Patient Solidarity Day, 6 December (4) Rights of the patient (2)

7 December, 2019

Dear Neil and friends, I sincerely thank Dr. David Gisselquist for the comprehensive reply to my quest about patient's rights. We all should thank him.

I quote number 7: "patient has the right to receive information about him/herself recorded in his/her medical records" and also: "to be fully informed about his/her

status"...in other words he/she must have the diagnose written on his/her booklet.

We are very far from this achievement, very far, worldwide.

We doctors keep records in our computer, or in our clinic: we want the patient-client to come back and not to go somewhere else. Profit...always profit.

There is a point that is not mentioned in the Declaration of Lisbon, the following:

"both the diagnose and following therapy should be strictly adherent to National Therapeutic-Clinical Guidelines (NTCG)".

In other words doctor should write a diagnose that is listed in the NTCG and not others. Therapy will be the one written in NTCG for that diagnose and not the one 'invented/created' by the doctor for profit reasons.

The objective of Declaration of Lisbon is in my view to minimize the 'magic-personal' power of the doctor in favor of more scientific and adequate power of Medicine(Cochrane).

Doctors are servant, they must help the patient to know about his/her status and prescribe drugs that are nationally accepted for that kind of pathology.

Greetings from Dodoma

Massimo

HIFA profile: Massimo Serventi is a long-standing Pediatrician working in Africa since 1982. He currently works on a volunteer basis in an excellent missionary/credited hospital in north Uganda, St. Mary's Hospital-Lacor-GULU. He has worked for several NGOs in 6 African/2 Asian countries. His interests include clinical and community pediatrics, adherence to clinical guidelines and school education as the major determinant of good health. massimoser20 AT gmail.com