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( , Sun 1 Apr 2001, 1:00)
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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, 2 replies, latest was 14 years ago)

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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