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	<title>Comments on: How To Break Bad News</title>
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	<link>http://www.docgurley.com/2008/01/19/how-to-break-bad-news/</link>
	<description>Posts from an Insane Healthcare System</description>
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		<title>By: Doc Gurley &#8211; Holding a Death in Your Hands: What Autopsy Reports Tell Us about How Someone Lived &#171; &#171; Doc GurleyDoc Gurley</title>
		<link>http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-131563</link>
		<dc:creator>Doc Gurley &#8211; Holding a Death in Your Hands: What Autopsy Reports Tell Us about How Someone Lived &#171; &#171; Doc GurleyDoc Gurley</dc:creator>
		<pubDate>Tue, 26 Apr 2011 21:18:49 +0000</pubDate>
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		<description>[...] Barring any unforeseen acts of extreme violence, most of us will never have one of these reports written about us. In some ways, that’s a shame. An autopsy is the only true way we learn, in the very end, if what we thought we were treating is actually what was going on. Asking for permission to do an autopsy used to be automatic, part of the process of breaking bad news to a family. [...]</description>
		<content:encoded><![CDATA[<p>[...] Barring any unforeseen acts of extreme violence, most of us will never have one of these reports written about us. In some ways, that’s a shame. An autopsy is the only true way we learn, in the very end, if what we thought we were treating is actually what was going on. Asking for permission to do an autopsy used to be automatic, part of the process of breaking bad news to a family. [...]</p>
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		<title>By: Holding a Death in Your Hands: What Autopsy Reports Tell Us about How Someone Lived &#124; Reporting on Health</title>
		<link>http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-131484</link>
		<dc:creator>Holding a Death in Your Hands: What Autopsy Reports Tell Us about How Someone Lived &#124; Reporting on Health</dc:creator>
		<pubDate>Tue, 26 Apr 2011 13:10:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-131484</guid>
		<description>[...] Barring any unforeseen acts of extreme violence, most of us will never have one of these reports written about us. &#160;In some ways, that’s a shame. An autopsy is the only true way we learn, in the very end, if what we thought we were treating is actually what was going on. Asking for permission to do an autopsy used to be automatic, part of the process of breaking bad news to a family. [...]</description>
		<content:encoded><![CDATA[<p>[...] Barring any unforeseen acts of extreme violence, most of us will never have one of these reports written about us. &nbsp;In some ways, that’s a shame. An autopsy is the only true way we learn, in the very end, if what we thought we were treating is actually what was going on. Asking for permission to do an autopsy used to be automatic, part of the process of breaking bad news to a family. [...]</p>
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		<title>By: Rucha</title>
		<link>http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-68826</link>
		<dc:creator>Rucha</dc:creator>
		<pubDate>Sat, 04 Sep 2010 17:04:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-68826</guid>
		<description>Thanks a lot, Doc Gurley.
Now you can add my name to the very long list of medical students whose lives were changed by Dr. Judah Folkman&#039;s advice.</description>
		<content:encoded><![CDATA[<p>Thanks a lot, Doc Gurley.<br />
Now you can add my name to the very long list of medical students whose lives were changed by Dr. Judah Folkman&#8217;s advice.</p>
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		<title>By: Jill</title>
		<link>http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-16310</link>
		<dc:creator>Jill</dc:creator>
		<pubDate>Thu, 13 Aug 2009 17:51:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-16310</guid>
		<description>When my mother died, we had one doctor who clearly knew how to give bad news, and one who either didn&#039;t know or didn&#039;t care. Thank goodness for the one who did, and for the nurse who saw us through the end.</description>
		<content:encoded><![CDATA[<p>When my mother died, we had one doctor who clearly knew how to give bad news, and one who either didn&#8217;t know or didn&#8217;t care. Thank goodness for the one who did, and for the nurse who saw us through the end.</p>
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		<title>By: elena</title>
		<link>http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-9754</link>
		<dc:creator>elena</dc:creator>
		<pubDate>Thu, 21 May 2009 09:33:52 +0000</pubDate>
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		<description>Funny I am just doing a uni paper in ICU nursing and todays subject was end-of-life care, including breaking bad news. I do not think anybody has ever managed to put it that clearly and beautifully how to approach this difficult subject with families. Thank you for the wonderful insight</description>
		<content:encoded><![CDATA[<p>Funny I am just doing a uni paper in ICU nursing and todays subject was end-of-life care, including breaking bad news. I do not think anybody has ever managed to put it that clearly and beautifully how to approach this difficult subject with families. Thank you for the wonderful insight</p>
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		<title>By: medaholic</title>
		<link>http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-9038</link>
		<dc:creator>medaholic</dc:creator>
		<pubDate>Tue, 12 May 2009 19:26:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-9038</guid>
		<description>And now, as a medical student, I too have been influenced by Dr. Judah Folkman.</description>
		<content:encoded><![CDATA[<p>And now, as a medical student, I too have been influenced by Dr. Judah Folkman.</p>
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		<title>By: Grand Rounds 5:33 &#124; Nursing Handover</title>
		<link>http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-8036</link>
		<dc:creator>Grand Rounds 5:33 &#124; Nursing Handover</dc:creator>
		<pubDate>Tue, 05 May 2009 15:54:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-8036</guid>
		<description>[...] Doc Gurley remembers an influential mentor in &#8220;How to Break Bad News&#8221;. [...]</description>
		<content:encoded><![CDATA[<p>[...] Doc Gurley remembers an influential mentor in &#8220;How to Break Bad News&#8221;. [...]</p>
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		<title>By: Eniola Cadmus</title>
		<link>http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-3752</link>
		<dc:creator>Eniola Cadmus</dc:creator>
		<pubDate>Sun, 18 Jan 2009 13:53:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-3752</guid>
		<description>Hi!
I am a senior resident in Community Medicine in Nigeria and i came across your message while looking up materials for my Part 2 proposals.
Thank you for the hindsight into the proper way to break bad news.
Incidentally in the University College Hospital,Ibadan ,Nigeria where i work most times the task is left to the nurses and we try to justify this decision with thte fact that the nurse has probably spent more time with the patient and family.
I am however of the opinion that it shold be the doctors duty to do the job so thanks for a research idea !
Finally i am sorry about the loss of your mentor(see i am learning already)</description>
		<content:encoded><![CDATA[<p>Hi!<br />
I am a senior resident in Community Medicine in Nigeria and i came across your message while looking up materials for my Part 2 proposals.<br />
Thank you for the hindsight into the proper way to break bad news.<br />
Incidentally in the University College Hospital,Ibadan ,Nigeria where i work most times the task is left to the nurses and we try to justify this decision with thte fact that the nurse has probably spent more time with the patient and family.<br />
I am however of the opinion that it shold be the doctors duty to do the job so thanks for a research idea !<br />
Finally i am sorry about the loss of your mentor(see i am learning already)</p>
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		<title>By: interesting blogs to read &#124; Oz E Medicine - emergency medicine in Australia</title>
		<link>http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-3487</link>
		<dc:creator>interesting blogs to read &#124; Oz E Medicine - emergency medicine in Australia</dc:creator>
		<pubDate>Thu, 18 Dec 2008 23:08:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-3487</guid>
		<description>[...] How to break bad news [...]</description>
		<content:encoded><![CDATA[<p>[...] How to break bad news [...]</p>
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		<title>By: traumatized</title>
		<link>http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-3485</link>
		<dc:creator>traumatized</dc:creator>
		<pubDate>Thu, 18 Dec 2008 18:43:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.docgurley.com/2008/01/19/how-to-break-bad-news/#comment-3485</guid>
		<description>Doc Gurley,

It is you who have chosen to so carefully, eloquently, and compassionately tell this story that I thank. The qualities of Doctor Folkman you relate can be so much more broadly applied to other  situations between medical personnel and the humans beings they interact with. 
I only wish the surgeons and PA who deceived me into agreeing to what I didn&#039;t understand was exaggerated surgical overtreatment for a &quot;probable&quot; cancer would read your message and be touched by it. They would have the opportunity to realize the life-long consequences of inhumane attitudes towards patients on the medical conveyor belt and to learn how transform themselves into humanists.
So much anguish can be so easily averted... 

Thank-you.</description>
		<content:encoded><![CDATA[<p>Doc Gurley,</p>
<p>It is you who have chosen to so carefully, eloquently, and compassionately tell this story that I thank. The qualities of Doctor Folkman you relate can be so much more broadly applied to other  situations between medical personnel and the humans beings they interact with.<br />
I only wish the surgeons and PA who deceived me into agreeing to what I didn&#8217;t understand was exaggerated surgical overtreatment for a &#8220;probable&#8221; cancer would read your message and be touched by it. They would have the opportunity to realize the life-long consequences of inhumane attitudes towards patients on the medical conveyor belt and to learn how transform themselves into humanists.<br />
So much anguish can be so easily averted&#8230; </p>
<p>Thank-you.</p>
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