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You’re at the window starin’ at the sky, birds fly by, you start to wonder why

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Physicians may choose riskier treatment for themselves than they’d recommend for their patients, according to a study that highlights a need for candid discussions about patients’ preferences.

The findings are important because patients faced with difficult medical decisions often ask their doctors, “What would you do?” The answer reflects the doctors’ values — not necessarily those of the patient. (…)

The study asked more than 700 primary-care doctors to choose between two treatment options for cancer and the flu — one with a higher risk of death, one with a higher risk of serious, lasting complications.

In each of the two scenarios, doctors who said they’d choose the deadlier option for themselves outnumbered those who said they’d choose it for their patients. (…)

Previous research shows many people would react in a similar emotional way when presented with difficult choices for themselves versus others.

For example, one study asked participants if they would approach an attractive stranger in a bar if they noticed that person was looking at them. Many said no, but they would give a friend the opposite advice. Saying “no” meant avoiding short-term pain — possible rejection by an attractive stranger — but also missing out on possible long-term gain — a relationship with that stranger.

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