@C7RKY I don't think you were one of the 4 others John (I did look!) and I think you'll find the URL to Grimstone in the thread (not a long ruling to read).https://twitter.com/MikeStone2_EoL/status/956473191605723136 …
Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.
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Mike Stone Retweeted Mike Stone
@C7RKY I don't think you were one of the 4 others John (I did look!) and I think you'll find the URL to Grimstone in the thread (not a long ruling to read).https://twitter.com/MikeStone2_EoL/status/956473191605723136 …
Mike Stone added,
Yes, I've seen that Mike. My view is that he is obliged to explain all treatment options that are of overal benefit to the patient, not just his personal preference, whatever his reasons. It's the patient's decision to choose from the available options, not the surgeon's, imho.
1/2 I think it could be argued that the patient had limited the explanation necessary by stating her objectives - I covered that in my tweets. A bit more annoyingly - judges usually throw in 'would it have altered the outcome' a bit 'too liberally' I sometimes think. He isn't
2/2 supposed to involve his 'personal preference' but he clearly is expected to use his clinical expertise/knowledge in describing the likely clinical consequences of the options he describes (otherwise, why would you be asking?).
Understand the point you make about limiting her choice, but I still think there's plenty of reason to believe she should've been told all available options. If he'd complied with 9k alone, I reckon it would be enough to make most ask about other options. https://www.gmc-uk.org/guidance/ethical_guidance/consent_guidance_sharing_info_discussing_treatment_options.asp …pic.twitter.com/t6eFwe6V3e
Should also add that now, as well as expecting to be told of all available treatment options that are of overall benefit (however marginal), I also enquire as to what options were deemed not to be of overall benefit. That in itself is an opinion & I may want a 2nd one of those.
Yes - I think it is 'all clinically-effective options' with a description of how effective each is: sometimes you get the feeling that doctors think it is 'the most effective option' (or, just the 'more effective' options).
I think you make an important point. The impression I'm left with is that some doctors think it's ok to just talk about the 'best' option as they see it. But what's best is an opinion open to potential bias anyway and 9c on the image above is plural - 'options'. For a reason imho
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