A patient presented to her providers office after being treated for the same symptom multiple times. After a thorough workup, including diagnostic studies, a diagnosis of cancer was made which needed surgical removal and depending on pathology, possible chemo and radiation or both. Options and treatment plan were discussed with the patient reluctant to agree with recommended surgical plan. Patient wanted a second opinion. Patient notified the provider after several weeks and informed this provider that alternative treatment was going to tried which included out of the country treatment for several weeks and would consistent of herbal treatments, acupuncture, and include not only the localized area but a holistic approach. Although the provider did not agree with the patient, he asked for communication regarding the treatment be made at a 90 day timeframe. This provider believed that without surgical intervention, the patient had less than 30% survival rate within two years. Patient presented to providers office after the first 90 days. Routine exam determined that all repeated tests had no improvement noted in their progress. Time was being wasted. The patient stated that although the scans may not show improvement, the patient had never felt better and was going to continue the holistic approach. At this time, the provider did not want to continue with this patient. What makes this a difficult patient-physician relationship?
A patient presented to her providers office after being treated for the same symptom multiple times. After a thorough workup, including diagnostic studies, a diagnosis of cancer was made which needed surgical removal and depending on pathology, possible chemo and radiation or both. Options and treatment plan were discussed with the patient reluctant to agree with recommended surgical plan. Patient wanted a second opinion.
Patient notified the provider after several weeks and informed this provider that alternative treatment was going to tried which included out of the country treatment for several weeks and would consistent of herbal treatments, acupuncture, and include not only the localized area but a holistic approach. Although the provider did not agree with the patient, he asked for communication regarding the treatment be made at a 90 day timeframe. This provider believed that without surgical intervention, the patient had less than 30% survival rate within two years.
Patient presented to providers office after the first 90 days. Routine exam determined that all repeated tests had no improvement noted in their progress. Time was being wasted. The patient stated that although the scans may not show improvement, the patient had never felt better and was going to continue the holistic approach. At this time, the provider did not want to continue with this patient.
What makes this a difficult patient-physician relationship?
What is the conflict between the provider and patient?
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