Word: physicians
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...seems honest and authentic, someone who doesn't stare over your shoulder when he's talking to see who has come into the room. "You ask him a question, and he doesn't build you a watch, he answers it," says Dr. Charles Kalil, 82, a semiretired Phoenix, Arizona, physician. "It's refreshing to talk to a politician who doesn't hem and haw and has the facts...
...standard therapies available, it was a death sentence, but her oncologist, Dr. Mahesh Gupta, warmly assured her there was hope. He recommended she consider a bone-marrow transplant and, in a breach of Health Net procedure, skipped the usual channels for making referrals and arranged a consultation with a physician he knew, Dr. Robert McMillan, an oncologist at the Scripps Clinic in La Jolla. Christy's sister, living in Colorado, had urged her to see a leading bone-marrow transplanter at the University of Colorado, Roy B. Jones, but the deMeurerses decided to play by the book. They drove...
...position where you don't discuss it, or else discuss it and, worse yet, indicate that all the data is negative or that there is not a significant amount of data about this, I think you've irreparably damaged the very thing that makes you as a physician so valuable to patients...
...Popik sees it a bit differently. "What should happen," he says, "is that a physician shouldn't create an expectation for a patient. Because once that expectation is completed, you start a process that is extremely difficult to change." He adds, "There are other ways to give people hope. And that's the paradigm shift...
...Gupta confirms he saw Christy that day but says he does not recall this aspect of their encounter. He did not in fact have the authority to make such referrals, he says; these can only be made by a patient's primary-care physician. Asked why, then, he felt empowered to make the first referral to Dr. McMillan at Scripps, he says, "I knew those people...