The foundation is always: Doctor-Patient relationship: trust, compassion and an effort to utilize ALL available resources. The action of “and” not “or” within a rigorous attempt to understand all the factors that may influence a patient. “Tell me everything….”
My attempt is to spend the greatest amount of time and effort understanding ALL of the influences on a current problem by; listen more, test less; then attempt to ask the right questions rather than rush to answers.
If a single message is possible: Listen undistracted, ask more because it matters, conclude slowly as it is hard to “un-conclude”; and seek the very best from ALL that is available that respects the foundation of patient care.
I still believe it is an exceptional trust that is placed upon us as physicians which should be respected in all areas of care.