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How to say it

Part of When the Hand Must Stop

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knee and muscle pain
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Self treatment

Early, sitting, dressed — the day named, and a note they can hand over

Five rules, and they are all about the patient's dignity rather than your comfort.

Say it early, sitting, and with them dressed. Nobody should receive this news lying on a mat with their clothing arranged for treatment. If you know at the history, say it at the history.

Say what you found, not what you fear. "You have told me two things that I do not treat around." Not "this could be something serious" — which tells them nothing and frightens them completely.

Name the timescale out loud. Today means today. Patients hear "see a doctor" as "see a doctor sometime", and the gap between those two has cost people a great deal. Say the day. Say the hour if it is that kind of finding.

Give them something to carry. A short written note: what they told you, what you found, what you did not do, and the date. It converts an anxious patient repeating a half-remembered conversation into a patient handing over a document.

And do not discharge them. "This is not me sending you away. Come straight back when they have seen you, and we will go on." A patient who feels dismissed goes to somebody who will not ask the questions — and that, not your refusal, is what harms them.

The blocking sheet — I. The ten longest condition lists as reference cards: the blocked points as crossed-circle chips w
The blocking sheet — I. The ten longest condition lists as reference cards: the blocked points as crossed-circle chips with their exact count, the reason as it is given, and a give-instead strip that is left empty in words wherever no substitution is written.
The blocking sheet — II. The ten shorter condition lists in the same form, with the septicaemia callout; and beneath the
The blocking sheet — II. The ten shorter condition lists in the same form, with the septicaemia callout; and beneath them, as a scan strip, every condition under which the rest of the wiki has laid down a bar, pointing to Table 2 for the reason and the article.

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