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The Bitter Pill podcasts: Shared decision-making

The Bitter Pill podcasts

Release Date: 10/17/2021

The Bitter Pill podcasts: Italy show art The Bitter Pill podcasts: Italy

The Bitter Pill podcasts

Italy has a distinctive place in the world of Haemophilia. In this episode, we hear the reflections of two physicians from Italy as they talk about the difficulties they experienced as doctors and how being part of the solution sustained them through the difficult years. 

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The Bitter Pill podcasts: Uncertainty and the fallout show art The Bitter Pill podcasts: Uncertainty and the fallout

The Bitter Pill podcasts

Through the years of evolving knowledge, how did doctors think, feel, and communicate? How did optimism and reassurance work? How was knowledge handled? And how do they feel about it now? In this episode, we hear them talk about how they dealt with those years. We hear about what the younger doctors thought about their senior colleagues. We hear about the impact of those years now.

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The Bitter Pill podcasts: Shared decision-making show art The Bitter Pill podcasts: Shared decision-making

The Bitter Pill podcasts

How do doctors share decision-making with their patients?

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The Bitter Pill podcasts: Amsterdam show art The Bitter Pill podcasts: Amsterdam

The Bitter Pill podcasts

The severity of the AIDS epidemic differed across countries. In this episode, we explore events in the Netherlands. The Netherlands had a relatively low level of severity and three haematologists discuss how that situation may have come about. One of them, a trainee doctor at that time, reflects on her experience and how it has shaped her as a doctor and a teacher, and why memories matter. The episode ends with a reflection on the nature of apology.

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The Bitter Pill podcasts: Decision Time show art The Bitter Pill podcasts: Decision Time

The Bitter Pill podcasts

Once HIV was recognized as an evolving problem in their patients, haemophilia doctors had to decide how to balance their treatments' safety with effectiveness. This period lasted a couple of years until heat treatment technology succeeded in eliminating HIV in donated plasma.

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The Bitter Pill podcasts: Testing Times show art The Bitter Pill podcasts: Testing Times

The Bitter Pill podcasts

What are the dilemmas confronting a doctor in testing for an infection about which knowledge is still evolving? We heard from Professor Allain in the previous episode on how he was a 'good soldier' as he grappled with the problem of communicating results to his patients. In this epidode we take a deeper look at this essential aspect of clinical care. When a new test becomes available for a newly identified infection, how are medical responses shaped?

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The Bitter Pill podcasts: France show art The Bitter Pill podcasts: France

The Bitter Pill podcasts

The societal impact of transfusion-transmitted infection of HIV varied across countries. In this episode, we discuss the impact in France. Professor Jean-Pierre Allain talks about the clinical and personal predicaments of that time. 

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The Bitter Pill podcasts: introduction show art The Bitter Pill podcasts: introduction

The Bitter Pill podcasts

This episode is the introduction to the series.

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More Episodes

How do doctors share decision-making with their patients?

This episode addresses paternalism, patient-centredness, and the axes of shared care in practice, including the care of the dead. It then discusses the notion of clinical freedom and the role of professional networks in shaping thought and practice. It ends with comments on the precautionary approach in medicine and the changing perception of negligence.