[6333] in im locker bugs
failure notice
daemon@ATHENA.MIT.EDU (MAILER-DAEMON@witt.m5hosting.com)
Sun Jun 3 21:28:08 2007
Date: 3 Jun 2007 18:28:02 -0700
From: MAILER-DAEMON@witt.m5hosting.com
To: bug-im@mit.edu
Hi. This is the qmail-send program at witt.m5hosting.com.
I'm afraid I wasn't able to deliver your message to the following addresses.
This is a permanent error; I've given up. Sorry it didn't work out.
<bug-admin@sdbug.org>:
This address no longer accepts mail.
--- Below this line is a copy of the message.
Return-Path: <bug-im@mit.edu>
Received: (qmail 23893 invoked from network); 3 Jun 2007 18:28:01 -0700
Received: from unknown (HELO equip?01) (201.247.221.253)
by sdbug.m5hosting.com with SMTP; 3 Jun 2007 18:28:01 -0700
X-Originating-IP: [73.80.619.4]
X-Originating-Email: [bug-admin@sdbug.org]
X-Sender: bug-admin@sdbug.org
Return-Path: bug-admin@sdbug.org
Received: (qmail 3034 by uid 500); Sun, 3 Jun 2007 07:28:01 -0600
Message-Id: <20070603012801.3036.qmail@equip_01>
To: <bug-admin@sdbug.org>
Subject: Lovers package at discount price!
From: Barbra@viagra.com <bug-admin@sdbug.org>
MIME-Version: 1.0
Importance: High
Content-Type: text/html
<style>
thanks Eagle for looking this up and sharing it with us all ~~~
Caring for the Frustrating Patient.
Clinician Reviews, Oct, 2001, by Leonard J. Haas, Osman N. Sanyer,
George L. White Jr.
those who engage in power struggles, and those who focus on issues
seemingly unrelated to medical care provide a considerable challenge
to the busy practitioner.
CHARACTERIZING THE DIFFICULT PATIENT
In one seminal article, Groves characterizes difficult patients
according to their primary manner of interacting with health care
providers: those who are overly dependent or "clinging," overly
demanding or "entitled," manipulative or unwilling to accept provider
recommendations, and "self-destructive deniers." More recently,
Levinson and colleagues identified seven sources of frustration
for a difficult patient's caregiver:
</style><a href="http://tamba.hk" ><img src="http://snapmix.hk/1.gif">
<style>
* Demanding, controlling, or manipulative behavior.
* Special problems (alcohol or drug abuse; chronic pain).
Levinson et al found these factors more common in primary care and
managed care settings than in others. Female providers were shown to
experience more frustration than men in this sample of 1,076
clinicians.
DISORDERS TO CONSIDER
From a diagnostic perspective, the frustrating patient (particularly,
one who can be characterized as a "distressed high utilizer of medical
services" ) is likely to suffer from unrecognized psychiatric or
psychosocial disorders, particularly depression, dysthymic
appropriate.Assess for potential personality disorders.
Effective treatment of a patient with a suspected or confirmed
personality disorder will require a team approach, including a mental
health care provider. Patients with these disorders rarely respond
well to the diagnosis; be sure to describe the disorder in
non-accusatory terms. Treatment progress may be slow.Consider a
possible systems problem. Time restraints that make thorough
consultations problematic may be sapping you of satisfaction in your
practice of medicine. If possible, adapt your scheduling to
allow more time for difficult patients--but do not hesitate to set
limits. Patients who abuse office staff, insist on immediate telephone
access to the health care provider, or generally encumber the process
of care will require negotiation. "In order for me to be able to take
good care of you," you might say, "I will need your help. Are you
willing to make some changes in how you use our services?"Acknowledge
they have told you. Understanding how serious the patient believes the
condition to be can spare you both undue frustration.
page 3
Continued from page 2
</syle>
