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Proper doctoring

Author: David Mendel
Publisher: Berlin ; New York : Springer-Verlag, 1984.
Edition/Format:   Print book : EnglishView all editions and formats
Summary:

There are many textbooks which give detailed descriptions of the causes, clinical features and treatment of disease.

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Document Type: Book
All Authors / Contributors: David Mendel
ISBN: 038713686X 9780387136868 354013686X 9783540136866
OCLC Number: 11113137
Notes: Includes index.
Description: 177 pages ; 21 cm
Contents: 1 The Job Description.- The Importance of Common-sense.- Polishing your Performance.- Craftsmanship.- Patient Handling, or Why Medicine Is Not Mechanics.- The Doctor-Patient Relationship from the Doctor's End.- Doctors and the Media.- Too Clever by Half.- The Need for Role-Playing in Medicine.- Rehearsing your Role.- Type-cast by Nature.- Playing your Role.- Looking the Part.- Confidentiality.- 2 Taking the History.- Before Calling the Patient In.- The Patient's Stance.- The Doctor's Stance.- Meeting the Patient.- Taking the History: Why and How.- The Patient's Story.- How To Ask Questions.- Getting the Answers.- How Am I Doing?.- Diagnosis.- `Difficult' Patients.- Children.- Third Parties.- Confidentiality.- Writing Up the History.- Past History, Family History and Social History.- 3 Examination of the Patient.- Preparing for the Examination: Putting the Patient at Ease.- The Doctor's Stance During the Examination.- Getting the Hang of Physical Signs.- The Actual Examination.- Evaluating the Physical Signs.- 4 In the Ward.- The Effect of Ward Life on the PatientTalking to Patients.- Decision-Making at the Bedside.- The Megaround.- Dodging the Column.- Changing the Medication.- Discharge from Hospital.- Ward Notes.- 5 Investigation.- Factors Influencing the Ordering of Tests.- Is the Test Worth While?.- Telling the Patient About Tests.- The Actual Investigation.- When Things Go Wrong.- The Patient Who Refuses To Have a Test Done.- The Interpretation of Tests.- Telling the Patient About the Results of the Tests.- Filing of Results.- 6 On the Art of Diagnosis.- The Logical Basis of Diagnosis.- Pattern Recognition.- The Physiological Approach; Goodness of Fit: The Basis of Pattern Recognition.- The Importance of `Mechanisms'.- Attitude to Information; Incommensurable Values.- Making the Diagnosis.- 7 Advice and Explanation.- Deciding What Advice To Give.- The Consultation.- Building Up the Doctor-Patient Relationship.- How Much To Tell the Patient; Explanation.- Reassurance; Helping the Patient to Adjust to the Facts.- If the Patient Rejects your Advice.- Drugs.- Fatal Diseases and Death.- 8 Attitude to Colleagues.- Hearsay Second Opinions.- Colleagues as Patients.- Relations with Non medical Colleagues.- Envoi.- The Response to Change.- Unchanging Aspects.
Responsibility: David Mendel.

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