fellowship

Know thy audience

PATIENT
What’s dystonia?

RESIDENT WORKING WITH ME
It’s the sustained co-contraction of agonist/antagonist muscles.

PATIENT

[I found out later that the reason he was so far behind with the previous patient was that when the patient asked “What causes Parkinson disease?” he drew the direct and indirect pathways. For a demented patient with a 10th grade education.]

Greater than 50% of this visit was spent in counseling and coordination of care.

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One thought on “Know thy audience

  1. This reminds me of a friend of mine, who is an emerg doc. She once had a prolonged discussion with a man and his wife about his heart attack, and when she asked at the end if they had any questions, the wife said “What’s this ‘myocardial infarction’ thing that you keep talking about?”

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