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Great piece, thank you. I see so many instances of cell C (dr recommends, pt declines) where the doctor soils the relationship because they dont understand how to graciously handle this. It makes for such a bad experience, as i have seen both as physician and when i am the patient. Maybe its easier for me as a surgeon, since not wanting surgery is very “relatable”. Not as easy if they are declining something easy and proven (taking aspirin when you have coronary disease).

Thank you again for your simple eloquent expression/sharing. The writers here in this substack and commenters help take away a little of the disenfranchisement with this profession- you help stave off the burnout!!! Now, i am off to answer some email and electronic messages...!

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