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HomeLast Word → The Dangers of Practicing Medicine Without Context

The Dangers of Practicing Medicine Without Context Print E-mail
Written by A Country Doctor Writes   
Friday, 08 February 2019 13:32
 
We once had a locum provider who spent a great deal of time reviewing each patient's record before each visit. He would then enter the room and proceed to "clean up" medication and problem lists. Everything he did was done without eliciting the back story from the patient or the record. All he looked at was the data, never the narrative. Patients were often bewildered, saying "he changed my medicines without even talking to me." It may sound great to only act on the facts, but real medicine is a lot messier than that. Sometimes we prescribe medications for more than one purpose: Amitriptyline may not be the theoretically best drug for neuropathy, but if the patient also has trouble sleeping and a history of migraines, it could solve three problems at once. And propranolol could be used for migraines, tremors, palpitations and stage fright. It may not be the best beta blocker for the average 70 kg male, but there aren't many of those around.
Last Updated on Friday, 08 February 2019 13:35
 


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