Margaret McCartney: Trust the patient

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Margaret McCartney: Trust the patient.

Each year surveys tell us that doctors are the most trusted UK professionals, well above journalists and politicians. Trust can be quick or slow to grow, conditional, and tentative. But trust is best when it’s experiential, laid down in aliquots of conversation, gesture, and thinking silence, and built up through repeated contact over time. A trusting relationship doesn’t mean perfection. Rathe...

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Epilepsy services managed by nurses. Heart failure services run by pharmacists. General practices staffed by nurses who do almost everything, save for a GP here and there. Have expensive doctors outlived our usefulness in some (or many) quarters? What happens to a patient who gets intermittent mild breathlessness and chest ache sometimes, but not always, on exertion? History, examination: a lit...

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Margaret McCartney: Bad language.

Whether it’s related to remnants of paternalism or to the universal rise of the public relations industry, healthcare is littered with terminology that inadvertently or otherwise misleads, by concealing or distorting crucial information. From lazy language to deliberate doublespeak, some of my most loathed examples are below. Don’t we need a clear-out of this bad language? Words that mask auste...

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Margaret McCartney: Perfect people.

“I’ve literally moulded myself into Ivan’s fantasy woman,” writes Victoria, partner to the author of the Convince Her to Get Bigger Breasts manual. “I think it’s wrong for women not to pander to their men. If they feel like their husbands prefer blondes, I think you should be blonde. If you like bigger breasts, why not?” Victoria had surgery to increase her breasts from size 26D to 26K. Who are...

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Margaret McCartney: Christmas presents.

With Christmas come the presents, but since graduation they’ve caused me disquiet. They arrived, carefully and thoughtfully wrapped, some with notes and cards, some with just my name. In accepting gifts from patients, I was disturbed. I thought, firstly, that they were being given under false pretences. I wasn’t doing any more than the average doctor, maybe less: I’d made mistakes; had missed t...

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ژورنال

عنوان ژورنال: BMJ

سال: 2015

ISSN: 1756-1833

DOI: 10.1136/bmj.h3181