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Finally, and often hardest to achieve, is good communication with patients. The ultimate responsibility for health decisions is theirs. Policies and procedures can be bent to suit the patient, just remember to document that it was the patient’s request. Nurses and those in professions allied to medicine can make your life easier or harder. Most house officers and senior house officers have limited practical knowledge of the specialties, whereas nurses often have many years of experience—use this to your advantage.
You will not lose your authority by asking for their help but will gain nurses’ respect for realising your limits. Nurses often know consultants quite well and can tell you what information they like available on their ward rounds and when they would favour being asked for help and advice. The key to becoming a good doctor is to gain the confidence not to need support when capable of carrying out a task or making a decision and to ask for help and support when not capable.
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- If you don’t have access to an employer-sponsored plan, you can deduct 100 percent of your health insurance premiums on your taxes.
- Under current health insurance rules, you’ll also still owe a penalty for not having ACA-qualifying health insurance.
- So, understand what you’re getting if you choose an alternative insurance plan.
- In Maryland, where you live, like most states, you must sign up for health insurance by midnight on Dec. 15 if you want coverage in 2018.
Remember, the clinical picture is more important in most circumstances than the laboratory results. Recognising your limits and acting only within them and giving yourself the chance to gain relief and regain energy are sometimes more important than just hanging around helplessly in a busy ward. Honesty and humility—the slogan of my medical school in Khartoum—are easy to write and say but very difficult to what is keto diet practise in an overpressed emergency department where tiredness and nervousness gain the upper hand.
With their eyes, they must see all that the patient shows. With their hands, they must feel all that is hidden from their eyes.
A good doctor needs to develop an abundance of patience; to explain and educate before prescribing drugs; and to think about the proper decision—this does not always have to be what is written in the textbooks. Costly investigations that confirm only what history and examination have discovered have no place, and neither have investigations that would not alter management. —Good doctors must be able to put their tools to good use. With their ears, they must hear all that the patient tells.