Thread: Coronavirus
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Old 17.04.2021, 21:57
HickvonFrick HickvonFrick is offline
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Re: Coronavirus

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This is something we often discuss with OH and with colleagues here and in the UK (where he 'practised' and taught medicine for 40 years). The fact patients had to be registered with him in UK, and go through a process to change to another GP, meant 2 things. A) they were indeed stuck with each other for a while and b) it gave the GP a great opportunity to discuss and educate over a period of time.

Sometimes, a patient needs to be told the truth, and what is the cause and how to change the outcome without medical treatment or drugs. Being registered with a GP, as in the UK - means that if a patient reacts negatively to advice, for whatever reason- there is normally a way to discuss this again later, and find ways to limit medical intervention or drugs, or choose a different treatment, etc - to work together for a better outcome.

A doctor who gives the patients the drugs and treatment, surgical or otherwise, via referal or not- is not always the best doctor, and does not necessarily provide the best outcome.

A simple example. Patient presents with very bad chest cold, bordering on pneumonia, or full on pneumonia- for 3rd time in a year. Doctor knows s/he is a heavy smoker. Should doctor not upset the patient, and just hand over prescription for antibiotics, 3rd in a year, and over consecutive years a dozen or more. Or offer help and support to try and limit the amount of smoking and/or possibly stop it altogether. Knowing that it is truly in the patient's best interest.

Sometimes we all have to face facts, and that we can, most of us- be our worst enemies, medically speaking too.
I take the view that the role of a gp should be to offer advice on the various options available and then let the patient choose as long as it isn't dangerous or totally mad.
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