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Q J Med 2002; 95: 135-136
© 2002 Association of Physicians

Editorial

What do patients really want to know?

Ami Schattner

Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, USA

A 60-year-old male patient presents to his primary care physician complaining of recent fatigue. The work-up reveals iron-deficiency anaemia due to carcinoma of the ascending colon, which has extensively metastasized to the liver. Had this illness occurred in the early 1960s, when a paternalistic approach to medicine was at its height, the physician might have chosen to tell the patient that he has some inflammation, that he should take oral iron supplements twice a day, and come to see him in 2 months. Today, the physician will likely draw a diagram for the patient indicating the location of the primary tumour and its spread, and . . . [Full Text of this Article]

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