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Volume 360:1174-1177 March 19, 2009 Number 12
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Denial
Ranjana Srivastava, F.R.A.C.P.

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The medical student is watching closely. In an overfilled clinic, time is scarce and the teaching staccato. I point out a malignant lymph node here, an enlarged liver there. She witnesses the abbreviated version of my breaking bad news and I hope finds some parallel with what she has been taught. I try to offer her a window into my thinking, as I talk patients into and out of having chemotherapy. Then I pick up an unfamiliar file. In response to an urgent request from her primary care doctor, the patient has been sandwiched into a virtual slot. Ushering her . . . [Full Text of this Article]


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Dr. Srivastava is a medical oncologist and internist in Melbourne, Australia.




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