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	<title>Comments on: Is Paternalism Ever Okay for Doctors?</title>
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	<link>http://33charts.com/2009/05/is-paternalism-ever-okay-for-doctors.html</link>
	<description>medicine. health. (social) media.</description>
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		<title>By: DrV</title>
		<link>http://33charts.com/2009/05/is-paternalism-ever-okay-for-doctors.html#comment-601</link>
		<dc:creator>DrV</dc:creator>
		<pubDate>Fri, 15 May 2009 17:17:31 +0000</pubDate>
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		<description>&lt;p&gt;BG, yes we did our homework looking for a good fertility person but the point was that despite my access to journals, I never looked.  That was the point.  It was if I didn&#039;t want to know.  I wanted to turn that over to someone else.  And as a pediatrician I really am so far removed from from reproductive endocrinology that I knew effectively nothing about our injections.  I went on nothing other than the support offered by the office we used.  &lt;/p&gt;

&lt;p&gt;Absolutely fertility is complicated and many couples don&#039;t conceive with a couple of rounds of IVF.  Certainly in these cases a couple may need to take a more proactive role.  Hope I didn&#039;t offend you in any way!&lt;/p&gt;

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		<content:encoded><![CDATA[<p>BG, yes we did our homework looking for a good fertility person but the point was that despite my access to journals, I never looked.  That was the point.  It was if I didn&#39;t want to know.  I wanted to turn that over to someone else.  And as a pediatrician I really am so far removed from from reproductive endocrinology that I knew effectively nothing about our injections.  I went on nothing other than the support offered by the office we used.  </p>
<p>Absolutely fertility is complicated and many couples don&#39;t conceive with a couple of rounds of IVF.  Certainly in these cases a couple may need to take a more proactive role.  Hope I didn&#39;t offend you in any way!</p>
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		<title>By: BrooklynGirl</title>
		<link>http://33charts.com/2009/05/is-paternalism-ever-okay-for-doctors.html#comment-600</link>
		<dc:creator>BrooklynGirl</dc:creator>
		<pubDate>Fri, 15 May 2009 15:39:42 +0000</pubDate>
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		<description>&lt;p&gt;Okay, but you have a &quot;network of contacts&quot; to triple check and presumably that network includes other medical professionals, and I&#039;m guessing you have unfettered access to a medical journal or two.  Most of us regular folks don&#039;t have these resources and are left with Google.&lt;/p&gt;

&lt;p&gt;As for IVF being &quot;clear-cut,&quot; well, we clearly had very different journeys through the land of assisted reproduction.&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>Okay, but you have a &quot;network of contacts&quot; to triple check and presumably that network includes other medical professionals, and I&#39;m guessing you have unfettered access to a medical journal or two.  Most of us regular folks don&#39;t have these resources and are left with Google.</p>
<p>As for IVF being &quot;clear-cut,&quot; well, we clearly had very different journeys through the land of assisted reproduction.</p>
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		<title>By: yoyo</title>
		<link>http://33charts.com/2009/05/is-paternalism-ever-okay-for-doctors.html#comment-599</link>
		<dc:creator>yoyo</dc:creator>
		<pubDate>Fri, 15 May 2009 13:33:09 +0000</pubDate>
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		<description>&lt;p&gt;Hi, thanks for the follow up. I should clarify that while i first started treatment I would probably have liked to just trust the doctor to rx what was needed, at this point I would prefer to talk about the latest clinical study or alpha2 receptor afinity etc. I do think looking behind the curtain results in the loss of something like the placebo effect. And trust in a doctor might also help a patient accept a change that feels difficult. Also, there really isn&#039;t a clear line of what is medical versus lifestyle, in drawing a line between drug/vitamin/meditation/sleep habit/diet etc. (probably even more so with paediatrics). I think patients might also suggest things a doctor sort of ignores because the doctor doesn&#039;t like the risk/payoff of some treatment, even though the patient might prefer it. A doctor&#039;s web presence might also be quite helpful to a patient looking for a new doctor: it gives a sense both doctor&#039;s approach and personality, as well as areas of interest.&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>Hi, thanks for the follow up. I should clarify that while i first started treatment I would probably have liked to just trust the doctor to rx what was needed, at this point I would prefer to talk about the latest clinical study or alpha2 receptor afinity etc. I do think looking behind the curtain results in the loss of something like the placebo effect. And trust in a doctor might also help a patient accept a change that feels difficult. Also, there really isn&#39;t a clear line of what is medical versus lifestyle, in drawing a line between drug/vitamin/meditation/sleep habit/diet etc. (probably even more so with paediatrics). I think patients might also suggest things a doctor sort of ignores because the doctor doesn&#39;t like the risk/payoff of some treatment, even though the patient might prefer it. A doctor&#39;s web presence might also be quite helpful to a patient looking for a new doctor: it gives a sense both doctor&#39;s approach and personality, as well as areas of interest.</p>
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		<title>By: Dr. Gwenn</title>
		<link>http://33charts.com/2009/05/is-paternalism-ever-okay-for-doctors.html#comment-598</link>
		<dc:creator>Dr. Gwenn</dc:creator>
		<pubDate>Thu, 14 May 2009 15:38:02 +0000</pubDate>
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		<description>&lt;p&gt;What we all need is a giant step back and a huge leap of faith. Our current system fosters second guessing and that&#039;s not healthy. As a result, too many patients over google and have trouble trusting. With the right doctor, not googling and just trusting is the most healing path you can be on. I learned that many times over on my journey to getting my back healthy and it&#039;s opened my eyes enormously to how online information can be a blessing and a curse. In the end, it&#039;s about moderation. And, in an ideal world the online information would be used as a bridge back to the physician and not in place of the physician.&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>What we all need is a giant step back and a huge leap of faith. Our current system fosters second guessing and that&#39;s not healthy. As a result, too many patients over google and have trouble trusting. With the right doctor, not googling and just trusting is the most healing path you can be on. I learned that many times over on my journey to getting my back healthy and it&#39;s opened my eyes enormously to how online information can be a blessing and a curse. In the end, it&#39;s about moderation. And, in an ideal world the online information would be used as a bridge back to the physician and not in place of the physician.</p>
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	<item>
		<title>By: Alanna Levine</title>
		<link>http://33charts.com/2009/05/is-paternalism-ever-okay-for-doctors.html#comment-597</link>
		<dc:creator>Alanna Levine</dc:creator>
		<pubDate>Thu, 14 May 2009 13:07:19 +0000</pubDate>
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		<description>&lt;p&gt;Interesting Post...as a physician with access to information online, when it comes to myself or my family, I always do the research on finding the right doctor.  But once the connection is made, I stay away from the web and put my trust in the one I have chosen to guide me.  I don&#039;t mind when my patients question my approach with news stories or online articles, but it&#039;s something I rarely do myself as a patient.&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>Interesting Post&#8230;as a physician with access to information online, when it comes to myself or my family, I always do the research on finding the right doctor.  But once the connection is made, I stay away from the web and put my trust in the one I have chosen to guide me.  I don&#39;t mind when my patients question my approach with news stories or online articles, but it&#39;s something I rarely do myself as a patient.</p>
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	<item>
		<title>By: Barbara Ficarra</title>
		<link>http://33charts.com/2009/05/is-paternalism-ever-okay-for-doctors.html#comment-596</link>
		<dc:creator>Barbara Ficarra</dc:creator>
		<pubDate>Thu, 14 May 2009 04:54:13 +0000</pubDate>
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		<description>&lt;p&gt;Great Post!&lt;/p&gt;

&lt;p&gt;While it&#039;s really important for patients to be proactive and in charge of their health there are some patients who simply don&#039;t want to know every detail.  They put their trust in doctors and nurses to provide the best possible care.&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>Great Post!</p>
<p>While it&#39;s really important for patients to be proactive and in charge of their health there are some patients who simply don&#39;t want to know every detail.  They put their trust in doctors and nurses to provide the best possible care.</p>
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