SPEAKER_06 51:34–53:12
Well, no, you just learned that that intervention was not the appropriate one. You were trying to narrow the probabilities as to what would be most effective. And so then the response is, okay, that was not the outcome that we desired. Okay, so I have eliminated that. So you did something that you were successful in determining that something was not the appropriate action at the time. Better or worse is their decision. You don't decide whether they're better or not. That's them. It's not your responsibility. You might be a lousy guide, okay? Right? You might be a lousy guide. That's true. That's true. But whether they get better or worse, what if you do the exact wrong thing and they get better? Yeah, that's... Have you had enough clinical experience where somebody came back to you and they did something you thought was totally wrong, totally off the wall, and then they felt better about it? Happens to me all the time. I'll give them an intervention. And we have like a nice little, like a really good outcome in the purple room, right? And then they'll go and they'll go do stuff, like stuff that I would, I would, like I would typically say just probably not a great idea based on my experience, based on the probabilities, it's probably a bad idea. So let's, I'm gonna pick on yoga. It's like, I have nothing against yoga, but let's just pick on yoga for a second. And they go, yeah, I took a yoga class. I felt so much better. It's like, great, do that. That wasn't my idea, right? But it made them feel better. So again, so maybe there was a, there's a 8% chance that yoga was going to make them feel better and a 92% chance against it, but they fell into that 8% that time. That's the reality. Your responsibility is to evolve yourself into the best possible guide. But ultimately, you don't make them better. You're trying to create an environment that allows them to arrive at the solution. You interact. You interact with them. You become entangled with them, right? You're trying to influence them in a favorable way. That's all you can do. The outcome is not your decision.
clinical decision makingtreatment outcomespatient autonomyprobability-based interventions