This aphorism is one of the keys to proceed doctor, or rather should be. Do not know why today I have come to the head, but if this has been the cause of that type on this issue highly topical hackneyed and inconclusive.
When I wrote the entry: "less is more" , and introduced some of the issues as I am more "veteran" on my list: Where has been the sense of As in medicine today. I would like to pose some questions to be answered if we believe that our public health system is financially sustainable, and humane and emotionally by the toilets.
Should we treat all patients with all means at our disposal and as citizens have equal rights?
What is the margin an actual doctor has to adjust or limit the therapeutic effort "when he thinks is best for the patient, in a system like ours," all inclusive "?
Why everyday a doctor has to act against their professional approach pressed by the family, the patient, the system or the fear of claims or complaints?
why when a know that patient has no chance of leaving the hospital continues with active treatment, not to confront the family ?
Why, in short, we have lost our sense of proportion and we are unable to speak clearly with patients and families? I think I have an answer: because we are tired of facing failure, death, lack of understanding of families, citizens and patients, in that order. No doubt there are many other causes, but family pressure is increasing and resources of professionals to deal with it, the interests of the patient-are lower. The helplessness we feel explains why doctors caved-in occasions in the fight against dysthanasia- aggressive therapy -.
I must admit that the whole responsibility is not to relatives, patients or citizens, some colleagues by education, moral or ethical considerations have a vision of medicine in which we must all do never think that sometimes "less is more ."
urgently explain to young people that medicine is not infallible, that our loved ones too sick and die, and that professionals are the ones most experience to make decisions about your treatment. The idea is transmitted to the public-especially young people, is that health is a service to the letter in which they can choose at their discretion. What nobody tells you is that this does not work that way, the citizens can choose between treatments that medical teams proposed as the most suitable for your condition, this is definitely ruled out and choose other alternatives.
I await your responses ... ...
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