A memorable patient: How to lose credibilityBMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7128.0h (Published 31 January 1998) Cite this as: BMJ 1998;316:h
- Harold Jacobs, neurologist
- Edmonton, Alberta
A large proportion of my patients these days are the worried well types. Nevertheless, their evident relief after a careful assessment and reassurance is for me a considerable reward. However, it takes substantial energy and more time than you might spend on a straightforward and perhaps more serious condition to reassure such a patient.
He was a youngish, worried well, bank manager when he arrived. He left, despite my best efforts, even more worried. From somewhere he had acquired a pamphlet canvassing for patients with threatened strokes, as part of a proposed clinical study. He had read about transient ischaemic attacks. It was soon clear from his history, …