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The dilemma of modern medicine, and the underlying central flaw in medical education and, most of all, in the training of interns, is the irresistible drive to do something, anything. It is expected by patients and too often agreed to by their doctors, in the face of ignorance. ↗
When do you know it's time to say, 'OK, that's it?' That is the most difficult part of any decision like that because you don't want to throw the 'R' word out there. I've mentioned it a couple times, but not in the sense that I'm doing it. That word is very fragile. We'll see. ↗