P a g e | 41 APPENDIX 1 – FILM SCRIPT ACT 2: NAVIGATING JUXTAPOSED MODELS OF MEDICINE DINUSHA Being able to track something gives me more comfort than going by what you’re telling me . . . because I like to see proof . . . You want to be convinced that you’re treating something and that what you’re treating is real. I will listen to their story, I will examine them and I always say you have got to exclude the physical first that is your job . . . I think we have an obligation to exclude the physical first and not jump into psychosocial explanations because it reduces the patient to being an un-necessary complainer and I don’t believe that they really are. They don’t seem to worry about other health issues like high cholesterol, that might be real . . . he’s not worried. You know? There are some other issues that he needs to attend to, and he’s not worried. His father died when he was 52. He’s not worried about that. JOHN The terminology . . . psychiatric and psychological . . . have a stigma attached to them that is not intended . . . we accept that patients with long term pain will have a psychological component to it but actually labeling it as that. It is a subtlety. If you present the explanation for pain as completely airy fairy psychological, it is up to you, then they are going to go away dissatisfied, so you have got to lead them in gently. If you start from the body . . . then it is not threatening, and you can approach things, like, through the body. RACHEL Patients tend to do the rounds of doctors looking for a cure, and to have more tests than is good for them . . . Let’s stop doing tests. Let’s stop sending you to lots of different doctors looking
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