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( , Sun 1 Apr 2001, 1:00)
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He's a medical profesional doing an interview, would you expect him to say "Generally, and it's not true of all older women, and I really hope you don't mind me saying, but generally (and I stress, this isn't with everyone, it's only with some (really sorry if this offends)) that it could possibly be riskier to have babies as a mature women (which doesn't mean you're ugly or insupiror, it's just the way nature is, I really hope that's OK with you, it's just my experiance, might not be true for everyone" ?
( , Tue 4 Oct 2011, 12:25, 1 reply, 14 years ago)

because it's not going to get reported is it?
I wasn't aware that hyppocratic oath forbade Doctors from having an opinion either.
I'm with you and Al, I really don't see the problem here.
( , Tue 4 Oct 2011, 12:28, Reply)

but imposing opinions/values on patients is.
What I feel about a patient's condition is not relevant to what say/do to them.
It doesn't even come into the conversation.
Could you imagine your doctor telling how he feels about each of your medical decisions? It's basically not his business.
I saw the problem with this guy's choice of words. That is all.
( , Tue 4 Oct 2011, 12:34, Reply)

How would you word "It is riskier to have babies as an older woman" and "It is more complicated having babies as an older woman" ?
( , Tue 4 Oct 2011, 12:38, Reply)

but I'm happy to agree to disagree as I'm a little tired of making the same point multiple times.
( , Tue 4 Oct 2011, 12:41, Reply)

that's not what he has done. he hasn't said to a patient in a consultation that he thinks they are selfish. He has offered an opinion at a general level in response to a question he was asked.
( , Tue 4 Oct 2011, 12:41, Reply)

Selfish doesn't sound particularly measured.
( , Tue 4 Oct 2011, 12:43, Reply)

If someone knowingly makes a decision that puts their self interest above that of other people who rely on them, that is selfish.
Selfish - concerned excessively or exclusively with oneself : seeking or concentrating on one's own advantage, pleasure, or well-being without regard for others
( , Tue 4 Oct 2011, 12:46, Reply)

I will not accept that sort of language is a proper way to address a difficult medical question, and makes the person sound less credible, and you don't have an issue with it.
And I need to sleep.
( , Tue 4 Oct 2011, 12:50, Reply)

a patient comes to you and says "I've got diabetes but I love eating pies and cakes, smoking 50 fags a day, and drinking a bottle of wine"
You're going to say "Ok, that's fine, your decision 100%, I have no opinion on your actions".
Or, as a sensible doctor, you would more likely say "Don't smoke or drink and eat less pies and cakes"
And they will say "But I want to keep doing all this, and if I die my 3 year old child will be an orphan"
You will continue to say "oh, fine, your decision 100%".
Or maybe "You're being a bit selfish putting your cake and pie needs before that of your child, the way you are going, you will die much sooner than you need to"
( , Tue 4 Oct 2011, 12:43, Reply)

what I will tell them is the options for their health. If you do this, x will happen. If you do this, y will happen.
At no point will I insult someone if I disagree with them. "If you want to do the following to your body, - these are the consequences . . . "
What ultimately happens to a patient is up to them, except when something life-threatening happens.
( , Tue 4 Oct 2011, 12:46, Reply)

He's make a generalisation. Based on risks backed up by evidence.
( , Tue 4 Oct 2011, 12:50, Reply)

then?
Joking . . .
He's made a judgement on the personalities of a population, based on evidence (clincal and his own experience). Selfish is a adjective used to describe behaviour - he shouldn't be touching that argument in public at all.
And now I really am getting to bed . . . 'night
( , Tue 4 Oct 2011, 12:52, Reply)

It's very bad manners when trying to have a discussion with someone.
( , Tue 4 Oct 2011, 13:14, Reply)

It wasn't eve theoretically nice.
( , Tue 4 Oct 2011, 12:49, Reply)
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