I had an episode recently where we had a fairly young hypertensive patient who happened to undergo a stress echo via hospitalist, only to find it's significantly abnormal and he needs a left heart cath. I spent like 20 min in the room discussing plans, risk vs benefits and expectations post PCI (in short, TAKE YOUR ANTIPLATELETS), and the wife jumps in. "Excuse me, I'm a naturopathic DOCTOR."
She then proceeds to tell me she is totally against multiple antihypertensives regardless of what they are for (i.e. against bbl/ace-i/aldactone in cardiomyopathy) and will never let her husband touch a statin. I started to get extremely irritated because he had BPs in the 180s/100s and she started refusing his antihypertensive therapy in hospital because "you're overloading him, his body is going to reject those toxins, look at how high you've driven up his blood pressure and not let him EAT, my god his body is all out of balance."
Yeah okay lady if your magic herbs can fix his problems why did you bring him into the ER in the first place?
I told her they have every right to refuse evidence based, guideline driven care and if there are poor outcomes because they didn't do what we recommended, well, that's a shame. I probably was a little spicy about it, but ugh.
How do you handle these people professionally?
Source: Original link