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Document 2255041
Chapter 5 Diagnosis of Musculoskeletal Disorders
ng of the cause list
~fyour personal experience is limited, you
would naturally wish; in the interests of your
patient, to seek consultation with a more experienced colleague.
coMMUNICATloN
PATIENTS ABOUT THE
DIAGNOSIS
'OUR
Solving the problcm of diagnosis for your patients is just the &st of many steps toward
the goal of helping them with their problem.
Having madc a diagnosis of the present situadon, you must then consider the future outlook iprognosicj for your patients and he Prepared to communicate with them at their level
of understanding. They and their close relatives have the right to know (ifthey wish) just
what your diagnosis means in relation to them
and their future. How often one hears patients
say of their medical practitioner: "He raid
quite a bit, and used some big words hatI
could not understand, hut he really didn't tell
89
Wilson has \r?inen that the rncdical doctor
communicates best when he or she is honest,
compassionate, caring, calm, readily available,
sensitive and trustworthy.
The practice of medicine is becoming progressively more scientific and rhis is as it
should be because science must always be thc
basis of medical knowledge. At the same time,
however, you must develop the art of communicating with your patients, which, in effect,
requires that you acquire a keen and sqmpathetic awareness of their needs as well as their
concerns, for as Sir William Osier stated so
clearly "Thc practice of medicine is an art
based on science."
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