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- W1758115121 abstract "Despite the dizzying pace of change in medical and surgical therapeutics over the past 50 years, sound medical practice continues to rest on the same fundamental principle: a relationship of trust between patient, family, and physician.Developing that relationship takes time: time to listen; time to understand the sources of distress; time to make the diagnosis and sort out therapeutic alternatives; time to help patient and family appraise the pros and cons of the treatment options; time to help them make a thoughtful choice; and time to support the patient in sticking with the treatment or changing it if it isn't effective. Time is not measured simply by the duration of individual visits, but by the multiple visits needed to provide continuity and to establish lasting ties over the years a child develops. My comments are entitled “Time Is the Currency of Pediatric Care.” I have done so to highlight the importance of unhurried consultations and continuing relationships in an era when chief executive officers reduce time to money, pure and simple. Why do I insist that time is the currency of care? The pace and change of therapeutics since I graduated from medical school are extraordinary. Antibiotics have transformed bacterial infections from dramatic and frightening episodes into readily manageable and commonly routine affairs. The dreaded sequelae of the viral infections of childhood have come under almost complete control by immunization. Not long ago, the diagnosis of acute lymphcytic leukemia in a child was a death sentence; only 1 out of 10 patients was alive 2 years later. Today the odds have been completely reversed and 3 out of 4 patients appear to be permanently cured.However, these and the other triumphs I have witnessed have only increased the central role of medical care. Paradoxically medical advances have led to …" @default.
- W1758115121 created "2016-06-24" @default.
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- W1758115121 date "1998-07-01" @default.
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- W1758115121 title "Pioneers and modern ideas. Time is the currency of pediatric care." @default.
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