Lyle Fettig, who normally posts at Pallimed, has a post at KevinMD on how to treat patients who want everything. The post is a nice review and analysis of a recent article by Quilll, Arnold & Back in the Annals of Internal Medicine. Fettig likes Quilll, Arnold & Back's six-step process, finding that "The most essential part of this process is to refrain from interpreting the patient’s request to 'do everything' as a blanket consent for any medical therapy available to humankind. Rather, such a request should be considered akin to a clinical sign that requires more investigation"
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