E. Rodney Hornbake, MD
To the Editors: The recent article by Welch (1) is an important contribution to the issue of physician participation in cost-containment efforts. His second recommendation, the abandonment of clinical strategies that are designed primarily to avoid lawsuits, reminds me of an incident from my practice.
A patient was dying of colon cancer. The hospice nurse and I made a home visit to do a paracentesis and to adjust the dose of analgesics. After the visit, the patient's wife and son and I were standing outside in the yard. Their neat cottage was tucked into the edge of the woods adjacent
Hornbake ER. Defensive Medicine: A Form of "Varmint" Control?. Ann Intern Med. ;115:580. doi: 10.7326/0003-4819-115-7-580
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Published: Ann Intern Med. 1991;115(7):580.
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