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21-11-2005, 12:20 AM

Well,
1. Pain and suffering are two different things.
2. We have to treat the patient as a whole not the disease alone.
3. Definitely, this article will change the way I will practice.
4. My view:

It is frequently discussed matter in the ward teaching, Journal Club, Seminars, conferences, as we all know that speaking and doing things is also two different things. It was published in 1982, but this kind of thinking might have come long back Eric J. cassel. M.D. dared to come up with this idea to make aware the entire practicing doctor about it.

We must not forget that we are dealing with our family, parents, brother, sister they could be the next patient for us as well a doctor is also a father, mother, sister, brother and so on.

But we do encounter some problem like if a COPD patient doesn’t sleep and complain to a doctor what S/he will do as we know that diazepam like drugs can help the patient since s/he is suffering from COPD, diazepam causes respiratory depression as its adverse effect. What shall we do, we encounter many such situation everyday in our lives.

Therefore we have to judge the situation precisely through our medical knowledge and from our heart too, I think it’s the experience that will help to tackle in such situation.

In my opinion, everything must be explained to the patient and let him/her decide what s/he want. Because we know that patient’s decision is the FINAL.
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