This study does not establish whether the apparent compromise between a patient-centred approach and the need to routinely screen for AOD use in some consultations is appropriate or inappropriate, nor can it judge appropriateness of the advice given.
If an SMA should be formally brought to the attention of the board in some way, what method of consultation is appropriate?
Without important contextual and longitudinal information it is often impossible to judge whether a consultation is appropriate or not.
The Lacks family has been consulted only after the HeLa sequence was completed, and most seem to agree such consultation was appropriate.
A nephrology consultation is appropriate if an abnormal creatinine level or GFR is present to evaluate for possible haemolysis, blood loss, or chronic renal disease.
During this visit the dermatologist determined whether the live consultation was appropriate (e.g. the required intervention can only be performed by a dermatologist) or not (e.g. the patient was already recovered because of teledermatology or spontaneously).
This raises questions about what level of consultation is appropriate to which research situations; how more intensive levels of consultation could be achieved, when needed; when this should be conducted in relation to implementation; and how the outcomes of consultation should in any case be taken into account.
The keys to their successful consultations are collaboration, appropriate use of power, and empathy.
In cases in which long-term immunosuppression with medications with potential hepatotoxicity is planned (methotrexate and leflunomide), a baseline liver biopsy and a consultation with a hepatologist are appropriate.
Experience during the 2014 2015 outbreak suggests that if there are appropriate community consultations and discussions, there is a reasonable acceptability among plasma donors, surviving patients, and their family members, at least in the short term.
