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Dear Sue,

I come against this problem all the time - people having nonsensical

prescriptions and wrong diagnosis from their doctor, who is " such a nice doctor

that he/she cannot possibly be wrong " . One of my friends who is a GP in

Scotland recently lamented the resignation of one of the parters from the

surgery - apperently the best doctor in the surgery alas people did not like his

bed side manner and kept leaving his list. There are lots and lots rubbishy

practitioners (in all therapies) out there who are very successful only because

they are nice. I suppose we all prefer to see nice people and trust them,

because they are nice...

Newton

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I think being competent and knowledgable is only one part of healing, it's

fig 1 so to say. Fig 2 is the relationship. By describing their

practitioner as being " nice " , these patients may be describing how well

he/she connected with them on a personal level. And many people come to us

just because they feel we are " nice " , i.e. we sincerely listen, take them

seriously, try to make them feel at ease in a geniune way etc etc. I read

somewhere in " The therapeutic relationship in complementary health care "

(great book) that patients tended to view their doctors as competent, even

if the treatment hadn't worked or the doctor had made a mistake - BUT ONLY

IF their relationship with the doctor was good and they felt genuinely cared

for. (Not talking about insincere cheesy smiles here)

What does it mean, " he was the best doctor in the surgery " ? What does it

mean to be a " good " doctor/herbalist ? I think to get really good entails

more than tangible skills and knowledge. It's easy to forget that in the

struggle to be competent and up-to-date with stuff and seeing that we never

learned it during our training (not at CoP anyway). Something for a CPD

course?

Best wishes

Struggling

Sabine

At the same time, thanks for all the replies to LBA - I'd thought it sounded

very dubious... I'll now have the tricky job of gently bursting the bubble

for my patient...she was extremely taken with the whole thing...

Sabine Hiller BSc(Hons) MIIMH MNIMH

Medical Herbalist

Knockrooskey

Westport

Co.Mayo

Tel. 098-35909

herbalist@...

RE: being " nice "

>

> Dear Sue,

> I come against this problem all the time - people having nonsensical

prescriptions and wrong diagnosis from their doctor, who is " such a nice

doctor that he/she cannot possibly be wrong " . One of my friends who is a GP

in Scotland recently lamented the resignation of one of the parters from the

surgery - apperently the best doctor in the surgery alas people did not like

his bed side manner and kept leaving his list. There are lots and lots

rubbishy practitioners (in all therapies) out there who are very successful

only because they are nice. I suppose we all prefer to see nice people and

trust them, because they are nice...

> Newton

>

>

>

>

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quotation taken out of context from one of them Greek bods (Hippocrates

even?)

(a good physician is able )

to heal sometimes

to relieve often

to comfort always.

pin it up so you can see it before each patient arrives and do it.

mariannexx

====================================================

nne Last BA MNIMH

Consultant Medical Herbalist

Monmouth Herbal Clinic

Tel: 01600 719497

www.mariannelast.co.uk

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Hi Sabine,

of course I believe that it is essential to build a good relationship with our

patients. That goes without saying. What I was referring to was the incompetence

masked by good bed-side manner and inability of many patients to distinguish

between the two. The doctor I was referring to was most competent in terms of

knowledge and that was an opinion of his colleagues, which of course was not the

same as the patients' view who did not appreciate his manner.

The fact that a doctor/practitioner is perceived as nice does not mean he/she is

genuine or competent (a rather extreme case of Shipman comes to mind). So, as

much as I believe in the importance of genuine compassion for the patients, I do

not equate nice manner with competence. I have no doubt that the therapeutic

value of listening and caring is huge, but I like seeing it coupled to sound

knowledge of a given therapy.

With best wishes

Newton

Sabine Hiller wrote:

I think being competent and knowledgable is only one part of healing, it's

fig 1 so to say. Fig 2 is the relationship. By describing their

practitioner as being " nice " ,these patients may be describing how well

he/she connected with them on a personal level. And many people come to us

just because they feel we are " nice " , i.e. we sincerely listen, take them

seriously, try to make them feel at ease in a geniune way etc etc. I read

somewhere in " The therapeutic relationship in complementary health care "

(great book) that patients tended to view their doctors as competent, even

if the treatment hadn't worked or the doctor had made a mistake - BUT ONLY

IF their relationship with the doctor was good and they felt genuinely cared

for. (Not talking about insincere cheesy smiles here)

What does it mean, " he was the best doctor in the surgery " ? What does it

mean to be a " good " doctor/herbalist ? I think to get really good entails

more than tangible skills and knowledge. It's easy to forget that in the

struggle to be competent and up-to-date with stuff and seeing that we never

learned it during our training (not at CoP anyway). Something for a CPD

course?

Best wishes

Struggling

Sabine

At the same time, thanks for all the replies to LBA - I'd thought it sounded

very dubious... I'll now have the tricky job of gently bursting the bubble

for my patient...she was extremely taken with the whole thing...

Sabine Hiller BSc(Hons) MIIMH MNIMH

Medical Herbalist

Knockrooskey

Westport

Co.Mayo

Tel. 098-35909

herbalist@...

RE: being " nice "

>

> Dear Sue,

> I come against this problem all the time - people having nonsensical

prescriptions and wrong diagnosis from their doctor, who is " such a nice

doctor that he/she cannot possibly be wrong " . One of my friends who is a GP

in Scotland recently lamented the resignation of one of the parters from the

surgery - apperently the best doctor in the surgery alas people did not like

his bed side manner and kept leaving his list. There are lots and lots

rubbishy practitioners (in all therapies) out there who are very successful

only because they are nice. I suppose we all prefer to see nice people and

trust them, because they are nice...

> Newton

>

>

>

>

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Hi, Having triggered the discussion it was interesting to watch the new

series with Clunes on TV last week, a very humorous look at a

competent Doctor with no bedside manner whatever, and actually not a huge

amount of discretion or understanding of patient confidentiality either. It

made very funny viewing though.

Re: being " nice "

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