Word: doctor
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Dates: during 1980-1989
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...umbilical cord wrapped around its neck and can't breathe for a few minutes, HCA or whoever owns the hospital just raises its rates and shoots off $119 million to the unfortunate parents. And what happened to Andrea Ferris was of course an accident, probably as upsetting to the doctor who performed the operation as to the Ferrises themselves (at least one would hope...
...murder. True, it was a splinter faction led by one of Arafat's worm enemies that ordered the slaying and took credit for it soon after. But it was Arafat himself who had effectively undermined Sartawi's already slim chances of survival last February when he abruptly removed the doctor from the speaker's list at the Palestine National Council meeting in Algiers and then ejected him from the session entirely. Arafat made it clear to every delegate present that Sartawi's brand of diplomatic realism would never be welcome. The charter ideology of the PLO, after all, remains committed...
Faced with somatizing patients, says Ford, physicians are uncomfortably reminded, often unconsciously, of their own inadequacies. As a result, a doctor may reject a patient outright. For example, a physician who is depressed and abusing liquor will tend to shy away from a patient who is an alcoholic. Conversely, the doctor may become overly solicitous, a tactic that backfires. Ford believes the words "You're fine; come back and see me if something develops" are a virtual invitation to create new symptoms...
Patricia Bloom, an internist at New York City's Montefiore Hospital, thinks Ford's position on the similarities between somatizers and doctors may have some validity but is "skeptical that the doctor is fearful for the same reason that the patient is." Arthur Barsky, a psychiatrist at Boston's Massachusetts General Hospital, believes Ford's views are difficult to substantiate. Says he: "The way you treat somebody has a lot to do with the way you think about yourself. That phenomenon is there. Beyond that, it's inference...
Barsky feels that no one really knows how to manage somatizers. Referrals to psychiatrists and psychologists would seem to be in order, but the patients themselves are offended by such referrals, believing that the doctors are not taking them seriously. That often leads patients to shop for a doctor. "Clinical experience," Barsky says, "indicates that they do not want to be cured, although a long-term supportive relationship with a physician often stabilizes them...