Persuasion
Completed Vampire Bloodlines not long ago and Guoping had been telling me all this while: Wa!! Eh you need to increase persuasion to almost max to win the game man...
Persuasion does not seem to only apply to Bloodlines.. A doctor needs a lot of it also.. Wonder what level i am now.. Enough to complete the game? haha
Ethics is hard to understand. "patients should be able to make choices for their own treatment" Yeah, but if i tell some one: hey you need this operation really.. Otherwise sure 99% cannot survive one.. How many patients still got a 'choice' to make?
i find that patient's decisions are usually swayed by their doctors. My head of department once admitted:"i haven't done much joint fusion before, so naturally i will paint a picture to a young patient who supposedly needs one according to textbooks' recommendation that he will benefit from a arthroplasty instead"
Persuasion: we always unknowingly use it so that patients tend to decide according to our point of view, but again isn't that the reason why people need to consult a doctor?
whenever an elderly with multiple comorbidities come into the hospital with a fracture, we will most of the time say "oh, she has very high risk for operation, unlikely to tolerate analgesia blah blah.. high chance of dying on table blah blah.. but of course if you still decide for op we will try our best" Er... which relative will take the risk and send the patient to what supposedly is hell's door as painted by us? So this patient will definitely decrease her chance of walking in future but supposedly increase her chance of living longer.
Then there are those who initially die die don't want operation/amputation, then we will stalk them every morning round, telling them all the scary things that will happen if the operation did not take place. Then try to downplay the operative risk or the possible chance that post operatively the situation will still be the same or even worse.
It sounds crudely like a game, but i'm glad some of the persuasion led to patient's becoming well and discharged. Though probably there are a few others the family will give you the "i thought you say can become well after op one??!!" kind of look. But what to do, we're not god but like it or not we have to play it. Who can deny this? Medicine is not 100%, unless we can look into the patient's future, we can only state probabilities and advise for the treatment that will most probably lead to the best outcome.
Persuasion does not seem to only apply to Bloodlines.. A doctor needs a lot of it also.. Wonder what level i am now.. Enough to complete the game? haha
Ethics is hard to understand. "patients should be able to make choices for their own treatment" Yeah, but if i tell some one: hey you need this operation really.. Otherwise sure 99% cannot survive one.. How many patients still got a 'choice' to make?
i find that patient's decisions are usually swayed by their doctors. My head of department once admitted:"i haven't done much joint fusion before, so naturally i will paint a picture to a young patient who supposedly needs one according to textbooks' recommendation that he will benefit from a arthroplasty instead"
Persuasion: we always unknowingly use it so that patients tend to decide according to our point of view, but again isn't that the reason why people need to consult a doctor?
whenever an elderly with multiple comorbidities come into the hospital with a fracture, we will most of the time say "oh, she has very high risk for operation, unlikely to tolerate analgesia blah blah.. high chance of dying on table blah blah.. but of course if you still decide for op we will try our best" Er... which relative will take the risk and send the patient to what supposedly is hell's door as painted by us? So this patient will definitely decrease her chance of walking in future but supposedly increase her chance of living longer.
Then there are those who initially die die don't want operation/amputation, then we will stalk them every morning round, telling them all the scary things that will happen if the operation did not take place. Then try to downplay the operative risk or the possible chance that post operatively the situation will still be the same or even worse.
It sounds crudely like a game, but i'm glad some of the persuasion led to patient's becoming well and discharged. Though probably there are a few others the family will give you the "i thought you say can become well after op one??!!" kind of look. But what to do, we're not god but like it or not we have to play it. Who can deny this? Medicine is not 100%, unless we can look into the patient's future, we can only state probabilities and advise for the treatment that will most probably lead to the best outcome.
posted by KwangHow at
1:10 PM
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