Thank you,I argued for years, that and patient is non-compliant and or has failed treatment. I as just an NP took time to hear and understand how treatment did not work, what barriers confront the person. If you listen,you will have your answers
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These terms have become part of the medical lexicon and need to be promptly removed.
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But sometimes after the attending talks to the patient... "um... Yea ok you were right"
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This line of thinking pissed me off at times. It's basically an assumption that the other doctor is incompetent. In some cases the history is NOT CLEAR! That's a fact, patients are different. You may end up upsetting them by grilling them over something they've trully forgotten
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What I hear is someone who has dealt with intoxicated or demented patients.
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Me: When was your operation? Them: Well, it might have been 96, or maybe 2002. Was it the left or the right? I don't really remember. Me: What hospital were you in? Them: I'm not really sure. It might have been Suburban, or maybe Sibley, 1/
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yeah I gotta disagree. I prefer "limited historian" but most of my pts are older, some answer yes to anything you ask no matter how it's phrased Including open ended questions, others refuse to wear hearing aids so despite yelling questions, they're guessing what you asked, etc.
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For neurology (and medicine) there may be an organic reason for the altered mentation. My characterizing this deficit is part of my exam
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Me: Do you have any past medical history? Patient: Its all in that chart you’re holding. Me: This is a piece of paper that I found on the ground, *shows paper* see there is a shoe print on it. Patient: Well, then I don’t know.
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Some are really poor historians- or did academia suddenly start paying more?

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In all seriousness, if the patient IS a poor historian, you would do well to note why.

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, cinephile 

, cyclist
who works as a General & Interventional Cardiologist
with interests in