It's all in the definitionBMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7223.1489 (Published 04 December 1999) Cite this as: BMJ 1999;319:1489
- Charles Campion-Smith, general practitioner
- Dorchester, Dorset.
The consultation seemed to go well enough. We'd known each other many years, the review of the recurring problem was completed, and we agreed what to do next.
Then there was a palpable change in the atmosphere in the room. Victoria seemed to become uncomfortable, her posture changed, and, speaking quietly about the need to maintain a good doctor-patient relationship, she took out a bit of paper.
Sensing something was amiss I assured her that we would always wish to know if aspects of our practice were not going well but I, too, became anxious about what she might be about to say.