I have found that people are not stupid.
I simply remind patients that the job of the doctor is to give the patient all of necessary information any a reasonable person, in their situation, needs to make an intelligent decision or informed consent and whatever they decide, it is the right decision., because it is their choice.
I then remind the patient that the actions of a physician can only be taken in one of three ways:
Patient advocacy
Social good
Self interest
People then understand that if they don't have a good reason for using yoke prism from the individual describing treatment, then the treatment may not be for their best interest, but for the prescriber's self interest.
Don't underestimate the intelligence of your patient
Edward M. Cohn, MD, mba, mph
3535 W 13 Mile (506)
Royal Oak, MI 48073
Ph: 248-551-8282
http://www.umich.edu/~edcohnmd
Sent from my iPhone
Original Message:
Sent: 7/21/2025 12:33:00 PM
From: Mitchell Gossman
Subject: Visual Midline Shift Syndrome
A patient today reminded me of something... Has anyone produced a document for patients politely stating that visual midline shift, physical therapy to correct same, and yoked prism therapy are not evidence-based medicine? It's rampant as usual, and is a recurring theme for all TBI patients.
Mitch