decisions ‘You will have these blood tests, these X rays and scans’ with no or little explanation
3 replies 6 retweets 8 likes -
Replying to @doctorcaldwell @C7RKY and
Doctors hold so much power in the Patient Doctor Consultation that we greatly influence the patient’s decisions
@trishgreenhalgh@JohnLauner2 replies 7 retweets 10 likes -
Replying to @doctorcaldwell @C7RKY and
#doctors are powerful so we must never misuse that power and use it always for the#patients benefit and not our benefit. Doctor and leader is simply serving humanity with sincerity honesty and integrity@willcpowell@GarethR08754256@didoharding@RobBehrens1884@RameshMehta152 replies 3 retweets 9 likes -
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 -
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 -
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 -
Replying to @DeirinDC @dymonite69 and
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 …
1 reply 0 retweets 1 like
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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