In Pursuit of Understanding, Pt. 6

A thoughtful argument on why we ought to be humble in attributing patient improvement only to our intervention; it’s more complicated (or should that be complex?), than that…

Keith's Korner

A Closing Note to the Clinician:

I get it. We went to school to look at a patient as a complicated system. We were taught to find something that is wrong and to fix/change it; the patient will feel better as a result. But we have to know better now. It is time to stop thinking about the patient as a complicated machine some of the time and a complex system – with variables beyond our control – only when it is convenient. It is time to move the profession forward.

Some patient’s pain complaints will improve. Sometimes it will be (in part) due to your intervention, other times it is an illusion (in which case, get over yourself, they were going to get better anyway). And here is another newsflash: even when the patient does get better, it is unlikely to be for the reason why you think they…

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