I read Dr Burns’ letter, “The tragic trajectory,”1 published in the June issue of Canadian Family Physician with interest. It is difficult to keep the balance and not allow the tail to wag the dog. Who has more medical experience and knowledge between patient and physician? It takes courage to draw the line—and to hold the line—at the best evidence. It is not necessary to do a test because the patient insists, especially when he or she only has emotional reasons to request it and especially when the patient’s unique circumstances scream to us that the requested test or intervention is not indicated!
Footnotes
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Competing interests
None declared
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