San Francisco physician Dr. Rahul Parikh, writing in Salon recently, wondered out loud why some doctors have a hard time saying the word “NO!” to their patients. For example:
“I periodically get requests from parents to prescribe cough medicine for their child that contains codeine. Besides the codeine, the drug contains alcohol, naturally leading to a better night’s sleep for child and, hence, the exhausted parent.
“But there’s no evidence that this cough medicine helps the child get better any faster, and it may even be dangerous.
“Should I prescribe it or not? The evidence says no, but to say that can lead to a confrontation with an angry parent.” Continue reading