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So I think, you know, we do play a big role in ultimately helping them make their decision…" (Physician) Most primary care providers saw their role during the RRT preparation process as providing patients with emotional support, helping patients understand and weigh RRT options, affirming the nephrologists' RRT recommendations, and confirming patients' certainty about their modality choice.
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Cases like that may be inevitable as long as doctors cannot give patients more certainty about whether a defibrillator will actually help them.
But, said Tim Clune, deputy director of Disability Advocates, which was a plaintiff along with two patients, Joseph S. and Stephen W., "certainty is a good thing".
Dr. Larry Norton, the medical director of the Evelyn H. Lauder Breast Center at Memorial Sloan-Kettering Cancer Center, said the larger problem is that doctors cannot tell patients with certainty which cancers will not progress and which cancers will kill them, and changing terminology does not solve that problem.
"However, it's right that patients have certainty about how long they can expect to wait for medical treatment when they are ill.
In these patients diagnostic certainty was insufficient and further diagnostic testing may be needed.
If HCPs are not comfortable or competent explaining randomisation and the scientific logic for it, this may cause disquiet for patients wanting certainty about optimal treatments.
Despite the high prevalence of spinal pain, it has been suggested that a specific etiology of back pain can be diagnosed in only about 15% of patients with certainty based on clinical examination alone [ 5- 9].
A modified version of ASES contains 11 questions regarding the patient's certainty to perform various tasks related to pain and symptoms, where each item is rated from 1 (very uncertain) to 5 (very certain).
"We have a responsibility to provide patients with greater certainty," Shuren said.
Clearly, we cannot know the outcome of these patients with any certainty.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com