A complex issue and I feel sorry for the GP.. We now have opinion based medicine defined by a Coroners court
The fact that a coroner takes the advice of a partialist on a case where those key features of general practice ..complexity, uncertainty and patient centreredness .feature strongly reflects on the court's grasp of medicine., or maybe the partialist was an experienced GP?
Now we have a standard of care set by the court:.persons on NSAIDs need a PPI which seems fair enough and we know PPIs can adversely impact on renal function in the elderly, already fragile because of the PPI.
Might be time for the coroners to sit down and talk with general practice, or perhaps follow the H&DC. approach to medical opinion
New Zealand Doctor