What not to say in a consult
). There are endless articles suggesting how to arouse a lover with trigger words or phrases, while warnings about the negative effects of triggers are increasingly posted across media platforms.
The language of medicine is complicated, and interactions with both patients and providers are influenced by our choices of expression. Certain words can foster better understanding and improved rapport with patients, whereas some phrases can act as negative triggers for them. Trigger words or phrases also affect communication between medical colleagues. I was once called by a very angry orthopedic surgeon after completing an infectious disease consult on a patient with diabetes, gangrene, and chronic osteomyelitis of a toe. Though he agreed with my assessment that the toe would" When I asked him what word he would have preferred, he said"necessitate.
I've thought about this conversation often — it was a tense discussion given both his level of anger and my surprise as to its trigger, especially because we agreed on the patient's assessment and plan. After more than 15 years in practice, though, I've started to appreciate exactly how words can act as triggers for physicians. I think I am, for the most part, an easily approachable provider with a kind and steady demeanor.
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