Dr. Bruce
speaker
585 appearances
3 recordings
1 series
first heard Jun 2026
last heard 6d ago
Dr. Bruce’s voice in public audio — every appearance, attributed to the second.
Trend
recordings per month · last 12 monthsRecordings per month over the last 12 months — 3 in all, peaking in Sep 2026 with 1.
Appearances
Fat's deposited in the liver.
Liver doesn't expand like that.
Yeah.
Pain from expansion of the capsule of the liver.
Mm-hmm.
And the patient becomes upset because you've shared with them something they don't want to hear.
You've shamed them.
You've spent all this time and all you're telling me is that I'm fat and the patient leaves upset.
Now in in my experience there it's very d s uh distressing and you think, well, maybe the next time
Uh if you'd want to couch the diagnosis in different terms or you and and this is in a situation where many tests were ordered that again, probably in a perfect if you had your panel running this, the accountability would be different.
You'd you do just the right thing.
But
today I had two other physicians come to me say, The patient's here, they we know this patient, they've written us up because we didn't want to give pain medication.
Can you see the patient?
Because we've both been written up by her.
So I see the patient and it's uh someone that wants a narcotic shot.
And
Did she need the shot?
She has a long history of pain.
What would be better for her would be gently confronting her with the reality that she probably has.
Showing 261–280 of 585 · page 14 of 30
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