This Article  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (1)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

FRANK J. LEPREAU, MD

Arch Surg. 1983;118(6):713.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A successful consultation begins with the referring physician's obligation to have the facts clearly in mind when making the first telephone call. He should know whether he wants telephone advice, a bedside visit, or treatment for his patient at the consultant's center.

If a bedside visit is decided on, the physician should have the chart and films reviewed and marked, the family on site, and any local consultants alerted. On arrival, the consultant interviews the physician, studies the data, and examines the patient in private. He can learn whether the patient is satisfied with the local care or wishes to be transferred. Next follows a frank discussion with the referring physician and then recommendations to the family. Finally, at the bedside, the consultant gives his opinion in simple, reassuring language. He must remember that the patient is terribly sick, perhaps mortally so and should not add to the patient's torment . . . [Full Text PDF of this Article]

Author Affiliations
Westport, Mass

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?