Patients, please I beg you, don’t mention politics during our 10-15 minute appointment. It makes things feel weird and gross, regardless of your political views. We have 2 minutes of small talk, just tell me about the yard work you have planned this weekend & we’ll call it a day
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Replying to @DGlaucomflecken
Love you. Super disagree. Politics defines *everything* we do in medicine.
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Replying to @DrChristineMann @DGlaucomflecken
Please explain to me the politics of manual rectal disimpaction.
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Replying to @drneeley87 @DGlaucomflecken
1. The availability of fiber rich foods to people of low income is political. 2. The ability of the elderly to have high quality care in nursing homes and assisted living is political. 3. Coverage for medications and treatment for fecal impactions is political.
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4. The availability of qualified doctors trained in disimpaction is political. 5. The ratio of nurses to patients in the hospital caring for the patient is political. 6. The reimbursement rate for the disimpaction is political. I can go on.
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Replying to @DrChristineMann @drneeley87
So do you discuss all that while you’re disimpacting them?
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That’s up to the patient. I never bring politics up, but if they do, I will take the time to discuss with them. Haven’t done it during a disimpaction, but have during I&Ds and definitely during PEs. But it always depends on what *they* ask and want to discuss.
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